Facilities and Organizations


Find the latest Medicare news for facilities and organizations as well as helpful information, tools and links to CMS resources.





Facilities and Organizations Articles


Long-Term Care Hospitals Prospective Payment SystemQuality Improvement Organization (QIO) DenialsSkilled Nursing Facility Payment Bans or Denial of Payment for New AdmissionsObservation CareTop Five Errors Identified During Medicare Secondary Payer (MSP) Hospital AuditsCounting Units for Therapy CodesCounting Units for Therapy CodesReporting Multiple Outpatient Visits that Occur the Same DayDate of Service ReportingThree-Day Prior Hospitalization Requirement for Skilled Nursing Facility (SNF) ServicesDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Federally Qualified Health Center or Rural Health ClinicsFederally Qualified Health Center or Rural Health ClinicsHow is the Medicare Advantage (MA) supplemental wraparound payment made to Federally Qualified Health Centers?Hospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemIntensity-Modulated Radiation Therapy (IMRT)FQHC Claims: Retroactive Adjustment for Geographic Adjustment FactorMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)ESRD Facilities: Machine Reported Dialysis Treatment Time on the 072X Bill TypeBeneficiary and Family Centered Care Quality Improvement Organizations (QIO) Two-Midnight (2M<) Short Stay Review (SSR) DeterminationsCMS Resources for Skilled Nursing Facilities (SNF): Patient Driven Payment Model (PDPM)Part A Outpatient Date of Service Reporting and Split BillingExtension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey SubmissionSole Community Hospital (SCH)Part A Inpatient Date of Service Reporting and Split BillingChimeric Antigen Receptor (CAR) T-Cell Therapy Revenue Code and HCPCS Setup RevisionsAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletHospitals: Physician Time Studies During the COVID-19 PHERHC Productivity Standard ExceptionsHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingInpatient Rehabilitation Facility (IRF) ResourcesOffice of the Inspector General (OIG) Post-Acute Care Transfer (PACT) Policy Audit Questions and AnswersHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingInpatient Rehabilitation FacilityFQHC and RHC Claims: Retroactive Rate Adjustment for HCPCS Code G2025Hospital Low Volume AdjustmentFQHC and RHC Claims: Retroactive Rate Adjustment for HCPCS Code G2025Rural Health Clinics (RHC) Billing Venipuncture with Incorrect Revenue CodesRural Health Clinics (RHCs) Reporting RequirementsRural Health Clinics (RHCs) Reporting Requirements - Frequently Asked Questions (FAQs)Diagnosis Related Group (DRG) 470 ModuleUtilization of Lifetime Reserve Days ModuleIntensity-Modulated Radiation Therapy ModuleIPPS Billing for Cost Outlier ModuleESRD Billing for Acute Kidney Injury (AKI) ModuleSkilled Nursing Facility (SNF) Extended Care Services ModulePatient Discharge Status Codes and Hospital Transfers ModuleA/B Rebilling ModuleFederally Qualified Health Centers (FQHCs) - A to Z ModulePatient Discharge Status Codes and Hospital Transfers ModulePartial Hospitalization Programs (PHPs) Module340B Drug Program Reimbursement CalculatorLong Term Care Hospital (LTCH) Prospective Payment System (PPS) Interrupted Stay PolicyCracking Condition Code 44 Computer Based TrainingSkilled Nursing Facility (SNF) Basics Training ModulesSkilled Nursing Facility (SNF) Ancillary Services ModuleRural Health Clinic (RHC) Overview ModuleCracking Condition Code 44 Computer Based TrainingWe're All In This Together Flyer - Dialysis FacilitiesCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure Reporting