Medicare Payment Primers

Medicare is the single largest purchaser of healthcare services. Its payment methodologies inform the entire healthcare industry and influence almost every clinical, operational, and financial decision. The rules of engagement are complex and continually changing. In this new primer series, PYA experts will provide the foundational knowledge to ask the right questions. New insights will be added over the next several months. Links to current articles in this series are provided below.

Medicare Payment Primers: The Fundamentals of Prospective Payment Systems
Part #1 | Published October 13, 2022

Medicare Payment Primers: The Inpatient Hospital Prospective Payment System
Part #2 | Published November 1, 2022
Medicare Payment Primers: Cost-Based Reimbursement – Defining “Cost”

Medicare Payment Primers: Cost-Based Reimbursement – Defining “Cost”
Part #3a | Published February 15, 2023
Medicare Payment Primers: Cost-Based Reimbursement – Mechanics of Reimbursement

Medicare Payment Primers: Cost-Based Reimbursement – Mechanics of Reimbursement
Part #3b | Published February 15, 2023

Medicare Payment Primers: Provider Types and Components Receiving Cost-Based Reimbursement
Part #3c | Published February 17, 2023
Medicare Payment Primers: Cost-Based Reimbursement – Other Areas Dependent on Cost Report Ratios and Processes

Medicare Payment Primers: Cost-Based Reimbursement – Other Areas Dependent on Cost Report Ratios and Processes
Part #3d | Published February 17, 2023

Medicare Payment Primers: The Inpatient Psychiatric Facility Prospective Payment System
Part #4 | Published March 22, 2023

Medicare Payment Primers: The Inpatient Rehabilitation Facility Prospective Payment System
Part #5 | Published April 20, 2023

Medicare Payment Primers: The Hospital Outpatient Prospective Payment System
Part #6 | Published May 2, 2023

Medicare Payment Primers: The Long-Term Care Hospital Prospective Payment System
Part #7 | Published June 5, 2023

Medicare Payment Primers: The Home Health Prospective Payment System
Part #8 | Published August 10, 2023

Medicare Payment Primers: The Skilled Nursing Facility Prospective Payment System
Part #9 | Published December 4, 2023

Medicare Payment Primer: End-Stage Renal Disease Prospective Payment System
Part #10 | Published January 31, 2024

Medicare Payment Primer: Federally Qualified Health Centers Prospective Payment System
Part #11 | Published March 27, 2024
 

If you would like additional guidance related to reimbursement, strategy and transactions, compliance, or valuation, one of our executives would be happy to assist. You can call us at (800) 270-9629.

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