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 primer series, PYA experts provide the foundational knowledge to ask the right questions.
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” Part #3a | Published February 15, 2023
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 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
Medicare Payment Primer: Clinical Laboratory Fee Schedule Part #12 | Published May 9, 2025
Medicare Payment Primer for Rural Providers | CAH, REH, RHC, SCH & More Part #13 | Updated May 13, 2026
Medicare Payment Primer: Ground and Air Ambulance Services Part #14 | Published May 16, 2025
Medicare Payment Primer: Medicare Trust Fund – What It Is and Why It Matters Part #15 | Published November 18, 2025
Medicare Payment Primer: Durable Medical Equipment (DME) Part #16 | Published April 24, 2026
Medicare Payment Primer: Hospice Part #17 | Published May 18, 2026
Medicare Payment Primer: Physician Fee Schedule Part #18 | Published August 25, 2026
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 (865) 673-0844.