Medicare reimbursement continues to evolve, creating new challenges for inpatient specialty care organizations striving to maintain financial performance, payment precision, and regulatory compliance. Inpatient Psychiatric Facilities (IPFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs) must navigate distinct and increasingly complex prospective payment methodologies, annual CMS updates, and a range of patient- and facility-level factors that can significantly affect reimbursement.
Join MediRegs for an educational session on the key reimbursement drivers impacting IPFs, IRFs, and LTCHs today. We'll break down the payment methodologies behind IPF PPS, IRF PPS, and LTCH PPS; explore important factors such as per-diem and patient-level adjustments, case-mix groups and comorbidities, MS-LTC-DRGs, wage indexes, outliers, and other applicable payment adjustments; and highlight common sources of payment variance that can affect expected reimbursement.
Attendees will also see how reimbursement modeling and calculation tools can help simplify complex CMS payment logic, support independent payment validation, evaluate reimbursement scenarios, and strengthen financial planning and decision-making across revenue cycle, finance, reimbursement, coding, and compliance functions.