To help hospital and health system financial leaders understand the impacts of the various Medicare prospective payment system (PPS) rules as they change from year to year, the Wisconsin Hospital Association provides hospital-specific analysis through the wha.org member portal
as a member benefit. These valuable reports can be found under the “Resources” tab once logged in.
The reports utilize rule specifics and data and information from CMS including cost report and MEDPARE files to accurately project how the various PPS rule changes will affect Medicare reimbursement in the coming year.
Rules covered in these reports include:
- Inpatient PPS
- Outpatient PPS
- Inpatient Rehab PPS
- Home Health PPS
- Long Term Care Hospital PPS
In addition to the hospital-specific reports, WHA also makes available Medicare rule briefs explaining the key elements within each PPS rule. These easy-to-read rule briefs can be found on the WHA website
Contact WHA Senior Vice President Finance Brian Potter
to learn more about how WHA Finance resources can help you better understand these important reimbursement rules and their impact on your facility.