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” 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

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.

	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 Primers

“2023 Medicare Hospital Inpatient and Outpatient Rules”

On-Demand Webinar Series: “2023 Medicare Physician Fee Schedule Proposed Rule”

Top 10 Quick Takes From the 2023 Medicare Physician Fee Schedule Proposed Rule

On-Demand Webinar: “Summer Symposium — Medicare Margin & Reimbursement Drivers”

PYA White Paper Provides 2025 Update on Medicare Billing Rules for Care Management

A PYA Perspective: Medicare Reimbursement for Virtual Services – A Matter of Health Equity

Related Insights

“2023 Medicare Hospital Inpatient and Outpatient Rules”

On-Demand Webinar Series: “2023 Medicare Physician Fee Schedule Proposed Rule”

Top 10 Quick Takes From the 2023 Medicare Physician Fee Schedule Proposed Rule

On-Demand Webinar: “Summer Symposium — Medicare Margin & Reimbursement Drivers”

PYA White Paper Provides 2025 Update on Medicare Billing Rules for Care Management

A PYA Perspective: Medicare Reimbursement for Virtual Services – A Matter of Health Equity