April 2025 Update to the Inpatient Prospective Payment System (IPPS) For Correction to Total Pass-Through Amounts Reported on the Provider Specific File (PSF) to Include Allogeneic Stem Cell Costs
The purpose of this Change Request (CR) is to instruct the Medicare Administrative Contractors (MACs) to include the Pass-Through Amounts for Allogeneic Stem Cell Acquisition costs in the Total Pass-Through Amount field of the inpatient PSF. This CR also updates the Inpatient Prospective Payment System (IPPS) Cloud Pricer to ensure that the Total Pass-Through Per Diem amounts are populated correctly when calculating payment for Medicare Advantage (MA) claims using the online estimating tool. This Recurring Update Notification applies to chapter 3, Addendum A- Provider Specific File (PSF).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 21, 2024
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