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New Edit Implementation for Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) for Point of Origin (PoO) Admission or Visit Code “D” Related to the Emergency Department (ED) Adjustment Policy

The purpose of this Change Request (CR) is to implement a new edit in the Fiscal Intermediary Shared System (FISS) to prevent the incorrect use of Point of Origin (PoO) for admission or visit code “D” on Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) claims that also include charges for emergency department services.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 17, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.