CMS Prospective Payment Systems Help¶
This section contains help documentation for CMS Prospective Payment Systems (PPS), sourced from the official CMS Web Pricer application.
Overview¶
Medicare uses Prospective Payment Systems to reimburse healthcare providers for services. Each PPS has specific rules, calculations, and factors that determine payment amounts.
Payment Systems¶
| System | Description |
|---|---|
| Inpatient Prospective Payment System (IPPS) | The IPPS is used to reimburse acute care hospitals for inpatient stays under Med... |
| Inpatient Rehabilitation Facility (IRF) | The IRF PPS is used to reimburse inpatient rehabilitation facilities for Medicar... |
| Long-Term Care Hospital (LTCH) | The LTCH PPS is used to reimburse long-term care hospitals for extended inpatien... |
| Skilled Nursing Facility (SNF) | The SNF PPS is used to reimburse skilled nursing facilities for Medicare Part A ... |
| End-Stage Renal Disease (ESRD) | The ESRD PPS is used to reimburse dialysis facilities for dialysis treatments.... |
| Hospice | The Hospice payment system is used to reimburse hospice providers for end-of-lif... |
| Inpatient Psychiatric Facility (IPF) | The IPF PPS is used to reimburse inpatient psychiatric facilities for Medicare s... |
| Home Health | The Home Health PPS is used to reimburse home health agencies for Medicare Part ... |
Using This Reference¶
Each payment system page contains definitions and explanations for the fields and concepts used in the CMS Web Pricer. These definitions can help you understand:
- Input fields and their valid values
- Calculation factors and adjustments
- Payment methodology concepts
- Facility and provider classifications
[!TIP] Use your browser's search function (Ctrl+F / Cmd+F) to quickly find specific terms within each page.
Content sourced from CMS Web Pricer. Last updated: 2026-01-30