Payment Bundling (PB)/Prospective Payment System (PPS)

PB or PPS Investment Activities

Allowable Investments

A. International Statistical Classification of Diseases and Related Health Problems Version 10 (ICD-10) software

• Training that updates and computerizes hospital policies and procedures to comply with ICD-10*
• Hardware/software investments that improve quality, efficiencies, and coding

B. ICD-10 training

• Training to support coding and reimbursement
• Training to support Revenue Cycle Management* documentation improvements that result in increased coding compliance
• Revenue Cycle Bootcamp Part I
• Revenue Cycle Bootcamp Part II

C. Efficiency or quality improvement training in support of PB or PPS-related initiatives

Training that improves processes through the adoption of best practices and the transition to value-based payment strategies such as the following:

• 340B Training

D. S-10 Cost Reporting training

• Debt and charity care training
• Training to improve charity care processes and develop policy guidelines for S-10 Cost Reporting
  • Understanding Worksheet S-10 Cost Report (511.83 KB)
• Training examples:
  • Understanding the S-10 Cost Report Slide Deck Part One (5.44 MB)
  • Understanding the S-10 Cost Report Slide Deck Part Two (3.1 MB)

E. Price transparency training

Training to support hospital compliance with price transparency rule. Funding cannot support consultants or vendors to build a price transparency software or website development time. SHIP funds can support staff training by a consultant.

• SHIP Price Transparency Guide
• Price Transparency: Making the Most of the 2021 Requirement

Training on revenue cycle management* to improve processes that provide clear information about charges and costs to Medicare beneficiaries. Training examples:

• Chargemaster, Pricing, Transparency Slide Deck (2.2 MB)
• Chargemaster Review