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

PB or PPS Investment Activities

Examples of Allowable Activities

A. ICD-11 software

• Training that updates and computerizes hospital policies and procedures to implement ICD-11
• Hardware/software investments that improve quality, efficiencies, and coding

B. ICD-11 training

• Training to support coding and reimbursement to prepare for and implement ICD -11
• Training to support Revenue Cycle Management documentation improvements that result in increased coding compliance
• Revenue Cycle Bootcamp Part I
• Revenue Cycle Bootcamp Part II
• Training for collecting and reporting on Z-Codes (SDOH)

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

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

• Financial and operational strategies
• 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
• Training examples:
  • Understanding the S-10 Cost Report Slide Deck Part One
  • Understanding the S-10 Cost Report Slide Deck Part Two

Software and training to support hospital compliance with price transparency rule. SHIP funds may be used to support a consultant or vendor to build a price transparency software and/or website development, as well as maintenance or updates to the software or website . 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 cost to Medicare beneficiaries. Training examples:
• Chargemaster, Pricing Transparency, Charges