CMS has established the January 2027 monthly facility payment amount for Rural Emergency Hospitals (REHs) at $304,492.86 (after sequestration removal). Medicare Administrative Contractors must apply this updated payment amount to all REH providers effective January 1, 2027, with implementation by January 4, 2027.
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01Effective January 1, 2027: Billing team and Medicare Administrative Contractors shall verify that billing systems are configured to apply the CY 2027 REH monthly facility payment amount of $304,492.86 (post-sequestration) to all REH provider claims beginning January 1, 2027, with implementation by January 4, 2027.
02If your practice operates as or bills through an REH, confirm with your MAC that the updated payment amount has been implemented in their claims processing system.
03No prior authorization or documentation changes are required; this is a rate update only.
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