CMS adjusted payments under OPPS and Inpatient Prospective Payment System (IPPS) to include the additional costs of domestically manufactured, National Institute for Occupational Safety and Health (NIOSH)-approved surgical N95 respirators, effective Jan. 1, 2023. CMS will categorize all...
Inpatient Only ListThe IPO list was established in rulemaking as part of the initial implementation of the OPPS; the list identifies services for which Medicare will make payment only when such services are furnished in the inpatient hospital setting.7 In CY 20...
inpatient-only listtotal hip arthroplastyoutpatientcostshealth policyStarting in 2020, Centers for Medicare and Medicaid Services (CMS) removed total hip arthroplasty (THA) from the inpatient-only list, resulting in an average of $1637 per case reduction in facility reimbursement. The purpose of this...
Finally, CMS proposes to align electronic clinical quality measures (eCQM) reporting periods with the Inpatient Quality Reporting (IQR) program and to publicly report eCQM performance data beginning with data reported for CY 2021 on Hospital Compare and/ordata.medicare.gov. For CY 2023 and each ...
On the other hand, CMS has also proposed the elimination of the inpatient only (IPO) list, which would potentially limit future procedural migration from hospital campuses to ambulatory surgery settings. The following list provides key facts and trends to consider pertaining to...
CMS recently released its FY2021 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospitals (LTCH) proposed payment rule(CMS-1735-P). Have questions about the proposed payment rule? On May 11, the Centers for Medicare & Medicaid Services (CMS) released its ...