On May 11, the Centers for Medicare & Medicaid Services (CMS) released itsFiscal Year (FY) 2021 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospitals (LTCH) proposed payment rule(CMS-1735-P). Here’s a high-level overview of key provisions in the proposed payment rule ...
Sole community hospitals (SCH)— CMS makes no change, continuing its ongoing policy of a 7.1% payment adjustment for rural SCHs. Wage index— The OPPS labor-related share remains at 60% of the national OPPS payment. CMS would continue to use the final FY 2021 IPPS post-reclassified wage ...
Indirect medical education (IME) adjustment— For discharges occurring during FY 2022, CMS proposes a formula multiplier of 1.35. CMS estimates that the application of the formula multiplier will result in an increase in IPPS payment of 5.5% for every approximately 10% increase in the hospital’s...
Indirect medical education (IME) adjustment— For discharges occurring during FY 2022, CMS proposes a formula multiplier of 1.35. CMS estimates that the application of the formula multiplier will result in an increase in IPPS payment of 5.5% for every approximately 10% increase in the hospital’s...