September 16, 2024 The Centers for Medicare and Medicaid Services (CMS) has deferred taking immediate action on its low wage index hospital policy in light of the US Court of Appeals for the DC Circuit’s decision in Bridgeport Hospital v. Becerra. While the...
In an email on Friday, CMS said that it will not offer MIPS facility-based scoring because the Fiscal Year (FY) 2023 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule finalized the suppression of several measures...
In its FY2023 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule, CMS introduced PRO quality reporting measures for certain THA and TKA patients, establishing two voluntary reporting periods...
reflecting a 3.0 percent projected hospital market basket percentage increase, reduced by 0.4 percent for the productivity adjustment. This increase is 0.5 percent lower than the 3.1 percent increase implemented in the CY 2024 Final Rule. CMS aligned the...
Additionally, the FY 2021 IPPS final rule will add a MS-DRG for administering Chimeric Antigen Receptor (CAR) T-cell therapies, as well as 24 new technology add-on payments for eligible new and relatively high-cost technologies. The rule will also expand the add-on payment ...
final wage index value for a year for that hospital and the 25th percentile wage index value for that year across all hospitals. For purposes of the low wage index hospital policy, based on the data for this proposed rule, the FY 2022 25th percentile wage index value is 0.8418. CMS ...
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 index for urban and rural areas as the wage index under the OPPS. This would be used to determine the wage adjustments for both...
On April 24, 2018, the Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) Proposed Rule (CMS-1694-P). Among other changes, CMS proposes eliminating its regulatory requirement that a written inpatient admission order be ...