IPPS proposed rule creates 745 new DRGs
CMS indicated in its final IPPS rule for 2023 that it would change its rule and correct its flawed GME calculations retroactively for open cost reporting periods.[15] Likewise, the agency announced a separate fix to the payment errors caused by its outpatient pro...
Also underway is a review of all base MS-DRGs for possible subgroup creation. Five criteria are used to evaluate MS-DRGs for addition of a subgroup; all must be met to make a new two-way or three-way split. The proposed FY 2022 rule stated that, using this methodology, 96 MS-DRGs w...
2021, CMS is re-establishing the minimum area wage index for hospitals in all-urban states beginning with discharges occurring on or after October 1, 2021. CMS indicates that, based on data available at the release of this proposed rule, the change would apply...
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 ...
IPPS Proposed Rule: Read Once, Then Take an AspirinWolin, Robert
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