IPPS Proposed Rule: Read Once, Then Take an AspirinWolin, Robert
The proposed rule would add incentives to hospitals that perform well on existing measures and to those who care for high proportions of underserved individuals. CMS plans to define “underserved” by dual eligibility status. Similar adjustments have been added to the Medicare ...
MS-DRG Classification Split 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...
Factor 2— CMS calculated Factor 2 for the FY 2022 proposed rule to be 0.7214 (72.14%). The uncompensated care amount would be $10.573 billion multiplied by 0.7214, or $7.628 billion. CMS indicates this is roughly $662 million below the 2021 uncompensated care amount of $8.290 billion and ...
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 creates 745 new DRGs
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