IPPS proposed rule creates 745 new DRGs
In its recent final rule for the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS), the CMS deferred action in response to the DC Circuit’s vacatur of its low wage index hospital policy and related budget neutrality adjustment in the case of ...
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 ...
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