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Inpatient Prospective Payment Systems (IPPS)

The Centers for Medicare & Medicaid Services previously had extended the revision deadline to Oct. 31, following numerous changes to the worksheet S-10.

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Inpatient Prospective Payment Systems (IPPS)

The document explains hospital payment adjustments under the Medicare Electronic Health Record Incentive Program; adjustments are applied as a reduction to the hospital Inpatient Prospective Payment System percentage increase for FY 2018.

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Inpatient Prospective Payment Systems (IPPS)

The new rule would affect inpatient operating payments, Medicare disproportionate share hospital payments, and the Hospital Readmissions Reduction Program.

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Inpatient Prospective Payment Systems (IPPS)

The final rule updates Medicare inpatient rates to acute care hospitals by 1.21 percent, provides flexibility in reporting of electronic clinical quality measures, and changes the payment adjustment methodology for the Hospital Readmissions Reduction Program.

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Inpatient Prospective Payment Systems (IPPS)

The Centers for Medicare & Medicaid Services will allow hospitals to submit revisions to Worksheet S-10 of their Medicare cost report for fiscal year 2015 by Sept. 30.

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Inpatient Prospective Payment Systems (IPPS)

America’s Essential Hospitals encourages CMS to improve transparency, risk adjust, and reduce regulatory burden for essential hospitals.

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Inpatient Prospective Payment Systems (IPPS)

The rule would raise inpatient operating payment rates, revise Medicare DSH payment methodology, and apply a transitional methodology for HRRP penalties.

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Inpatient Prospective Payment Systems (IPPS)

The rule contains provisions on the Hospital Readmissions Reduction Program, Medicare DSH, the Inpatient Quality Reporting program, and more.

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Inpatient Prospective Payment Systems (IPPS)

Association calls the fiscal year 2018 Inpatient Prospective Payment System proposed rule a welcome first step toward broader recognition in federal health policy of challenges that affect the health of vulnerable patients.

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Inpatient Prospective Payment Systems (IPPS)

The policy team at America's Essential Hospitals discussed the regulatory outlook for the next year, including key policy issues on the horizon.

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Inpatient Prospective Payment Systems (IPPS)

Hospitals have until May 5 to review overall Hospital Compare star rating and until May 10 to review value-based purchasing hospital-specific reports.

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Inpatient Prospective Payment Systems (IPPS)

The delay is in accordance with a “regulatory freeze” set forth in a recent White House memorandum.

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Inpatient Prospective Payment Systems (IPPS)

CMS also expanded the Comprehensive Care for Joint Replacement (CJR) model to include surgical hip/femur fracture treatment.

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Inpatient Prospective Payment Systems (IPPS)

All hospitals and critical access hospitals will be required to provide the MOON to applicable patients beginning March 8, 2017.

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Inpatient Prospective Payment Systems (IPPS)

CMS says it miscalculated some hospitals' uncompensated care share and provided the incorrect wage index reclassification status of four hospitals.

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Inpatient Prospective Payment Systems (IPPS)

In May, CMS paused initial patient status reviews to ensure reviews are performed consistently and the two-midnight policy is properly applied.

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Inpatient Prospective Payment Systems (IPPS)

The deadline for hospitals to amend their Medicare cost report Worksheet S-10 for fiscal year 2014 is Sept. 30.

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Inpatient Prospective Payment Systems (IPPS)

The rule addresses the controversial two-midnight policy, Medicare DSH, the Hospital-Acquired Condition Reduction Program, Value-Based Purchasing, and more.

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Inpatient Prospective Payment Systems (IPPS)

The rule includes the annual payment update to inpatient payment rates and changes to the Medicare disproportionate share hospital payment methodology.

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Inpatient Prospective Payment Systems (IPPS)

America's Essential Hospitals gave feedback on Medicare DSH payments, payments associated with the two-midnight policy, and quality reporting programs.

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Inpatient Prospective Payment Systems (IPPS)

Delay of patient status reviews will continue until further notice. The agency will work with Quality Improvement Organizations to ensure the two-midnight policy is enforced consistently for all hospitals.

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Inpatient Prospective Payment Systems (IPPS)

A new proposed rule for Medicare’s Inpatient Prospective Payment System would reverse the controversial two-midnight policy payment cut and make numerous other policy and payment changes, including to quality reporting programs.

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Inpatient Prospective Payment Systems (IPPS)

The proposal would reverse the cut starting in FY 2017, in addition to a temporary adjustment to retroactively pay for reduced payments from fiscal years 2014 to 2016.

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Inpatient Prospective Payment Systems (IPPS)

Court-ordered justification provides additional insight for 0.2 percent inpatient payment rates cut agency linked to policy

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Inpatient Prospective Payment Systems (IPPS)

Hospitals paid under IPPS in 67 metropolitan statistical areas will be required to participate in new payment model starting in April 2016

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Inpatient Prospective Payment Systems (IPPS)

In a legal victory for hospitals, a district court said CMS did not meet legal requirements for rulemaking when it cut hospital inpatient payments by 0.2 percent in FY 2014. The court ordered CMS to reissue the FY 2014 IPPS rule.

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Inpatient Prospective Payment Systems (IPPS)

This conference call will cover major policies included in the IPPS and LTCH PPS final rule, including quality initiatives. Question and answer period to follow presentation.

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Inpatient Prospective Payment Systems (IPPS)

Rule includes a net increase in IPPS payment rates of 0.9 percent, Medicare DSH cuts of $1.2 billion in FY 2016, and updates to the HAC Reduction, Hospital VBP, IQR, and EHR Incentive programs.

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Inpatient Prospective Payment Systems (IPPS)

Comments caution CMS about Medicare DSH payment cuts and urge CMS to ensure measures and methodologies used in quality reporting programs are adjusted for sociodemographic factors.

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Inpatient Prospective Payment Systems (IPPS)

May 29 webinar will focus on quality reporting program proposals, impact of changes to HAC Reduction Program and Hospital Readmissions Reduction Program.

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Inpatient Prospective Payment Systems (IPPS)

The rule includes provisions on several topics, including a payment update, Medicare disproportionate share hospital cuts, Medicare payment for short inpatient hospital stays, and the Readmissions Reduction Program.

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Inpatient Prospective Payment Systems (IPPS)

Due to Senate consideration of a bill that would extend the delay until October, CMS extends its delay through April 30.

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Inpatient Prospective Payment Systems (IPPS)

Hospitals that did not meet reporting requirements in 2014 and do not receive exception could face smaller IPPS payment increases in 2016

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Inpatient Prospective Payment Systems (IPPS)

In a new policy brief, America's Essential Hospitals describes how billions of dollars in reductions to Medicaid and Medicare funding threaten care at essential hospitals.

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Inpatient Prospective Payment Systems (IPPS)

The national provider call will be held Wednesday, Oct. 8, 1:30 – 3 pm ET.

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Inpatient Prospective Payment Systems (IPPS)

During its September public meeting, MedPAC discussed alternatives to the two-midnight policy, the need for audit reform, and the 3-day SNF rule. The commission will continue to focus on these issues.

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Inpatient Prospective Payment Systems (IPPS)

Ratings will start with the April 2015 release of Hospital Compare data. Dry run will occur between Sept. 15 and Oct. 14.

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Inpatient Prospective Payment Systems (IPPS)

Hospitals willing to resolve pending appeals will receive a timely, partial payment equal to 68 percent of the net payable amount. Provider call scheduled for Sept. 9.

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Inpatient Prospective Payment Systems (IPPS)

Data collection for a chart-abstracted sepsis measure is delayed until further notice based on an NQF recommendation.

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Inpatient Prospective Payment Systems (IPPS)

The final rule updates Medicare payment policies, rates for inpatient stays at general acute care hospitals, and provisions related to quality improvement programs.

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Inpatient Prospective Payment Systems (IPPS)

Comments cover topics such as Medicare disproportionate share hospital payment cuts and risk adjustment for socioeconomic status.

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Inpatient Prospective Payment Systems (IPPS)

Acute care facilities that participate in the Hospital Inpatient Quality Reporting Program must enter Medicare beneficiary numbers on event records for all Medicare patients into the National Healthcare Safety Network, beginning July 1.

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Inpatient Prospective Payment Systems (IPPS)

MedPAC announced that it will look into alternatives for the two-midnight rule. The potential alternative policy will clarify the inpatient payment system to clarify when a patient is considered an inpatient and alter payment mechanisms to require less observation care.

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Inpatient Prospective Payment Systems (IPPS)

The subcommittee focused on three issues pertaining to hospital inpatient reimbursement: 1) the two-midnight rule that redefined which hospital stays qualify for inpatient reimbursement; 2) RAC reviews of hospital payment determinations; and 3) provider appeals of Medicare payment determinations.

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Inpatient Prospective Payment Systems (IPPS)

For inpatient admissions with dates of admission between Oct. 1, 2013, and March 31, 2015, MACs and recovery audit contractors will not conduct postpayment patient status reviews. MACs will continue to conduct prepayment probe reviews of short stays with dates of admission between Oct. 1, 2013, and March 31, 2015.

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Inpatient Prospective Payment Systems (IPPS)

On April 30, CMS issued the IPPS proposed rule for fiscal year 2015. The rule updates Medicare payment policies, rates for inpatient stays at general acute care hospitals, and provisions related to quality improvement programs. CMS will accept comments on the proposed rule through June 30.

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Inpatient Prospective Payment Systems (IPPS)

CMS released the FY 2015 proposed IPPS rule April 30. The proposed rule updates Medicare payment policies and rates for inpatient stays at general acute care hospitals, as well as provisions regarding quality improvement programs.

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Inpatient Prospective Payment Systems (IPPS)

The Centers for Medicare & Medicaid Services (CMS) hosted today a follow-up Special Open Door Forum on the two-midnight policy. The call discussed physician order and physician certification, inpatient hospital admission, and medical review criteria.

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Inpatient Prospective Payment Systems (IPPS)

Letter underscores necessity for more time for CMS to assess policy's impact on patients, hospitals

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Inpatient Prospective Payment Systems (IPPS)

Revised policy presumes inpatient admissions fewer than two midnights are inappropriate for inpatient reimbursement

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Inpatient Prospective Payment Systems (IPPS)

Hospitals that treat a large share of low-income patients receive add-on payments to the amount designated by IPPS

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Inpatient Prospective Payment Systems (IPPS)

Guidance extends the existing enforcement delay by three months

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Inpatient Prospective Payment Systems (IPPS)

CMS updates earlier guidance, CCIIO addresses third-party payments of premiums for individuals covered by QHPs

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Inpatient Prospective Payment Systems (IPPS)

Offered direction on how to select hospital claims during inpatient probe and educate program

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Inpatient Prospective Payment Systems (IPPS)

Nearly three-quarters of the hospitals awarded a payment were new to the program

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Inpatient Prospective Payment Systems (IPPS)

Hospitals were urged to attest that they have meaningfully used certified EHR technology by Nov. 30

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Inpatient Prospective Payment Systems (IPPS)

Inpatient stays of two midnights or more are presumed reasonable and necessary, agency says

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Inpatient Prospective Payment Systems (IPPS)

Rule establishes presumption of medical need for Medicare hospital inpatient admissions that span two midnights

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Inpatient Prospective Payment Systems (IPPS)

Cited concerns that hospitals may be undercompensated for providing necessary services that do not meet new criteria

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Inpatient Prospective Payment Systems (IPPS)

Will take comment on physician order and certification, medical review criteria, and other issues

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Inpatient Prospective Payment Systems (IPPS)

Rule finalizes several inpatient prospective payment system provisions

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Inpatient Prospective Payment Systems (IPPS)

Rule also finalizes use of Medicaid and low-income Medicare inpatient days as uncompensated care proxy

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Inpatient Prospective Payment Systems (IPPS)

Association urges CMS to accurately capture uncompensated care data to implement Medicare DSH cuts

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Inpatient Prospective Payment Systems (IPPS)

Rule includes proposed formula to make Medicare DSH reductions under ACA

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Inpatient Prospective Payment Systems (IPPS)

Rule proposes several inpatient prospective payment system provisions

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Inpatient Prospective Payment Systems (IPPS)

Commissioners vote unanimously to recommend 1 percent increases for fiscal year 2014

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.