Inpatient Prospective Payment Systems (IPPS)
More than three-quarters of the nation's inpatient acute-care hospitals are paid under the inpatient prospective payment system, while nearly a quarter are paid based on costs and are called Critical Access Hospitals. The IPPS pays a flat rate based on the average charges across all hospitals for a specific diagnosis, regardless of whether that particular patient costs more or less. Everything from an aspirin to an artificial hip is included in the package price to the hospital.
Late April 17, CMS issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for fiscal year 2016.
Releases FY 2015 Inpatient and Long-Term Care Hospital PPS Final Rule
CMS’s proposal to change the thresholds that apply to LTCH interrupted stays is unwarranted and should not be implemented.
While we support a number of the inpatient PPS proposed rule’s provisions, we have serious concerns about certain aspects of the Hospital-acquired Condition (HAC) Reduction Program proposals, the Inpatient Quality Reporting (IQR) program proposals and the proposed changes to the cost report…
Today's proposal implements a number of statutory requirements that would put further stress on vital care for seniors. Hospitals are undergoing an unprecedented amount of change.
AHA Regulatory Advisory regarding Medicare Inpatient PPS: The Final Rule for Fiscal Year 2014
Today's rule finalizes many of CMS's proposals. While we continue to believe the coding cuts imposed by the American Taxpayer Relief Act are unwarranted, we appreciate CMS's policy of gradually phasing in the reduction beginning in FY 2014.