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 July 31, the CMS issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2016. Select highlights of the final rule related to the inpatient PPS are highlighted in this Bulletin.
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…