Proposed Rule: Inpatient Psychiatric Facility Prospective Payment System

Proposed Rule: Inpatient Psychiatric Facility Prospective Payment System

Members-Only Conference Call

Proposed Rule: Inpatient Psychiatric Facility Prospective Payment System
Held Tuesday, June 2, 2015

We are seeking your input on the April 24, Centers for Medicare & Medicaid Services (CMS) inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule for fiscal year (FY) 2016. This proposed rule affects freestanding IPFs, as well as IPF distinct-part units of acute care and critical access hospitals.

The rule would increase IPF rates by 1.6 percent in FY 2016 compared with FY 2015, after accounting for inflation and other adjustments. Beginning in 2016, CMS proposes to replace the Rehabilitation, Psychiatric and Long- Term Care market basket with a new, IPF-specific market basket based on data from both freestanding and hospital-based IPFs. In addition, CMS proposes to change the IPF quality measure set by adding five new measures and removing three. The agency also would change some data-reporting requirements, such as requiring IPFs to report measure data as a single, yearly count instead of by quarter and patient age. AHA is currently evaluating the proposed rule. AHA's May 15th, Regulatory Advisory provides an in-depth analysis of the proposed rule.


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