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#CMS MUS2 OCT 2015 UPDATE UPDATE#
#CMS MUS2 OCT 2015 UPDATE PLUS#

CMS continues the low-wage index policy in FY 2023. The MDH also must request that, if approved as an SCH, the SCH status be effective with the expiration of the MDH program, October 1, 2022, immediately after its MDH status expires on September 30, 2022. For an MDH to receive SCH status effective October 1, 2022, the MDH must apply for SCH status at least 30 days before the expiration of the MDH program, which would be by September 1, 2022. Therefore, beginning October 1, 2022, all hospitals that previously qualified for MDH status will no longer have MDH status and will be paid based on the IPPS federal rate.ĬMS indicates an MDH may apply to become a Sole Community Hospital (SCH). Unless Congress acts, the MDH program is not authorized by statute beyond September 30, 2022. Hospitals must still apply to their Medicare Administrative Contractor for the LVA.ĬMS alerts announced that beginning October 1, 2022, the MDH program will no longer be in effect. CMS has set these criteria as 200 total discharges in the fiscal year and the hospital must be 25 miles from another subsection (d) hospital. This means the more expansive qualifying criteria will become quite restrictive unless Congress acts. The new date is by October 20 each year beginning in FY 2024.ĭue to statute and without Congressional intervention, the LVA policy will revert to earlier levels on October 1. It would be budget neutral and applied only to existing MS-DRGs from one year to the next, not to new or renumbered MS-DRGs.ĬMS also finalizes a change in the date by which MS-DRG changes may be requested.

#CMS MUS2 OCT 2015 UPDATE PLUS#

3% productivity adjustment, plus a 0.5% documentation and coding adjustment required under the Medicare Access and CHIP Reauthorization Act of 2015.ĬMS finalizes a permanent cap of 10% starting in 2023 for any Medicare Severity-Diagnosis Related Group’s (MS-DRG) relative weights if changes to those cause reductions.

#CMS MUS2 OCT 2015 UPDATE UPDATE#

This adjustment reflects a market basket update of 4.1%, less a.

Medicare Promoting Interoperability ProgramĬMS finalizes an increase in operating payment rates by 4.3% for hospitals paid through IPPS that utilize an electronic health record (EHR) and participate in the Inpatient Quality Reporting program (IQR).

PPS-Exempt Cancer Hospital Quality Reporting Program.

Hospital Inpatient Quality Reporting (IQR) Program.

Hospital-Acquired Condition Reduction Program.

Hospital Value-Based Purchasing Program.

Conditions of Participation: Reporting standards for COVID-19.

Disproportionate share hospital (DSH) uncompensated care payments.

To review the entire final rule, visit the Federal Register. This regulatory advisor will summarize some of the key changes but does not include all provisions. On August 1, the Centers for Medicare & Medicaid Services (CMS) released the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System proposed rule. Need additional clarity or guidance on CMS payment rules?