Spotlight
Inpatient & Long-Term Care Hospitals: Learn What’s New for Fiscal Year 2023
CMS issued the Fiscal Year 2023 Hospital Inpatient Prospective Payment System (IPPS) and Long‑Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule to update IPPS hospital and LTCH Medicare payment policies. See a summary of key provisions effective October 1, 2022:
- IPPS payment rate update of 4.3%; LTCH PPS payments increase by approximately 2.4%
- Hospital Inpatient Quality Reporting Program: adopted 3 health equity-focused measures and summarized feedback received on our approach to measuring health care quality disparities
- Feedback received on reporting social determinants of health
- New hospital designation and additional quality measure reporting to drive improvements in maternal health outcomes and health equity
- Permanent 5% cap on annual wage index decreases
- Graduate medical education: changed policies, including increased flexibility for rural hospitals that participate in a rural track program
Inpatient Psychiatric Facilities: Learn What’s New for Fiscal Year 2023
CMS issued the Fiscal Year 2023 Inpatient Psychiatric Facilities (IPF) Prospective Payment System final rule to update IPF payments, wage index, and policies. See a summary of key provisions effective October 1, 2022:
- Updated payment rates by 3.8% with estimated payments to increase by 2.5% after productivity adjustment
- Applied a permanent 5% cap on wage index decreases
Inpatient Rehabilitation Facilities: Learn What’s New for Fiscal Year 2023
CMS issued the Fiscal Year 2023 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) final rule to update Medicare payment policies and rates. See a summary of key provisions effective October 1, 2022:
- Updated IRF PPS payment rates by 3.9% with estimated overall payments to increase by 3.2% after productivity and outlier adjustments
- Applied a permanent 5% cap on annual wage index decreases
- Expanded quality data reporting on all IRF patients, regardless of payer
Please see the following pages regarding Hospital information:
Important Links
Coding
Coverage
Educational Resources
Enrollment, Participation & Certification
Payment
- Acute Inpatient PPS -- New Medical Services and New Technologies and Hospital-Acquired Conditions (Present on Admission Indicator)
- Critical Access Hospitals Center
- Hospital Outpatient PPS
- Long-Term Care Hospital PPS
- Inpatient Rehabilitation Facility PPS
- Inpatient Psychiatric Facility PPS
- Electronic Billing & EDI Transactions : Medicare information on electronic transactions under HIPAA
- Transplant Centers
- Blood Clotting Factor Furnishing Fee
Physician Self Referrals -- Specialty Hospitals
- Physician Self Referral
- Disclosure of Financial Relationships Report (DFRR)
- Specialty Hospital Issues
- Specialty Hospital Advisory Opinions
Policies & Regulations
Uninsured Information
- FAQs on Charges for the uninsured (PDF)
- FAQ regarding Offering discounts to the uninsured (PDF)
CMS Manuals & Transmittals
Cost Reporting
- Paper-Based Manuals Provider Reimbursement Manual (Pub 15)
- PRRB Review
Forms
Hospital Value-Based Purchasing
- Report to Congress: Plan to Implement a Medicare Hospital Value-Based Purchasing Program (PDF)
- Agenda - April 12, 2007 Listening Session (PDF)
- Slide Presentations - April 12, 2007 Listening Session
- Options Paper 2nd Public Listening Session
- Agenda - January 17, 2007 Listening Session
- Slide Presentations - January 17, 2007 Listening Session
- Issues Paper for the January 17, 2007 Listening Session on a Plan for Medicare Hospital Value-Based Purchasing]
- Special Forum on Hospital Value Based Purchasing
How to Stay Informed
- Subscribe now to get the weekly MLN Connects® newsletter for the latest Fee-for-Service program information, event announcements, claims and pricer information, and MLN educational resources.
- Hospitals Open Door Forum
- Press Releases - Opens in a new window
Initiatives
Medical Review/ Fraud & Abuse
- Beneficiary Complaint Response Program