HFMA.org – Dec. 23, 2008.
Changes to the Medicare inpatient prospective payment system (IPPS) by the Centers for Medicare and Medicaid Services (CMS) have significantly changed the way in which hospitals are reimbursed for fiscal year 2008. Major changes to IPPS include the continued phase-in of relative weights based on hospital-specific costs and new Medicare severity-adjusted DRGs (MS-DRGs). Other changes include the way in which outliers and certain transfers are reimbursed. Click title to read more…
American Hospital Directory has now published a summary analysis of the first actual claims data released under the new rules. This first look at the MS-DRG data is based on an early release of the FY2008 Medicare Provider Analysis and Review (MedPAR) for discharges during the first three quarters. Hospitals may find these preliminary statistics useful for comparing their individual experiences under the new MS-DRGs with the national experience.