IPPS Final Rule FY2014 - Make Your Revenue Smarter

IPPS Final Rule FY2014

On , in Archives, by AQ-IQ LLC

According to CMS the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals is being revised.  Some of the changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation.  These changes will be applicable to discharges occurring on or after October 1, 2013, unless otherwise specified in this final rule.  The rate of increase limits for certain hospitals excluded from the IPPS that are  paid on a reasonable cost basis subject to these limits are also being updated.  The updated rate of increase limits will be effective for cost reporting periods beginning on or after October 1, 2013.

Another change is to the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes that were applied to the LTCH PPS by the Affordable Care Act.  Generally, these updates and statutory changes will be applicable to discharges occurring on or after October 1, 2013, unless otherwise specified in this final rule.

A number of changes are being made relating to direct graduate medical education (GME) and indirect medical education (IME) payments.  New or revised requirements are established for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities (IPFs)) that are participating in Medicare.

Policies relating to the Hospital Value-Based Purchasing (VBP) Program and the Hospital Readmissions Reduction Program are also being revised, as well as the conditions of participation (CoPs) for hospitals relating to the administration of vaccines by nursing staff as well as the CoPs for critical access hospitals relating to the provision of acute care inpatient services.

This rule addresses admission and medical review criteria for payment of hospital inpatient services under Medicare Part A.

Review the FY2014 Final Rule as it appears in the Federal Register for August 19, 2013

Home Page for  CMS 1599 F

FY 2014 IPPS Rule Outreach ( CMS 1599-F) – 8-12-13

Acute Inpatient PPS Home Page


Rules and Notices CMS-1599-F, CMS-1599-CN2, CMS-1599-IFC, CMS-1599-CN3, and CMS-1599-CN4
Impact File and Data Files FY 2014 Final Rule Data Files
Tables FY 2014 Final Rule Tables



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