IRF PPS Proposed Rule FY2023 - Make Your Revenue Smarter

IRF PPS Proposed Rule FY2023

On , in Documents, by AQ-IQ LLC

For FY 2023, CMS is proposing to update the IRF PPS payment rates based on the proposed IRF market basket update less a productivity adjustment. CMS is proposing a permanent cap on year-to-year wage index decreases. Additionally, CMS is soliciting comments on the methodology used to update the IRF facility level adjustments (specifically, the rural, low-income, and teaching status adjustments). CMS is also soliciting comments on incorporating discharge to home health in the IRF transfer policy. In addition, CMS is proposing to codify our longstanding IRF teaching status adjustment policy in regulation and clarify certain teaching status adjustment policies, which would enable us to align the IRF policies with recent updates made to the Inpatient PPS and Inpatient Psychiatric Facility PPS policies.

CMS is proposing to expand the IRF qualify data reporting requirements under the IRF Quality Reporting Program (QRP). Finally, CMS is requesting information from stakeholders on a potential new outcome measure for the IRF QRP and the development and inclusion of health equity quality measures for the IRF QRP.

For FY 2023, CMS is proposing to update the IRF PPS payment rates based on the proposed IRF market basket update less a productivity adjustment. CMS is proposing a permanent cap on year-to-year wage index decreases. Additionally, CMS is soliciting comments on the methodology used to update the IRF facility level adjustments (specifically, the rural, low-income, and teaching status adjustments). CMS is also soliciting comments on incorporating discharge to home health in the IRF transfer policy. In addition, CMS is proposing to codify our longstanding IRF teaching status adjustment policy in regulation and clarify certain teaching status adjustment policies, which would enable us to align the IRF policies with recent updates made to the Inpatient PPS and Inpatient Psychiatric Facility PPS policies.

CMS is proposing to expand the IRF qualify data reporting requirements under the IRF Quality Reporting Program (QRP). Finally, CMS is requesting information from stakeholders on a potential new outcome measure for the IRF QRP and the development and inclusion of health equity quality measures for the IRF QRP.

View details in the Federal Register for April 6, 2022

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