Industry News

CMS Proposes Changes to Inpatient PPS for FY 2013

Richard P. Kusserow | May 2011

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare payment policies and rates for acute care and long term care hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2013.  The proposed rule contains several revisions concerning quality including changes to the Inpatient Quality Reporting (IQR) Program and Hospital Acquired Conditions (HACs).  In addition, CMS proposed changes to the Graduate Medical Education (GME) and the Indirect Medical Education (IME) policies as required under the Patient Protection and Affordable Care Act (PPACA).  CMS will accept comments on the proposed rule until June 25.  The final IPPS provisions will go into effect on October 1.

The IPPS Proposed Rule for FY 2013 can be accessed at:

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Hospitals’ Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers, 77 Fed. Reg. 92, 27870, 27877.  (May 11, 2011).

About the Author

Richard P. Kusserow established Strategic Management Services, LLC, after retiring from being the DHHS Inspector General, and has assisted over 3,000 health care organizations and entities in developing, implementing and assessing compliance programs.