FY 2022 IPPS proposed rule: Review CMS’ proposed quality program updates

July 6th, 2021

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the proposed FY 2022 CMS updates affecting inpatient hospital quality programs under the IPPS/LTCH proposed rule. It is relevant for hospital coders, compliance staff, quality reporting teams, CDI leaders, and revenue cycle professionals who track federal quality program changes, public reporting expectations, and the broader move toward digital measurement and health equity data collection.

Why This Topic Matters

The proposed rule contains changes that could affect hospital quality reporting workflows, measure sets, public reporting, and payment-related program requirements across several CMS programs. It also signals CMS’s longer-term direction on digital quality measurement, interoperability, and equity-focused data collection.

Article Sections

  1. Proposed changes to quality programs for FY 2022

    Overview of CMS’s broader proposal to modernize quality measurement and align data collection approaches across hospital programs. Summarizes the major quality programs affected and the general policy themes addressed in the rule.

  2. Proposed changes to the HIQRP

    Discussion of proposed updates affecting the hospital inpatient quality reporting program, including measure set revisions, certification-related updates, and reporting-related changes. Also addresses planned timing for selected measure additions and removals.

  3. Proposed changes to the MPIP

    Summary of proposed updates to the Medicare Promoting Interoperability Program for eligible hospitals and CAHs. Covers reporting period changes, measure updates, scoring adjustments, and related attestation and exchange requirements.

  4. Proposed changes to the HRRP

    Review of proposed changes to the hospital readmissions reduction program, including measure suppression and updates to condition-specific readmission measures. Also notes CMS’s health equity-related requests for comment.

  5. Proposed changes to the HVBPP

    Explanation of proposed changes to the hospital value-based purchasing program, including measure suppression, public reporting considerations, and updates tied to the COVID-19 public health emergency. Describes the general framework for how the program’s incentive structure is affected.

  6. Proposed changes to HACRP

    Summary of proposed updates to the hospital-acquired condition reduction program, including timing changes for applicable periods and suppression-related policy proposals. Focuses on the program-level impact of the proposed rule.

  7. Proposed changes to the LTCH QRP

    Discussion of proposed quality reporting updates for long-term care hospitals, including vaccination-related reporting, transfer-of-health information, and public reporting changes. Also includes CMS’s broader questions about digital measurement and health equity in post-acute care.

  8. Source authorities

    Lists the cited regulatory and CMS source materials associated with the proposed rule. Provides the reference framework for the article’s discussion.

What You Will Learn

  • Which CMS inpatient hospital quality programs are affected by the FY 2022 proposed rule
  • What general categories of quality reporting and measure updates CMS is proposing
  • How the rule addresses digital quality measurement and interoperability themes
  • What kinds of public reporting and health equity issues CMS is seeking comment on
  • Which hospital quality programs include proposed measure additions, removals, or suppressions
  • How the proposed rule affects LTCH quality reporting topics at a high level

Who Should Read This

  • Hospital coders
  • Quality reporting staff
  • Compliance professionals
  • CDI specialists
  • Revenue cycle professionals
  • Hospital administrators
  • Health information management professionals

Codes Discussed

  • CFR: 42 CFR 412.522
  • CFR: 42 CFR 412.529
  • CMS: CMS-1752-P

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