Healthcare News: CMS releases 2017 IPPS proposed rule

Why This Topic Matters

The proposed rule can affect hospital reimbursement, quality reporting obligations, observation notice workflows, and related Medicare payment policy updates for the upcoming fiscal year. Readers following inpatient hospital billing and Medicare policy changes can use this article to understand the scope of CMS’s proposed updates and where further review is needed in the final rule.

Article Sections

1. CMS releases FY 2017 IPPS proposed rule

   Introduces the proposed rule and summarizes the overall payment and policy updates CMS says it is considering for inpatient hospitals.

2. Payment update and quality program impacts

   Covers the announced payment update, along with broad references to quality reporting and electronic health record-related payment adjustments.

3. Reversal of the 0.2% reduction related to the 2-midnight rule

   Describes CMS’s proposed adjustments intended to address prior payment effects tied to the earlier inpatient policy change and associated litigation.

4. NOTICE Act and the Medicare Outpatient Observation Notice (MOON)

   Summarizes the proposed standardized notice framework for Medicare observation patients and the related hospital notification process.

5. Other hospital program updates and Medicare payment changes

   Notes proposed changes affecting major hospital quality and payment programs, plus selected Medicare payment group and bundling updates.

6. Timing for comments and final rule

   Provides the public comment deadline, anticipated final rule release, and general effective date timing.