Healthcare News: CMS releases FY 2019 IPPS proposed rule

Why This Topic Matters

The proposed rule can affect hospital reporting burden, payment methodology, and the way inpatient cases are grouped and classified. It is important for teams that need to evaluate rule changes, prepare comments, and anticipate annual coding and DRG updates.

Article Sections

1. Quality reporting and burden reduction proposals

   Discusses CMS’s proposed changes to hospital quality and value-based purchasing programs and the broader effort to reduce administrative burden. It summarizes the types of measures being reviewed and the scope of the reporting changes.

2. ICD-10-CM and ICD-10-PCS update proposals

   Covers the proposed annual inpatient diagnosis and procedure code updates and the general areas of the code set changes. It also references related tables and the broad scope of revisions, additions, and deletions.

3. MS-DRG classification proposals

   Describes proposed changes to inpatient severity and grouping classifications, including discussion of revisions related to emerging therapies and procedure classification topics. The section also notes that CMS is considering additional changes within the MS-DRG framework.

4. IPPS payment update and comment timeline

   Summarizes the proposed operating payment update for eligible general acute care hospitals and the timing of the public comment period. It also notes the expected release window for the final rule.