Healthcare News: CMS releases FY 2022 IPPS proposed rule

May 11th, 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 summarizes CMS’s FY 2022 Inpatient Prospective Payment System proposed rule and explains the major areas of change under consideration. It is relevant to hospital coders, revenue cycle staff, CDI professionals, and payment policy readers who need a high-level view of ICD-10-CM/PCS updates, MS-DRG-related proposals, hospital payment adjustments, and add-on payment extensions. The piece also notes the public comment process and timing for the rule.

Why This Topic Matters

The proposed rule can affect hospital coding workflows, diagnosis and procedure reporting, DRG assignment, and prospective payment policy for the coming fiscal year. It is useful for organizations tracking annual CMS updates and preparing for operational or compliance changes.

Article Sections

  1. CMS releases FY 2022 IPPS proposed rule

    Overview of the proposed rule and the major policy areas included in CMS’s annual inpatient payment update.

  2. ICD-10-CM/PCS code updates

    Discussion of proposed annual code set changes affecting diagnosis and procedure coding, including broad categories of new, revised, and invalidated codes.

  3. Payment data

    Summary of proposed hospital payment rate changes and the data approach CMS is considering for setting those rates.

  4. Market-based MS-DRG policy

    Coverage of the proposed changes to MS-DRG-related reporting and the broader market-based payment policy direction described in the rule.

  5. Extension of the NTAP/NCTAP

    Explanation of proposed extensions involving add-on payment policies for qualifying technologies and COVID-19-related treatments.

What You Will Learn

  • What major areas are addressed in the FY 2022 IPPS proposed rule
  • How CMS is approaching annual ICD-10-CM/PCS updates
  • What types of MS-DRG and hospital payment policy changes are proposed
  • How add-on payment extensions are being handled in the rule
  • When public comments on the proposed rule are due

Who Should Read This

  • Hospital coders
  • Coding managers
  • CDI professionals
  • Revenue cycle teams
  • Hospital finance staff
  • Health policy readers

Codes Discussed

  • ICD-10-CM: K31.A11
  • ICD-10-CM: K31.A22
  • ICD-10-PCS: 02VL0DZ
  • ICD-10-PCS: 02VL4DZ
  • ICD-10-PCS: 0RWJ0J7
  • ICD-10-PCS: 0RWKXJ6
  • ICD-10-PCS: XW013S6
  • ICD-10-PCS: XW033F6
  • ICD-10-PCS: XW033C3
  • ICD-10-PCS: XW043C3
  • MS-DRG: 018

Code Ranges Discussed

  • ICD-10-CM: grades 1-5

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