HCPro, JustCoding Inpatient - 2021 Issue 31 (August)
Healthcare News: CMS releases FY 2022 IPPS final rule
August 3rd, 2021
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Article Overview
This article summarizes CMS’s FY 2022 IPPS final rule and explains the major policy areas it addresses for hospital inpatient reimbursement. It is relevant to hospital coders, revenue cycle professionals, compliance teams, and others tracking Medicare inpatient payment policy, including payment updates, MS-DRG methodology, Medicare cost reporting, and add-on payment programs.
Why This Topic Matters
The rule affects how hospitals are paid under the inpatient prospective payment system and how certain reporting and add-on payment policies are handled for the fiscal year. Understanding these updates helps healthcare organizations stay current with Medicare payment policy changes and related administrative requirements.
Article Sections
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Payment updates
This section summarizes the fiscal year payment update discussion and the data sources CMS used in setting inpatient hospital rates. It also addresses the broader context for the agency’s rate-setting approach during the pandemic period.
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Market-based MS-DRG policy, hospital cost reporting
This section discusses CMS’s changes to MS-DRG methodology and the related hospital cost-reporting topic. It also covers the article’s discussion of repealed reporting requirements and administrative burden.
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NTAP and NCTAP
This section covers the continuation and extension of add-on payment policies connected to new technologies and COVID-19-related products. It focuses on the FY 2022 timing and the relationship between the payment programs.
What You Will Learn
- The main policy areas addressed in the FY 2022 IPPS final rule
- How CMS approached inpatient payment updates for the fiscal year
- What the article says about MS-DRG methodology and hospital cost reporting
- How the final rule addresses certain add-on payment programs
- Which hospital stakeholders may be interested in the rule updates
Who Should Read This
- Hospital coders
- Revenue cycle staff
- Compliance teams
- Hospital finance professionals
- Medicare reimbursement analysts
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