Monday, October 15, 2007

CMS announces payment reforms for inpatient hospital services in 2008




Press Release

The Centers for Medicare & Medicaid Services (CMS) will reform the acute care hospital inpatient prospective payment system (IPPS).

The IPPS payment reforms would restructure the inpatient diagnosis-related groups (DRGs) to account more fully for the severity of each patient’s condition.

In addition, the rule includes important provisions to ensure that Medicare no longer pays for the additional costs of certain preventable conditions (including certain infections) acquired in the hospital.
To implement this policy, hospitals will be required to report secondary diagnoses present during admission, making it possible to detect what conditions were acquired during hospital stays.

The rule also expands the list of publicly reported quality measures.

IPPS regulation (pdf)