Inpatient Facility Coding & Compliance Alert

CMS IPPS Final Rule Boosts Bottom Line

Cease submitting aspirin-on-delivery data — and other measures. Sorting through the 2012 IPPS Final Rule is a daunting task, especially considering that changes affect areas ranging from Inpatient Prospective Payment System (IPPS) payments and the readmission reduction program to value-based purchasing, three-day payment window changes, and more. Your best tactic for success? Look at the big-picture changes, and tackle one at a time as they apply to your facility. Operating rate change: Good news on the reimbursement front included the fact that the rule deferred part of the expected payment reductions until future years. Once several revisions are taken into consideration, the bottom line is that the FFY 2012 operating rate will increase by 0.9 percent when compared to FFY 2011. The federal inpatient operating rate will be $5,209.74 for FFY 2012, compared to $5,164.11 for FFY 2011. This was good news, considering CMS had originally proposed a 0.6 percent [...]
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