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2018 Proposed Rules IPPS Presentation

An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg

CMS Releases Proposed FY 2018 IPPS Rules

MB is 2.9 percent – Offsets: (-0.4%) for productivity (-0.75%) for ACA mandate [CMS says increase = 1.75] (+0.4588) for documentation and coding per 21st Century Cures Act and MACRA.

Careful - CMS corrected FY 2017 rates since the August 22nd Final Rule See October 5th, 2016 retroactive to October 1 via Federal Register notice • Copy is at: https://www.gpo.gov/fdsys/pkg/FR-201610-05/pdf/201...

FY 2018 regarding failures to report quality and be a meaningful EHR user No Quality – • ¼ of market basket [0.25 x 2.9 = -0.725] No EHR • ¾ of market basket [0.75 x 2.9 = -2.175] Failure to not report quality or be an EHR user is in effect a zero rate of increase w/o other adjustments

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