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

Final FY 2023 Medicare IPPS and LTCH PPS Update Issued

The Centers for Medicare and Medicaid Services (CMS) have released the final rule to update the Hospital Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System for fiscal year (FY) 2023. 

The rule also makes changes relating to Medicare graduate medical education (GME); establishes new requirements and revises existing requirements for hospitals and critical access hospitals (CAHs) participating in the Medicare Promoting Interoperability Program; updates policies for the Hospital Readmissions Reduction Program Hospital; the Inpatient Quality Reporting (IQR) Program; the Hospital VBP Program; the Hospital-Acquired Condition (HAC) Reduction Program; the PPS-Exempt Cancer Hospital Reporting (PCHQR) Program; and the Long-Term Care Hospital Quality Reporting Program (LTCH QRP). It will also revise the hospital and critical access hospital (CAH) conditions of participation (CoPs) for infection prevention and control and antibiotic stewardship programs; and codifies and clarifies policies related to the costs incurred for qualified and non-qualified deferred compensation plans. 

The document is currently on public display at the Federal Register office and is scheduled for publication on August 10. A display version of the 2,087-page rule is currently available at: https://public-inspection.federalregister.gov/2022-16472.pdf

The IPPS tables for this final rule are available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html. Click on the link on the left side of the screen titled “FY 2023 IPPS Final rule Home Page” or “Acute Inpatient—Files for Download.” 

CMS says the LTCH PPS tables are available at: https://www.cms.gov/Medicare/Medicare-Fee-for-ServicePayment/LongTermCareHospitalPPS/index.html. Note: this link does not open. Use https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCareHospitalPPS/LTCHPPS-Regulations-and-Notices.

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