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

 CMS Releases Final FY 2024 Inpatient Psychiatric Facility PPS Update

The Centers for Medicare and Medicaid Services (CMS) have issued their final rule to update the Medicare Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) for Fiscal Year (FY) 2024. 

A copy of the 291-page document is available at: https://public-inspection.federalregister.gov/2023-16083.pdf. The Federal Register publication date is scheduled for August 2. 

Addendum A summarizes the fiscal year (FY) 2024 IPF PPS payment rates, outlier threshold, cost of living adjustment factors (COLA) for Alaska and Hawaii, national and upper limit cost-to-charge ratios, and adjustment factors. 

Addenda B shows the complete listing of ICD-10 Clinical Modification (CM) and Procedure Coding System (PCS) codes, the FY 2024 IPF PPS comorbidity adjustment, and electroconvulsive therapy (ECT) procedure codes. 

Tables setting forth the FY 2024 Wage Index for Urban Areas Based on Core Based Statistical Area (CBSA) Labor Market Areas and the FY 2024 Wage Index Based on CBSA Labor Market Areas for Rural Areas are available at: 


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CMS Releases Four Rules – IPPS, Psychiatric, Rehabilitation and Skilled Nursing Containing Corrections to the FY 2024 PPS Programs

The Centers for Medicare and Medicaid (CMS) have issued 4 rules with corrections to the final FY 2024 prospective payment system (PPS) programs. These include Inpatient, Inpatient Psychiatric, Inpatient Rehabilitation and Skilled Nursing. The rules are effective October 1, 2023, the start of Federal Fiscal year 2024.

The rules are scheduled to be published in the Federal Register on October 4. Copies of the display versions are available as follows;

Inpatient PPS – https://public-inspection.federalregister.gov/2023-22060.pdf. (15 Pages)
Inpatient Psychiatric – https://public-inspection.federalregister.gov/2023-22053.pdf. (9 Pages)
Inpatient Rehabilitation – https://public-inspection.federalregister.gov/2023-22051.pdf. (6 Pages) 
Skilled Nursing – https://public-inspection.federalregister.gov/2023-22050.pdf. (12 Pages)


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