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

FY 2024 Medicare IPPS and LTCH PPS Final Update Issued 

The Centers for Medicare and Medicaid Services (CMS) have issued a 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) 2024.
The rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); and make other policy-related changes. 
The document is currently on public display at the Federal Register office and is scheduled for publication on August 28. A display version of the 2,144-page rule is currently available at: https://public-inspection.federalregister.gov/2023-16252.pdf.  
The IPPS tables are available on the CMS website 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 2024 IPPS Proposed rule Home Page” or “Acute Inpatient—Files for Download.”  
The LTCH PPS tables are available on the CMS website at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCareHospitalPPS/index.html under the list item for Regulation Number CMS-1785-P.  


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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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