“The Centers for Medicare & Medicaid Services (CMS) released on May 11, 2020, the Fiscal Year (FY) 2021 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule, which will affect discharges occurring on or after Oct. 1, 2020…”
“The proposal comes as total Medicare spending on inpatient hospital services is expected to increase by about $2.07 billion in FY 2021. For the LTCH PPS, CMS projects payments to decrease by 0.9 percent or $36 million, reflecting the continued phase-in of the revised LTCH payment system.”
“Other possible policy changes include CMS’ proposal to collect a summary of data that hospitals are required to report under the administration’s 2019 price transparency rule, including median payer-specific negotiated charges. The agency also is seeking feedback on using the data to inform Medicare reimbursement rates for hospital procedures.”
“In addition, the proposed rule includes a new Medicare Severity-Diagnosis Related Group (MS-DRG) for chimeric antigen receptor (CAR) T-cell therapy and expanding the alternative new technology add-on payment (NTAP) pathway for certain antimicrobial products.”
“Comments on the proposed rule are due July 10, 2020. A final rule is expected about Aug. 1, 2020.
Below are several of the proposed rule’s most noteworthy components…” Read the full article here.
Source: CMS Releases FY 2021 Inpatient Prospective Payment System (IPPS) Proposed Rule – By Miranda A. Franco, May 14, 2020. Holland & Knight.
