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IP PPS Acute Final Rules FY2017 – Correction

From: Federal Register – CMS-1655-CN2; Filed 9/30/16; Published 10/5/16

CMS posted a final rule correction this morning on the Federal Register public inspection website.  In review of the 47 page document, there a significant number of corrections that were mostly typographical.  More significant however were errors made in the DSH Uncompensated Care Factor 3 calculation that required the recalculation of the budget neutrality factors that impacted:

  • PPS Base Rates
  • Outlier Threshold Calculation
  • Wage Index Tables
  • DSH Factor 3 Allocation

As of this writing, CMS has not updated the website containing the spreadsheet tables.  I would expect this to be updated later today or Monday (10/3).  The impact overall appears to be quite minor, but required a significant re-run of the data tables.  Based on the corrections detailed in the Federal Register document, below is a comparison of the impact to the PPS Base Rates & PPS Capital Rate















IP PPS Acute Final Rules FY2017 – Correction


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Inpatient PPS & Long-Term Care Hospital (LTCH) PPS Changes – FY2016

From: CMS MLN Articles – MM9253 – 12/29/15

This MLN Article contains a concise summary of the new IP PPS payment rates effective for FFY2016. It is a very useful document to keep close by.

Provider Action Needed

Policy changes for FY 2016 IPPS and LTCH PPS will cover services effective for hospital discharges occurring on or after October 1, 2015, through September 30, 2016, unless otherwise noted. Not adhering to these new policies could affect payment of Medicare claims.

Inpatient PPS & Long-Term Care Hospital (LTCH) PPS Changes – FY2016

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