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Category: Toyon University

Estimated FFY 2023 IPPS Medicare Payments for Your Hospital(s)

 

Toyon is pleased to provide complimentary access to estimated hospital payments
per the Medicare
Federal Fiscal Year (FFY) 2023
IPPS Proposed Rule. 
 
  Please visit Toyon’s website to access a dashboard analysis of estimated FFY 2023 Medicare Fee for Service (FFS) IPPS payments for your hospital(s). Below is an animation on how to interact with the dashboard to see estimated payments and details on CMS IPPS rates for your hospital(s).   

Over the coming weeks, Toyon will provide a summary with further insight into the FFY 2023 IPPS Proposed Rule. You and your team are also invited to Toyon’s FFY 2023 IPPS Webinar on Friday, May 20, from 10 a.m. PDT to 11 a.m. PDT. To sign up for the IPPS Proposed Rule Webinar, please register here.    
 
Below are Toyon’s initial observations impacting Proposed FFY 2023 IPPS rates: 
  • Medicare discharges and Case Mix Indices (CMI) – For projecting future reimbursement, CMS provides discharges and CMI from 2021 (i.e., MEDPAR data) impacted by COVID-19. In FFY 2022, CMS provided Medicare discharges and CMI using pre-COVID-19 data (2019). In the dashboard reports, Toyon holds discharges and CMI constant using the values provided in the FFY 2023 Proposed Rule.   
  • Alternative Rates for FFY 2023 – CMS provides two separate sets of base rates and variables for FFY 2023 rate setting. CMS is proposing rates are updated by factors projecting fewer COVID-19 hospitalizations in FFY 2023 than in FFY 2021. In CMS’s alternative rates, CMS does not make an adjustment projecting a decline in COVID-19 hospitalizations from FFY 2021 to FFY 2023.   
  • Uncompensated Care (UC) DSH – CMS is proposing UC DSH payments of $6.6 billion, a reduction of $563M as compared to FFY 2022 ($1.8 billion reduction compared to FFY 2021). Decreasing UC DSH funding is an important area of focus for FFY 2023, and Toyon will be sending comments to providers and CMS, aimed at increasing this funding.    
  • Wage Index – CMS is proposing to cap wage indices so providers can experience a decrease of no more than 5% as compared to prior year (i.e., FFY 2022).   
  • Low Volume Adjustment and Medicare Dependent Hospital Status – Unless otherwise extended by law, these provisions are set to expire for FFY 2023. Therefore, CMS does not propose rate adjustments for these provisions in the FFY 2023 Proposed Rule. 
  • Value Based Purchasing (VBP) Adjustment – CMS is also proposing to not calculate a Total Performance Score (TPS) for any hospital and to instead award all hospitals a VBP amount for each discharge that is equal to the amount withheld, which is 2% of the base operating rate. Toyon’s estimated VBP amount for FFY 2023 is estimated at 2% of base rate payments.   
 
We look forward to our next update on the FFY 2023 IPPS Proposed Rule. In the meantime, please feel free to contact Fred Fisher at 888.514.9312, or fred.fisher@toyonassociates.com with any questions or comments. 
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You’re Invited – FFY 2023 IPPS PROPOSED RULE WEBINAR

 

Save the Date!
Toyon University® Presents:
The FFY 2023 IPPS
Proposed Rule  
 
You and your team are invited to Toyon’s open webinar on the FFY 2023 IPPS Proposed Rule May 20, from 10 a.m. PDT to 11 a.m. PDT.  
 
To sign up for the IPPS Proposed Rule Webinar, please register here.   
 
The Proposed FFY 2023 IPPS webinar will include analysis, insight, and recommended comments on CMS’s proposed rates including empirical DSH, Uncompensated Care DSH, Graduate Medical Education, Wage Index, and data impacted by COVID-19 affecting Medicare payments.   
 
Toyon will be providing a written summary of the FFY 2023 IPPS Proposed Rule prior to this webinar. Please feel free to email Fred Fisher at fred.fisher@toyonassociates.com with any questions or topics of interest for your hospital(s). 
 
Toyon Analytics – FFY 2023 IPPS Proposed Rule 
Toyon is pleased to provide complimentary access to estimated hospital payments per the Medicare Federal Fiscal Year (FFY) 2023 IPPS Proposed Rule via an interactive dashboard here.
 
Please feel free to email Fred Fisher at fred.fisher@toyonassociates.com with any questions on this forthcoming analysis. 
 
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CARES PROVIDER RELIEF FUND (PRF)Period 2 Reporting Update

 

 
Register HERE
to participate in Toyon’s open CARES PRF webinar Thursday 1/27 at 11 AM PST
——————
Today’s Reporting Update Includes:
I. HRSA Provides Additional Resources for PRF Period 2
 
II. Period 2 Allows Carry-forward of Unused Expenses and Lost Revenues from Period 1
 
III. Providers May Change Amounts and Methodologies for Determining Lost Revenue in Period 2
 
Toyon is pleased to provide this update on the CARES Provider Relief Fund (PRF).  Please feel free to contact Fred Fisher at 888.514.9312, or fred.fisher@toyonassociates.com with any questions.  
 
Providers in receipt of PRF related to Period 2 are now able to report on the use of the funding. Period 2 represents PRF received from July 1, 2020, through December 31, 2020 and is aligned with COVID-19 expenses and lost revenues from January 1, 2020 through December 31, 2021 (with no duplication of expenses and lost revenue reported in Period 1).  The Period 2 reporting deadline is March 31, 2022.
 
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