FFY 2024 IPPS Final Rule: Low-Volume Adjustment
CMS extends the alternative requirements to September 30, 2024, for certain hospitals to qualify for the low-volume adjustment.
FFY 2024 IPPS Final Rule: Medicare Dependent Hospital (MDH) Status
Section 4102 of the 2023 CAA extends the MDH program through FFY 2024. CMS notes “generally...a provider that was classified as an MDH as of December 23, 2022, was reinstated as a MDH effective December 24, 2022, with no need to reapply for MDH classification.”
FFY 2024 IPPS Final Rule: Value-Based Purchasing (VBP) Incentives
CMS re-implements the VPB program in FFY 2024 whereby providers are subject to a 2 percent reduction in payments to contribute to the VBP payment pool.
FFY 2024 IPPS Final Rule: Hospital-Acquired Conditions (HAC) Penalty
CMS re-implements the HAC penalty (1 percent) for those hospitals in the lowest quartile on select measures of hospital-acquired conditions.
FFY 2024 IPPS Final Rule: Request for Information on Safety Net Hospitals
CMS cited recent MedPAC recommendations to Congress to establish a hospital Medicare Safety-Net Index (MSNI) that measures Medicare Low-Income Subsidy Enrollment Ratio, Ratio of Uncompensated Care Costs to Total Operating Revenue, and Medicare share of Total Inpatient Days.
Transmittal 18 New Cost Reporting Instructions
CMS finalized and published new Transmittal 18 Medicare cost reporting instructions on December 29, 2022.
T-18 Changes: Worksheet S-10 Uncompensated Care
Transmittal 18 new cost reporting instructions for Worksheet S-10 Uncompensated Care
T-18 Changes: Medicare Empirical Disproportionate Share (DSH)
Transmittal 18 new cost reporting instructions for Medicare Empirical Disproportionate Share (DSH)
T-18 Changes: Medicare Bad Debt
Transmittal 18 new cost reporting instructions for Medicare Bad Debt
T-18 Changes: Covid-19 Public Health Emergency Updates
Transmittal 18 new cost reporting instructions for Covid-19 Public Health Emergency Updates.
T-18 Changes: Graduate Medical Education
Transmittal 18 new cost reporting instructions for Graduate Medical Education
T-18 Changes: Organ Acquisition
Transmittal 18 new cost reporting instructions for Organ Acquisition
T-18 Changes: Other Notable Changes and Clarifications
What else you need to know from CMS’s new cost reporting instructions for 2022 onwards.
