In tandem with the IPPS proposed rule, CMS released its annual payment update for the FY 2010 long-term acute care hospital (LTCH) PPS. For FY 2010, CMS projects a 2.8% increase in payments under LTCH-PPS, resulting in $135 million in additional payments compared to FY 2009. The proposed standard federal rate will be $39,349.05, up from $39,114.36 in FY 2009. The proposed 0.6% increase in the standard federal rate is based on the market basket update of 2.4%, offset by a negative 1.8% adjustment to account for changes in documentation and coding practices that do not reflect increases in patient severity. The remaining 2.2% estimated increase in payments relates to proposed payment changes that affect high cost outlier and short stay outlier cases. CMS seeks comments on the 1.8% adjustment, along with comments on whether to implement a stand-alone market basket for each type of hospital excluded from the IPPS. CMS also proposes to revise the Medicare severity long-term care diagnostic related groups (MS-LTC-DRGs) classifications consistent with changes to the IPPS MS-DRGs. The proposed rule also sets forth a fixed loss amount of $16,059 and a ceiling on the LTCH cost-to-charge ratio of 1.227. In addition to these payment provisions, CMS proposes to amend the “separateness criteria” to provide more consistent criteria for satellite facilities and hospitals-within-hospitals. The official version of the rule is scheduled to be published on May 22, 2009. Comments are due by June 30, 2009.
Register now for your free, tailored, daily legal newsfeed service.
Questions? Please contact email@example.comRegister
LTCH PPS proposed rule
Popular articles from this firm
If you would like to learn how Lexology can drive your content marketing strategy forward, please email firstname.lastname@example.org.
Related topic hubs
Huawei Technologies (USA)
“I make an effort to read at least several articles each day and regularly share the particularly relevant or interesting articles with my colleagues. I greatly appreciate the inclusion of the Lexology service by the State Bar of Texas and have recommended that my friends and colleagues join the Corporate Counsel Section of the State Bar in order to obtain this service for themselves.”