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Medicare: Proposed and Final Rules

Hospital Inpatient Prospective Payment – Proposed Rule for CY 2021

In this recently released proposed rule, CMS sets forth proposed payment and policy changes to the Medicare IPPS for FY 2021 operating costs and capital-related costs of acute care hospitals and certain hospitals and hospital units that are excluded from IPPS.

CMS proposes four potential IPPS payment updates for FY 2021 based on hospital quality and meaningful use participation status:

  • Hospitals that submit quality data and are Meaningful EHR users: +2.6%
  • Hospitals that submit quality data and are not Meaningful EHR users: +0.35%
  • Hospitals that do not submit quality data and are Meaningful EHR users: +1.85%
  • Hospitals that do not submit quality data and are not Meaningful EHR users: -0.4%

Of Note:

The proposed rule (CMS-1735-P) can be downloaded from the Federal Register. To be assured consideration, comments on this proposed rule must be received no later than 5 PM ET on July 10, 2020.

CMS Resources