The CMS released the 2024 Proposed Inpatient Prospective Payment Rule yesterday. Some notable changes for the upcoming year include:
- 2.8% increase in operating payments for acute care hospitals
- Individual hospitals may receive a 1% reduction for poor quality performance
- Individual hospitals may receive reductions for excessive readmissions
- Individual hospitals may receive additional positive or negative adjustments based on the Value-Based Purchasing Program
- Addition of over 400 ICD-10 diagnosis codes
- Addition of 44 ICD-10 procedure codes
- Reclassifying 32 ICD-10 codes as invalid
- Addition of 97 ICD-10 diagnosis codes to the CC and MCC lists
- Removal of 11 ICD-10 diagnosis codes from the CC and MCC lists
- Addition of 15 new MS-DRGs
- Addition of 2 new MS-DRGs to the Post-acute care transfer policy. No MS-DRGs were removed.
- Expiration of the New COVID-19 Treatments Add-on Payment (NCTAP)
- Adoption of new quality measures as well as modifications and deletions of quality measures
We recommend reviewing the proposed changes now and begin preparing for necessary updates and start the education and training process for your clinical and administrative staff.
The Proposed Rule may be found here: https://public-inspection.federalregister.gov/2023-07389.pdf
The Fact Sheet may be found here: https://www.cms.gov/newsroom/fact-sheets/fy-2024-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective
We are here to help. The HBE team is available to assist you with all of your clinical documentation, coding and compliance program needs. We routinely provide compliance partner services to large health systems as well as physician practices. Our services include:
- Clinical documentation improvement reviews
- Risk Assessments
- Coding accuracy reviews
- Policy and procedure development
- Customized education and training for clinical and administrative staff