The Medicare 2024 Final Inpatient Prospective Payment Rule has been published. Some notable changes for the upcoming year include:
- 3.1% increase in operating payments for acute care hospitals (an increase from the proposed rule projection of 2.8%)
- 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
- Expiration of the New COVID-19 Treatments Add-on Payment (NCTAP)
- Revisions to quality reporting measures
- Numerous ICD-10 and MS-DRG changes:
| # Added in 2024 | # Removed in 2024 | |
| ICD-10 Diagnosis Codes | 395 | 25 |
| ICD-10 Procedure Codes | 78 | 5 |
| CC & MCC Conditions | 97 | 11 |
| MS-DRGs | 15 | 16 |
| Post-acute care transfer MS-DRGs | 2 | 0 |
We recommend reviewing the changes in their entirety and begin preparing for necessary updates and start the education and training process for your clinical and administrative staff.
As a reminder, the ICD-10 changes become effective on October 1, 2023.
The Final Rule may be found here: https://public-inspection.federalregister.gov/2023-16252.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-0
The Tables to the Final Rule may be found here: https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page#Tables