The Centers for Medicare & Medicaid Services (CMS) has issued the final rule updating the inpatient psychiatric facility (IPF) prospective payment system (PPS) for federal fiscal year (FFY) 2019. CMS finalized a 2.9 percent market basket update, offset by a productivity adjustment of 0.8 percent and an Affordable Care Act-mandated cut of 0.75 percent, as well as a decrease of 0.24 percent due to updating the high-cost outlier threshold. Overall, CMS estimates IPF payments will increase by 1.1 percent, or approximately $50 million, compared to FFY 2018.
CMS also finalized the removal of five measures from the IPF Quality Reporting Program beginning with the FFY 2020 payment determination, in support of its Meaningful Measures Initiative. CMS did not finalize the removal of three measures: physical restraint use, seclusion use and tobacco use treatment at discharge.
In addition, CMS finalized its proposal to no longer require facilities to submit sample size counts for measures for which sampling is performed, beginning with the FFY 2020 payment determination. More information is available at the CMS’ fact sheet.
SDAHO will provide a detailed summary brief and impact analysis of the final rule in the coming weeks.