Thursday, March 31, 2022

Special Edition – IPF & IRF Proposed FY 2023 Payment Rules

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

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Special Edition – Thursday, March 31, 2022


IPF & IRF Proposed FY 2023 Payment Rules


Inpatient Psychiatric Facilities: Fiscal Year 2023 Proposed Rule — Submit Comments by May 31

On March 31, CMS issued the fiscal year 2023 inpatient psychiatric facility (IPF) prospective payment system proposed rule to update IPF payments, wage index, and policies. See a summary of key provisions

Proposals include:

  • Updating payment rates by 2.7% with estimated payments to increase by 1.5% after productivity adjustment
  • Requesting comments on the IPF prospective payment system refinement analysis
  • Applying a permanent 5% cap on wage index decreases

We encourage you to review the rule, and submit formal comments by May 31, 2022. 


Inpatient Rehabilitation Facilities: Fiscal Year 2023 Proposed Rule — Submit Comments by May 31

On March 31, CMS issued the fiscal year 2023 inpatient rehabilitation facility (IRF) prospective payment system proposed rule to update Medicare payment policies and rates. See a summary of key provisions.

Proposals include:

  • Updating payment rates by 2.8%, with estimated overall payments to increase by 2.0% after productivity and outlier adjustments
  • Applying a permanent 5% cap on annual wage index decreases
  • Expanding quality data reporting on all IRF patients, regardless of payer

We encourage you to review the rule, and submit formal comments by May 31, 2022. 


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