CMS Issues IPPS Proposed Rule

Date posted: May 7, 2013

The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospitals Prospective Payment System in Fiscal Year (FY) 2014. Key highlights from the proposed rule include the following:

  • Set a framework for implementation of the new Hospital-Acquired Conditions Reduction Program.
  • Update measures and financial incentives in the Hospital Value-Based Purchasing and Readmissions Reduction programs.
  • Modify measures for the Hospital Inpatient Quality Reporting program, Inpatient Psychiatric Facility Quality Reporting and Long-Term Care Hospital Quality Reporting programs, and PPS-Exempt Cancer Hospital Quality Reporting Program.
  • Clarify admission and medical review criteria for hospital inpatient services.

CMS is accepting comments on the proposed rule until June 25, 2013.

The display copy of the proposed rule is available here.

The CMS press release on the IPPS proposed rule is available here.

The CMS fact sheet on the IPPS proposed rule is available here.


Medicare program; Hospital Inpatient Prospective Payment System and Proposed Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation (proposed April 26, 2013).

Centers for Medicare & Medicaid Services. “CMS Issues Proposed Inpatient Payment Regulation.” Press Release. 26 Apr. 2013.

Centers for Medicare & Medicaid Services. “CMS Proposals to Improve Quality of Care During Hospital Inpatient Stays.” Fact Sheet. 26 Apr. 2013.

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