Medicare Program;
Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal
Year Beginning October 1, 2015 (FY 2016)
This proposed rule would update the prospective payment
rates for Medicare inpatient hospital services provided by inpatient
psychiatric facilities (IPFs) (which are freestanding IPFs and psychiatric
units of an acute care hospital or critical access hospital). These changes
would be applicable to IPF discharges occurring during the fiscal year (FY)
beginning October 1, 2015 through September 30, 2016 (FY 2016). This proposed
rule also proposes: A new IPF-specific market basket; to update the IPF
labor-related share; a transition to new Core Based Statistical Area (CBSA)
designations in the FY 2016 IPF Prospective Payment System (PPS) wage index; to
phase out the rural adjustment for IPF providers whose status changes from
rural to urban as a result of the proposed wage index CBSA changes; and new
quality measures and reporting requirements under the IPF quality reporting
program. This proposed rule also reminds IPFs of the October 1, 2015
implementation of the International Classification of Diseases, 10th Revision,
Clinical Modification (ICD-10-CM), and updates providers on the status of IPF
PPS refinements.
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