The final rule is expected to be posted on the first Friday in August.
The Centers for Medicare & Medicaid Services (CMS) has released the fiscal year (FY) 2023 Inpatient Prospective Payment System (IPPS) proposed rule.
The proposed rule applies to long term care hospitals (LTCH), programs for quality and interoperability for eligible and critical access hospitals (CAH), and Conditions of Participation (COP).
Comments should be sent here.
This proposed rule includes a coding and documentation adjustment of 0.5 percent. FY21 data will be used for FY23 rate setting.
The proposed rule also includes the following:
CMS is also soliciting comments on the reporting of Social Determinants of Health (SDoH) regarding severity of illness, complexity of service, and utilization of resources.
Programming Note: MedLearn Publishing will be hosting a webinar on IPPS Proposed Rule FY23 on May 18, 2022, led by Laurie Johnson.
Resources:
I have two topics to cover today. First, let me start with criticism of an article I read wherein a healthcare executive was interviewed about
EDITOR’S NOTE: This story was previously posted as a special bulletin on Wednesday, July 16, 2025. The Centers for Medicare & Medicaid Services (CMS) issued
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This third session in our 2026 IPPS Masterclass will feature a review of FY26 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This first session in our 2026 IPPS Masterclass will feature an in-depth explanation of FY26 changes to ICD-10-CM codes and guidelines, CCs/MCCs, and revisions to the MCE, presented by presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
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