Heart of Health Policy | Proposed 2019 Hospital Inpatient Prospective Payment System Rule Released

Last month, the Centers for Medicare and Medicaid Services (CMS) released the Hospital Inpatient Prospective Payment System (IPPS) proposed rule for the 2019 fiscal year (FY). Based on the annual hospital payment update and policies in the proposed rule, CMS estimates that hospitals paid under the IPPS that successfully participate in the Inpatient Quality Reporting Program and meet hospital meaningful use requirements could see a 1.75 percent payment increase in FY 2019.

The proposed rule includes proposals aimed at: improving electronic health record interoperability improvements; streamlining duplicate measures across IPPS quality reporting programs; reducing administrative burdens related to documentation requirements; increasing health care price transparency; and modifying the MS-DRG assignments for several cardiovascular procedures including pacemaker and lead insertions, heart transplants and implantation of heart assist systems and endovascular procedures using drug-coated balloons.

The ACC is reviewing the proposed rule in closer detail to assess the impact of these proposals and will submit formal comments.

Clinical Topics: Cardiac Surgery, Invasive Cardiovascular Angiography and Intervention, Aortic Surgery, Cardiac Surgery and Heart Failure, Heart Transplant

Keywords: ACC Publications, Cardiology Magazine, Meaningful Use, Centers for Medicare and Medicaid Services (U.S.), Inpatients, Prospective Payment System, Medicare, Medicaid, Electronic Health Records, Documentation, Heart Transplantation, Pacemaker, Artificial, Endovascular Procedures

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