The Centers for Medicare and Medicaid Services (CMS) on April 27 released the FY 2022 proposed Inpatient Prospective Payment (IPPS) rule. The proposed rule includes the following highlights:

• Establishes the New COVID-19 Treatments Add-on Payment (NCTAP) for eligible discharges during the public health emergency (PHE)
• Adopts the COVID-19 Vaccination Coverage Among Health Care Personnel (HCP) measure beginning with a shortened reporting period from October 1, 2021 through December 31, 2021, affecting the CY 2021 reporting period/FY 2023 payment determination and for subsequent years
• Proposes updates to the Promoting Interoperability program including a 180 continuous day period starting in FY 2024 and new attestations on Health Information Exchange (HIE) bi-directional exchange measure and four of the existing Public Health and Clinical Data Exchange Objective measures
• Intends to move fully to digital quality measurement in CMS quality reporting and value based purchasing programs by 2025 – CMS seeks information on the move to digital quality measures (dQMs) including feedback on definitions and standards for digital quality measurement.
• Reviews MS-DRG assignments, including LAAC and surgical ablation, among others
• Establishes new technology add-on payments (NTAP) for the Caption Guidance system, among others
• Establishes a one-year extension of NTAP for 14 technologies for which the new technology add-on payment would otherwise be discontinued beginning FY 2022, including Eluvia
• Establishes new requirements and revises existing requirements for the Hospital Value-Based Purchasing Program
• Repeals the collection of market-based rate information on the Medicare cost report and the market-based MS-DRG relative weight methodology, as finalized in the FY 2021 IPPS/Long Term Care Home Prospective Payment System (LTCH PPS) final rule.

Read the full proposed rule here and view a CMS factsheet here. ACC staff are reviewing the rule to identify any additional topics of interest and will provide more information and analysis to ACC members, as well as prepare comments with input from relevant committees/councils and other societies to send to CMS.

Clinical Topics: COVID-19 Hub, Prevention

Keywords: ACC Advocacy, Coronavirus, Coronavirus Infections, severe acute respiratory syndrome coronavirus 2, SARS-CoV-2, Centers for Medicare and Medicaid Services, U.S., Value-Based Purchasing, Inpatients, Long-Term Care, Quality Indicators, Health Care, Public Health, Vaccination, COVID-19, Patient Discharge, Medicare, Prospective Payment System, Delivery of Health Care

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