FY 2009 marks the end of the transition to the new Medicare-Severity DRG (MS-DRG) system. As mandated by Congress, the final rule includes a prospective 0.9 percent cut to the standardized amount to eliminate the effect of coding and classification changes that they say do not reflect real changes in case mix.
Additional provisions include the maintenance of the current methodology for payment weight calculations based on a cost-based hospital specific relative value (HSRV) weighting methodology, and changes in reimbursement for outliers and transfers.
The final rule also includes significant expansions to quality measures and hospital-acquired conditions (HAC). Hospitals that submit data on 30 quality measures will receive a 3.6 percent market-basket increase, while those hospitals not submitting data will receive a 1.6 percent update.
The changes will result in redistributions of Medicare reimbursement.
Some hospitals may find that these changes will have a significant impact on operations. It is very important for hospital senior management to understand the consequences of new regulations as soon as possible to be prepared.
Looking for a comprehensive summary of the changes? And have any questions you'd like to ask our expert panel?
Join Healthcare Reimbursement Monitor and the reimbursement experts from CBIZ KA Consulting Services for the new audio conference, “Management Briefing: Medicare Inpatient Prospective Payment System Final Rule for FY2009,” that took place in September 2008.
Attend This Session to Learn:
- What IPPS changes were adopted from the proposed changes published April 14
- Details on the final transition to MS-DRG Classifications
- Information on the increase in quality reporting requirements to qualify for the full market basket update in FY 2009
- New reporting details for low-volume hospitals
- Update on Medicare “no-pay” list: Hospital-acquired Conditions
- National coverage determination
- New methodologies for calculating outlier payments and capital cost reimbursement
- Details about changes to the Wage Index
- Regulations on disclosure regarding physician ownership
- New physician self-referral provisions
- Details about EMTALA
- How hospitals can meet their on-call list obligation
- The Impact the New Regulations for FY2009
Who Should Attend This Session
CEOs, COOs, CFOs, vice president of finance, director of reimbursement, vice president of operations, strategic and implementation consultants, operations executives, executive directors, team leaders, planners, product managers, knowledge managers, department heads, medical directors, director of managed care, director of contracting, network development and provider services directors, strategic planners, healthcare management, TPAs, network managers, physician practice management, company executives, medical management directors, PHO leadership, analysts, implementer consultants, account services and administration executives
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