Inpatient Prospective Payment System Updates: Key Changes for FY 2025 Billing Practices
What Changed
Action required by
October 1, 2024
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The Inpatient Prospective Payment System (IPPS) will undergo significant revisions effective October 1, 2024, as per the Federal Register Final Rule (Policy ID: FR-2024-17021). This update includes adjustments to the base payment rates for acute care hospitals and introduces new quality measures that must be met for full reimbursement. Additionally, the long-term care hospital prospective payment system also sees updates, potentially affecting billing and reimbursement processes in those settings.
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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.