The CMS said it has proposed payment revisions that will affect long-term acute-care hospitals during this fiscal year, and it has also proposed reimbursement changes for fiscal 2010 because of what the agency called a misapplication in its methodology of the budget neutrality factor for fiscal 2009.
The net impact of the changes would be a reduction for the final four months of 2009 (June through September) of 3.9% or $42 million for the industry, Gary Lieberman, managing director at Wachovia Securities, wrote in a research note about the changes. For 2010, the changes mean a 2.2% increase in reimbursement, or about $101 million, vs. the earlier-announced 2.8% increase, or about $129 million for 2010, Lieberman noted.
Post-acute provider Kindred Healthcare, Louisville, Ky., released a statement about the proposed rules, which the company expects will reduce its Medicare revenue by about $17 million for the last seven months of 2009.
Public comment on the revisions for fiscal 2009 are due no later than June 29, and for fiscal 2010 changes no later than June 30, according to the Federal Register.