In a proposed rule, the CMS recommended a 1.5% payment increase for the nation's inpatient rehabilitation facilities in 2012, which the agency estimates will raise payments by about $120 million compared with fiscal 2011. The rule would apply to more than 1,200 inpatient rehabilitation facilities that participate in the Medicare program, which includes about 200 free-standing inpatient rehab facilities and 1,000 inpatient rehab units in hospitals.
Late News: CMS recommends inpatient rehab payment boost of 1.5%
In addition to the payment update, the rule would establish a new quality reporting system required by last year's Patient Protection and Affordable Care Act. According to the CMS, inpatient rehab facilities would initially submit data on two quality measures: urinary catheter-associated urinary-tract infections and pressure ulcers that are new or have worsened. These measures are two of the nine measures included in HHS' new Partnership for Patients. Those facilities that do not submit quality data would have their payment rates reduced by 2 percentage points beginning in 2014. Meanwhile, the rule proposes to update the case-mix group relative weights using fiscal 2010 claims and 2009 inpatient rehab cost-report data, and would boost the high-cost outlier threshold to $11,822 for fiscal 2012, compared with the $11,410 threshold that is set for 2011. The CMS will accept comments on this proposed rule until June 21 and expects to release a final rule by Aug. 1.
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