![2019 IPPS Final Rule: What's Changing? [SLIDESHOW]](https://blog.medisolv.com/hs-fs/hubfs/Final-Rule-2019.png?width=900&height=600&name=Final-Rule-2019.png)
CMS recently dropped their 2019 Inpatient Prospective Payment System (IPPS) final rule, which focuses on simplifying requirements, reducing regulatory reporting costs and emphasizing patient-centered care.
So, what exactly does CMS have up their sleeve for next year? Take a look at the slideshow below to learn about the major changes that were finalized in the 2019 IPPS final rule.
(Use the arrows on the side of the slide to navigate between slides.)
Reporting Requirements
The IQR reporting requirements will remain the same for 2019. Hospitals must still submit four eCQMs from the IQR measure set and report data from any one quarter of 2019.Reporting eCQM and chart-abstracted measures
The eCQMs will remain the same for reporting in 2019. However, three chart-abstracted will be removed: ED-1: Median Time from ED Arrival to ED Departure for Admitted ED Patients, IMM-2: Influenza Immunization and VTE-6: Incidence of Potentially Preventable Venous Thromboembolism.
Starting in CY 2020 CMS plan to remove some eCQMs and additional chart-abstracted measures to focus on more meaningful, patient-centered outcome measures.
Removing Duplicate Measures
CMS also finalized their proposed change of de-duplicating certain measures in the IQR program. However, these measures will still be a part of one of the other four quality reporting programs.
Removing HAI Measures
Starting in CY 2020, five health-care associated infection (HAI) measures will be removed. However, these measures will remain in other programs such as the Hospital Acquired Condition program or the Hospital Value-Based Purchasing program.
CMS originally proposed the removal for 2019, but ultimately decided to push back the removal date and keep the HAI measures in the 2019 IQR program.
As we covered in a previous blog, CMS overhauled and renamed the Meaningful Use program, now calling it the Promoting Interoperability program to support greater EHR interoperability and patient access. Here are some of the finalized changes for the newly named reporting program in 2019.
Reporting REQUIREMENTS
In alignment with the hospital IQR program, Eligible Hospitals and CAHs who submit eCQMs for the Medicare and Medicaid Promoting Interoperability programs must also report data from any one quarter of 2019 and select at least four eCQMs from the 16-measure set. This is a continuation of the requirements from 2018.
Measure Removal
Starting in CY 2020, CMS plans to remove 8 of the 16 current eCQMs.
ATTESTATION REQUIREMENTS
As in the past, any participants who choose to attest instead of electronically submitting their quality data must attest to all CQMs.
NEW SCORING METHODOLOGY
A new performance-based scoring methodology will be used. It will include a smaller set of objectives.
Measure additions
Two new e-Prescribing measures have been added related to e-prescribing of opioids.
2015 edition of cehrt
For 2019, hospitals and CAHs must use the 2015 edition of CEHRT for reporting to both the IQR program and the Promoting Interoperability programs. Unlike 2018, the 2014 edition of CEHRT can no longer be used.
increase in rate
The operating payment rate paid to hospitals will increase by 1.85%. CMS estimates this to mean a $4.8 billion total increase in 2019.
Uncompensated care payments
Uncompensated care payments will total $8.3 billion (An increase of $1.5 billion from 2018).
Removing Duplicate MEASURES
CMS will de-duplicate four measures—one from the Safety domain and three from the Efficiency and Cost Reduction domain.
New scoring methodology
CMS plans to adopt a new scoring methodology that will equally weight all measures in a hospital’s score for the HAC Reduction Program.Stay tuned for next week’s post, where we’ll review the 2019 requirements for the Inpatient Quality Reporting (IQR) program. Keep in mind that Medisolv’s clinical experts are dedicated to guiding hospitals through these quality reporting changes, each year, and ensuring that they achieve a successful submission.
If you want to start improving your quality reporting process, feel free to send us a note. We'd love to hear from you and chat about how about we can help with all your quality reporting needs.
Download:
2020 IQR Program Requirements eBook
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