Inpatient Prospective Payment System Final Rule: FFY 2023

On August 10, the Centers for Medicare & Medicaid Services (CMS) published the FFY 2023 IPPS Final Rule (discharges on or after October 1, 2022) in the Federal Register. 

Toyon is pleased to provide our summary of the Rule, focused on areas directly impacting Medicare cost reporting and reimbursement.  

Contents

Section I. National Medicare IPPS Estimates

Section II. Standardized Base Rates

Section III. FFY 2023 DRG Weights and Outlier Cost Threshold

Section IV. Uncompensated Care (UC) DSH

Section V. Empirical DSH

Section VI. Wage Index

Section VII. Graduate Medical Education (GME)

Section VIII. Low-Volume Adjustment Eligbility

Section IX. Medicare Dependent Hospital (MDH) Status Expiration

Section X. Hospital Readmissions Reduction Program (HRRP) Adjustment

Section XI. Value-Based Purchasing (VBP) Program

Section XII. Hospital-Acquired Condition (HAC) Adjustment