CMS proposes payment changes.
A new rule to improve the accuracy of Medicare's payment under
the acute care hospital inpatient prospective payment system has been
proposed by the Centers for Medicare and Medicaid Services. The rule
includes provisions that ensure Medicare will no longer have to pay
hospitals for conditions acquired in the hospital, such as infections,
while also reducing payment for a diagnosis related group that involves
a device implantation replacement that was supplied to the hospital at
no additional cost. The proposed rule adds five new quality measures to
the existing 27 that hospitals would need to report on in 2008 for the
updated full group of provided services (i.e., full market basket update) in fiscal year 2009. They include a 30-day mortality for
Medicare patients with pneumonia and four other measures that are
related to surgical care improvement.