Becker's Healthcare August 1, 2024
CMS has published final payment rules for hospices and inpatient rehabilitation, psychiatric and skilled nursing facilities for fiscal year 2025.
Sixteen things to know:
1. CMS has finalized a 3% increase in payments for inpatient rehab facilities in 2025.
2. The payment update includes a 3.5% market basket update, which is reduced by a 0.5% productivity adjustment. Additionally, CMS is updating the outlier threshold to maintain outlier payments at 3% of total payments.
3. The final rule will equate to an estimated $280 million increase in IRF payments in 2025, according to CMS.
4. The agency also modified assessment items associated with health-related social needs. Beginning Oct. 1, 2026, inpatient rehab facilities will be required...