Becker's Healthcare March 29, 2024
CMS has released proposed payment rules for hospices and inpatient rehabilitation, psychiatric and skilled nursing facilities in fiscal year 2025.
Fifteen things to know:
1. CMS has proposed a 2.8% increase in payments for inpatient rehab facilities in 2025.
2. The payment update includes a 3.2% market basket update, which is reduced by a 0.4% productivity adjustment. Additionally, CMS aims to update the outlier threshold to maintain outlier payments at 3% of total payments.
3. The proposed rule would equate to an estimated $255 million increase in IRF payments in 2025.
4. The agency also plans to modify assessment items associated with health-related social needs. Under the proposed rule, beginning Oct. 1, 2026, inpatient rehab facilities...