What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2025 inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule.
What else to know: Comments are due to CMS by 2 p.m. (PT) on May 28.
In the rule, CMS proposes to:
- Update the IPF PPS payment rates by 2.7%, based on the proposed 2021-based IPF market basket increase of 3.1% less a proposed 0.4 percentage point productivity adjustment.
- Revise IPF PPS patient-level adjustment factors.
- Increase the electroconvulsive therapy per treatment amount to $660.30.
- Adopt one new measure, the 30-Day Risk-Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge measure.
- Require IPFs to submit patient-level quality data quarterly, as opposed to the current annual basis.
- Solicit comments to identify meaningful data elements for collection appropriate for the acute inpatient psychiatric care setting and potential criteria for the development and implementation of the instrument.
- Seek input on potential revisions to the IPF PPS facility-level adjustments in the future based on the results of more recent IPF cost and claim analysis.
Additional details are available in a CMS fact sheet.