The FY 2020 Inpatient Psych Proposed Rule was put on display for public inspection on April 17, 2019. The proposed rule is scheduled to be published in the Federal Register April 23, 2019. The pre-publication can be viewed here. When finalized, this IPF rule will affect discharges on or after October 1, 2019.
Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. For FY 2020, CMS has proposed the following updates to the Psych rates:
Description |
Current Rate |
Proposed Rate |
% Change |
Federal Per Diem (for providers who reported quality data) |
$782.78 |
$803.48 |
2.64% |
Federal Per Diem (for providers who failed to provide quality data) |
$782.78 |
$782.78 |
0% |
Electroconvulsive Therapy (ECT) Payment (for providers who reported quality data) |
$337 |
$345.91 |
2.64% |
Electroconvulsive Therapy (ECT) Payment (for providers who failed to report quality data) |
$337 |
$337 |
0% |
Outlier Threshold |
$12,865 |
$14,590 |
13.41% |
Additional items of interest from our recent review of the Inpatient Psych proposed rule include:
CMS is proposing to use the concurrent inpatient wage index for the psych payment calculation.
CMS is proposing new quality measures for FY 2020.
As with the Inpatient Rehab rule, public comments can be submitted through 5 pm EST on June 17, 2019. The IPPS proposed rule was released this afternoon and we will be posting highlights on that as well as the SNF and Hospice proposed rules shortly. Stay tuned.