Awareness : Newsletter Articles

Burden Reduction

The Centers for Medicare & Medicaid Services has proposed changes on ways to reduce burden for hospitals. In general, the rule proposes a reduction in the number of hours hospitals spend on paperwork by well over 2 million hours. Additionally, it proposes to reduce the number of measures acute care hospitals are required to report across the 5 quality and value-based purchasing programs. With the proposed rule, the burden would be decreased by easing documentation requirements and providing flexibility in several areas.  Patient and program integrity protections remain in place where they are needed.

CMS is proposing the following:

  • Remove the requirement that Part A certification statements detail where in the medical record the required information can be found.
  • Reduce the number of denied claims for clerical errors in documenting physician admission orders by removing the requirement that a written inpatient admission order be present in the medical record as a specific condition of Medicare Part A payment.
  • Provide more flexibility for new urban teaching hospitals to enter into Medicare Graduate Medical Education (GME) affiliation agreements, which allow hospitals to share full time equivalent cap slots to accommodate the cross training of residents.
  • Reduce documentation requirements by allowing hospitals to use average hourly wage data from the current year’s IPPS final rule that is available on the CMS website to demonstrate they are the only hospital in their Metropolitan Statistical Area for the purpose of meeting an exemption from certain wage index geographic reclassification requirements beginning in FY 2021.
  • Revise our regulations to allow certain hospitals which are excluded from the IPPS (for example, LTCHs) to operate IPPS-excluded units (so long as such an arrangement would be allowed under the applicable hospital conditions of participation).
  • Revise our regulations to allow that an IPPS-excluded satellite of an IPPS excluded unit of an IPPS-excluded hospital would not have to comply with the separateness and control requirements so long as the satellite of the unit is not co-located with an IPPS hospital.

To view the entire rule, please click here