Corporate Compliance

AHA says hospitals are not ready for new CMS rules

Compliance Monitor, June 17, 2008

Under CMS’s Inpatient Prospective Payment System (IPPS) proposed rules for the upcoming 2009 fiscal year; hospitals will be required to report on 43 new quality measures if they wish to receive full Medicare reimbursement.

In a letter written last week, the executive vice president of the American Hospital Association (AHA), Rick Pollack, states the implementation of the new rules would violate the Deficit Reduction Act of 2005 and “adversely impact quality improvement efforts.”

The DRA requires changes reflect a “consensus of affected stakeholders,” but the AHA argues CMS’s proposal includes measures that were not endorsed by the National Quality Forum (NQF) nor the Hospital Quality Alliance (HQA). The HQA only endorsed 10 of the proposed measures and the AHA feels hospitals are not ready to report on the other 33.

In the letter, AHA also states opposition to certain conditions concerning hospital acquired conditions and some direct payment cuts.


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