Corporate Compliance

CMS proposes 2006 rate increases for inpatient stays in acute-care hospitals

Compliance Monitor, May 4, 2005

CMS announced April 25 that acute-care hospitals that submit data on 10 quality measures will receive a 3.2% increase in their payment rates for inpatient services in fiscal year 2006.

Hospitals that do not submit quality information will receive 2.8% increase.

In addition to the annual update, the proposed changes for 2006 include requirements to strengthen and improve the accuracy of the data reported, according to a CMS press release. Hospitals must correctly collect and report clinical data to get full payment, and must also have two consecutive quarters of publishable data.

CMS reports 98% of the nearly 4,000 acute care hospitals in the country agreed to provide the quality data in 2005; 3,717 hospitals have signed up to submit quality data for 2006.

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