FY 2021 IPPS Proposed Rule Comment Letter: Part 1 – Median Rate Reporting and Market-Based MS-DRG Rebasing
HFMA submitted comments to CMS on the Medicare payment decisions addressed in the FY 2021 IPPS proposed rule pertaining to “Market-Based MS-DRG Relative Weights.” HFMA provides feedback on the proposed rule’s requirement that hospitals report median Medicare Advantage (MA) and 3rd Party “payer-specific negotiated charges” as part of their cost report for cost report periods ending on or after January 1, 2021, and CMS’s framework (as yet not proposed) to rebase Medicare Fee-for-Service (FFS) MS-DRG weights using median MA “payer-specific negotiated charges.”