Healthcare Accreditation Certification Program Newsletter
January 2020

ARS Regulatory Alerts

CIHQ-ARS notifies member organizations of any new or modified accreditation standard, or CMS COP for acute care hospitals. Each alert summarizes the standard / regulation, likely impact to members, and recommends compliance strategies. Whenever possible, alerts are limited to one-page in length so that they can be quickly read and disseminated.

New Regulatory Alert

Alert Date
December 18, 2019
Alert Subject
CMS Updates Regulations Addressing IPPS Excluded Hospitals
Alert Applicability
Acute Care Ambulatory Care Behavioral Health
Critical Access Home Health / Hospice Laboratory
Long Term Care Other: __________  
Alert Background
In a letter to State enforcement agencies dated 12/18/19, CMS announced revised regulations In the Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital PPS (LTCH PPS) final rule, the Centers for Medicare & that, effective with cost-reporting periods beginning on or after October 1, 2019, an IPPS-excluded hospital may have an excluded psychiatric and/or rehabilitation unit.
However, an IPPS-excluded hospital may not have an IPPS-excluded unit of the same type (psychiatric or rehabilitation) as the hospital operating the unit (for example, an inpatient rehabilitation facility (IRF) may not have an IRF unit).
CMS also made changes to its systems to process claims from the excluded units which required assigning appropriate Medicare provider numbers (CCN’) to IPPS-excluded units of IPPS excluded hospitals so that the number is unique and intelligent. Specifically, CMS created new alpha-character combinations in the third and fourth digits of the CCN field to identify IPPS-excluded units of IPPS-excluded hospitals.
Discussion & Recommendations
HACP Professionals can download this alert in its entirety when logged-in to their HACP account. Alerts are also archived for future access and reference.
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