Earlier this month, Centers for Medicare and Medicaid Services (CMS) released the fiscal year 2023 Hospital Inpatient Prospective Payment System (IPPS) for Acute Care Hospitals and Long-Term Prospective Payment System Final Rule. In June, AAHKS submitted comments in response to the 2023 IPPS proposed rule. In the final rule, CMS increased the relative weights of the four primary MS-DRGs associated with lower joint arthroplasty; adopted a newly refined version of THA/TKA Complication measure into the Hospital IQR Program that would expand the measure outcome to include 26 additional mechanical complication ICD–10 codes; and refined the current IQR Program THA/TKA Payment measure, to expand the measure outcome to include the same 26 clinically vetted mechanism complication ICD–10 codes, for the FY 2024 payment determination and subsequent years. The final rule goes into effect on October 1, 2022. For more information, read our summary.

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