Quiero saber acerca de...

54634

Federal Register / Vol. 86, No. 189 / Monday, October 4, 2021 / Rules and Regulations
TABLE 7PATIENT-LEVEL DATA SUBMISSION REQUIREMENTS FOR CY 2014 IPFQR PROGRAM MEASURE SET
Continued Patient-level data submission
NQF No.

Measure ID

Measure
3205

Med Cont

TBD

COVID HCP

Medication Continuation Following Inpatient Psychiatric Discharge.
COVID19 Healthcare Personnel HCP Vaccination Measure
No claims-based.
No calculated for HCP.

Measure is no longer endorsed by the NQF but was endorsed at time of adoption. Section 1886s4Dii of the Act authorizes the Secretary to specify a measure that is not endorsed by the NQF as long as due consideration is given to measures that have been endorsed or adopted by a consensus organization identified by the Secretary. We attempted to find available measures for each of these clinical topics that have been endorsed or adopted by a consensus organization and found no other feasible and practical measures on the topics for the IPF
setting.

11. On page 42661, in the third column; in the last paragraph under V.
Collection of Information Requirements, the 8th line from the bottom of the page,
remove the sentence We have not made any changes from what was proposed and add in its place We have updated these estimates based on
NQF No.

Measure ID

Measure description
0576

FUH

0648

N/A

Follow-Up After Hospitalization for Mental Illness .
Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care.

Total

the proposals finalized in this final rule.
12. On page 42669, revise Table 15 to read as follows.

Estimated cases per facility
Time per case hours
Annual time per facility hours
0

0

0

1,634

0

0

609

0.25

152.25

1,634

248,776.5

10,199,836.50

609

Varies

152.25

1,634

248,776.5

10,199,836.50

Total annual time hours
Number IPFs

Total annual cost $

CMS will collect these data using Medicare Part A and Part B claims; therefore, these measures will not require facilities to submit data on any cases.
We note that the previously approved number of IPFs is 1,679; however, we adjusted that in Table 12 based on updated data.
At $41.00/hr.

13. On page 42672, below Table 15, in the second column, in the second full paragraph, remove the paragraph, We estimate that the total impact of these changes for FY 2022 payments compared to FY 2021 payments will be a net increase of approximately $80
million. This reflects an $75 million increase from the update to the payment rates +$100 million from the 2nd quarter 2021 IGI forecast of the 2016based IPF market basket of 2.7 percent, and $25 million for the productivity adjustment of 0.7 percentage point, as well as a $5 million increase as a result of the update to the outlier threshold
amount. Outlier payments are estimated to change from 1.9 percent in FY 2021
to 2.0 percent of total estimated IPF
payments in FY 2022.
and add in its place We estimate that the total impact of these changes for FY 2022 payments compared to FY 2021 payments will be a net increase of approximately $70
million. This reflects a $75 million increase from the update to the payment rates +$100 million from the 2nd quarter 2021 IGI forecast of the 2016based IPF market basket of 2.7 percent, and $25 million for the productivity
adjustment of 0.7 percentage point, as well as a $5 million decrease as a result of the update to the outlier threshold amount. Outlier payments are estimated to change from 2.1 percent in FY 2021
to 2.0 percent of total estimated IPF
payments in FY 2022.
14. On page 42672 in the third column, in the fourth full paragraph, a. In line 2, remove $80 million and add in its place $70 million.
b. In line 6, remove the word increase and add in its place decrease.
15. On pages 42674 and 42675, revise Table 18 to read as follows:

TABLE 18FY 2022 IPF PPS FINAL PAYMENT IMPACTS
Percent change in columns 3 through 5
Number of facilities
Outlier
FY 2022 wage index, LRS, and COLA

Total percent change 1

Facility by type FY 2019
claims 1

2

All Facilities
Total Urban
Urban unit
Urban hospital
Total Rural
Rural unit
Rural hospital
By Type of Ownership:
Freestanding IPFs:
Urban Psychiatric Hospitals:
Government

VerDate Sep<11>2014

16:13 Oct 01, 2021

FY 2020
claims
Jkt 256001

PO 00000

Frm 00048

FY 2019
claims
FY 2020
claims 3

FY 2019
claims
FY 2020
claims 4

FY 2019
claims
FY 2020
claims 5

1,520
1,221
740
481
299
239
60

1,534
1,235
737
498
299
238
61

0.1
0.1
0.2
0.0
0.1
0.1
0.1

1.1
1.1
1.8
0.3
0.7
0.8
0.4

0.0
0.0
0.1
0.0
0.2
0.1
0.4

0.0
0.0
0.1
0.0
0.2
0.1
0.4

1.9
1.8
1.7
2.0
2.1
2.0
2.3

0.9
0.8
0.1
1.7
1.5
1.3
2.0

116

123

0.2

1.7

0.2

0.2

1.6

0.1

Fmt 4700

Sfmt 4700

E:FRFM04OCR1.SGM

04OCR1