Effective Date: Discharges on or after October 1, 2008

Implementation Date: October 6, 2008

This article is based on change request (CR) 6189, which outlines changes for inpatient hospital prospective payment system (PPS) for fiscal year (FY) 2009. The policy changes for FY 2009 appeared in the Federal Register on August 19, 2008, and the final inpatient prospective payment system (IPPS) rates were available on the Centers for Medicare & Medicaid Services (CMS) Web site prior to October 1, 2008. CR 6189 also addresses changes to the Medicare severity-diagnosis related groups (MS-DRGs) and ICD-9-CM coding that affects long-term care hospital (LTCH) PPS, and inpatient psychiatric facility (IPF) PPS. The LTCH PPS rate changes occurred on July 1, 2008.

The changes conveyed in CR 6189 are:

Here is the link to the MLN Matters article MM6189 .