Policy Details

Medicare and Medicaid Programs and CHIP; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and LTCH PPS and FY 2025 Rates; Quality Programs Requirements

Summary

Revises hospital inpatient and long‑term care hospitals prospective payment system rates and policies for FY 2025, updates quality and reporting programs, and makes related technical changes. Includes adjustments to graduate medical education policies and clarifications across inpatient hospital payment provisions.

Healthcare Implications

Updates to quality reporting and documentation indirectly shape requirements for Electronic Health Record configuration, coding, and analytics. Hospitals using AI for documentation integrity, quality tracking, or measure abstraction should confirm alignment with the updated policies. Finance and compliance teams should assess downstream impacts on revenue cycle tools.

Impact Level

Low

Stakeholders

Providers & Health Systems; Patients & Public; Payers & Purchasers