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centers for medicare and medicaid services Medicare Promoting Interoperability Program
CMS Issues Fiscal Year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System for Acute Care Hospitals and Long-term Care Hospital Prospective Payment System Final Rule

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the "Fiscal Year (FY) 2025" "Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) "Final Rule [ https://www.federalregister.gov/public-inspection/2024-17021/medicare-medicaid-and-childrens-health-insurance-programs-hospital-inpatient-prospective-payment ].

For calendar year (CY) 2025, the final changes to the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs) include the following:


* Increasing the performance-based minimum scoring threshold from *60 points to 70 points.*
* "Note: The minimum scoring threshold will change from *70 to 80 points in* CY 2026."

* Separating the Antimicrobial Use and Resistance (AUR) Surveillance measure into "two measures," an *Antimicrobial Use (AU) Surveillance measure* and an *Antimicrobial Resistance (AR) Surveillance measure*.
* These two measures will be treated as "_new_" measures with respect to active engagement.

For CY 2026, the final changes include the following:


* Adding two mandatory eCQMs for program participants, for *a total of nine required eCQMs*:
* Hospital Harm - Falls with injury eCQM
* Hospital Harm – Postoperative Respiratory Failure eCQM

* Modifying the Global Malnutrition Composite Score eCQM to screen all patients age 18 and older instead of only those over age 65.

*Promoting Interoperability Program Resources*

For more information on the Medicare Promoting Interoperability Program, visit the Promoting Interoperability Program website [ https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms?redirect=/ehrincentiveprograms ].



Centers for Medicare & Medicaid Services




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