IPPS Measure Exceptions FormCenters for Medicare & Medicaid Services (CMS) Hospital Inpatient Qualit 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'IPPS Measure Exception Information' section. Select all applicable measures such as Perinatal Care, Emergency Department, and Surgical Procedures. Ensure you specify the relevant calendar year and quarters.
  3. Complete the 'Specified CAUTI and CLABSI Requirements' section if applicable. Indicate whether your hospital has ICU locations or specific wards, and provide the necessary calendar year information.
  4. In the 'Facility Contact Information' section, enter your CMS Certification Number, Facility Name, and contact details of the CEO or designee. All fields marked with an asterisk (*) are required.
  5. Finally, review your entries for accuracy before submitting. Follow the submission instructions provided at the end of the form to ensure proper processing.

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The 2025 Overall Star Rating selected 45 of the hospital quality measures CMS publicly reports on Medicare.gov and divides them into 5 measure groups: Mortality, Safety of Care, Readmission, Patient Experience, and Timely Effective Care.
Generally, the CMS considers whether a procedure is to be inpatient only based on: the type of the procedure. whether the individual will require at least 24 hours of recovery or monitoring before discharge after the procedure. the persons underlying physical health.
These goals include: effective, safe, efficient, patient-centered, equitable, and timely care.
Hospital Inpatient Quality Reporting Program Measures These measures include indicators of patient safety, clinical process of care, patient experience of care (see CAHPS Hospital Survey below), maternal morbidity, mortality outcomes, coordination of care, and payment for specific diagnoses.
Background on the IPPS and LTCH PPS Under these two payment systems, CMS sets base payment rates prospectively for inpatient stays, generally based on the patients diagnosis, the services or treatment provided, and the severity of illness.

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There are three new measures being added beginning with the 2026 Star Ratings - Kidney Health Evaluation for Patients with Diabetes1, Improving or Maintaining Physical Health2, and Improving or Maintaining Mental Health2.
In 2025, CMS reported a star score for 2,891 U.S. hospitals with the national average star rating decreasing from 3.13 stars in 2024 to 3.08 stars in the current year. Ascension had 41 hospitals receive a star rating with the average rating across all facilities of 3.37 stars.

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