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AHA issues revised readmissions penalty calculator

October 8, 2012

The AHA has revised its readmissions penalty calculator to incorporate corrections to the hospital readmissions adjustment factors announced by the Centers for Medicare & Medicaid Services on Oct. 3. CMS inadvertently included claims from the fiscal year 2008 Medicare Provider Analysis and Review (MedPAR) file that had discharge dates prior to July 1, 2008, and has published the corrected readmissions adjustment factors in a revised impact file for the fiscal year 2013 inpatient prospective payment system final rule. Under the final rule, hospitals with higher-than-expected readmission rates will see reductions in their Medicare payments effective Oct. 1. The AHA calculator, issued to members in August, helps hospital leaders estimate the dollar amount of their readmissions penalty under the policy.