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This form is used by manufacturers to apply for new technology add-on payments under the Medicare Acute Inpatient Prospective Payment System, detailing the technology and associated clinical data.
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How to fill out tracking form for applicants

How to fill out Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)
01
Gather all relevant information about the new technology being applied for.
02
Obtain the Tracking Form for Applicants for New Technology Add-on Payments from the appropriate CMS website or office.
03
Fill in the applicant's details, including name and contact information.
04
Provide a detailed description of the new technology, including its purpose and potential benefits.
05
Include data on how the technology improves the quality of care or patient outcomes.
06
Specify the costs associated with the new technology and any evidence of cost-effectiveness.
07
Attach any supporting documents or research studies relevant to the technology.
08
Review the completed form for accuracy and completeness before submission.
09
Submit the completed Tracking Form according to the instructions provided by CMS.
Who needs Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
01
Hospitals and healthcare providers looking to receive additional payments for new technologies under the IPPS.
02
Manufacturers of innovative medical technologies seeking reimbursement.
03
Health systems introducing new treatment options that can improve patient care.
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People Also Ask about
What is the basis for payments for the inpatient prospective payment system Ipps used by Medicare to reimburse acute care hospitals?
This payment system is referred to as the inpatient prospective payment system (IPPS). Under the IPPS, each case is categorized into a diagnosis-related group (DRG). Each DRG has a payment weight assigned to it, based on the average resources used to treat Medicare patients in that DRG.
How does NTAP reimbursement work?
The NTAP amount is paid once per discharge and not per product unit of new technology used; however, the total costs of the new technology (including multiple units) are part of the total case charges that go into the calcula- tion of both the eligibility for NTAP and the NTAP amount.
How is the new technology add on payment calculated?
The total payment amount for a IVL case that qualifies for an NTAP will consist of the full MS-DRG payment + 65% of the difference between the reported cost of the discharge and the MS-DRG payment, up to a maximum of $3,666 per case. The NTAP payment amount is then added to the hospital assigned DRG payment.
What is the purpose of the NTAP program?
INTRODUCTION. In 2001, the Centers for Medicare and Medicaid Services (CMS) introduced the New Technology Add-on Payment (NTAP) program to incentivize utilization of new inpatient technologies in the Medicare population.
What is the new technology add on program?
An NTAP designation enables additional payment to hospitals above the standard Medicare Severity Diagnosis-Related Group (MS-DRG) payment amount. A product's NTAP designation lasts for no more than three years for a specific indication.
How is the new technology add-on payment calculated?
The total payment amount for a IVL case that qualifies for an NTAP will consist of the full MS-DRG payment + 65% of the difference between the reported cost of the discharge and the MS-DRG payment, up to a maximum of $3,666 per case. The NTAP payment amount is then added to the hospital assigned DRG payment.
Who is eligible for the new technology add-on payment?
To qualify for a new technology add-on payment, the technology must represent an advance that substantially improves, relative to technologies previously available, the diagnosis or treatment of Medicare beneficiaries.
What drugs are NTAP approved?
Two new substances that received NTAP approval are Casgevy™ and Lyfgenia™. Both of these medications are gene therapies that have indications for the treatment of sickle cell disease and when used for this purpose their administration qualifies for a significant NTAP.
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What is Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
The Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS) is a tool used by healthcare providers to apply for additional payments for new technologies that improve patient care and outcomes beyond existing technologies.
Who is required to file Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
Healthcare providers who are seeking additional payments for new technologies under the IPPS are required to file the Tracking Form. This typically includes hospitals and other inpatient care facilities.
How to fill out Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
The Tracking Form should be completed by providing accurate details about the new technology being applied for, including its description, the clinical benefits, and supporting data that demonstrates its effectiveness in patient care.
What is the purpose of Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
The purpose of the Tracking Form is to facilitate the evaluation and approval process for new technology add-on payments, ensuring that innovative treatments and technologies are recognized and reimbursed appropriately in the healthcare system.
What information must be reported on Tracking Form for Applicants for New Technology Add-on Payments under the Acute Inpatient Prospective Payment System (IPPS)?
Information reported on the Tracking Form should include the technology's name, description, intended use, clinical indications, data demonstrating clinical benefits, and any relevant supporting documentation that substantiates the request for additional payment.
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