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Get the free Tracking Form for Applicants for New Technology Add-on Payments under IPPS - cms

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This document serves as a tracking form for applicants seeking new technology add-on payments under the Acute Inpatient Prospective Payment System (IPPS) from the Centers for Medicare & Medicaid Services.
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How to fill out tracking form for applicants

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How to fill out Tracking Form for Applicants for New Technology Add-on Payments under IPPS

01
Obtain the Tracking Form for Applicants for New Technology Add-on Payments from the official website or designated office.
02
Fill in the required applicant information, including name, contact details, and any relevant identification numbers.
03
Provide detailed descriptions of the new technology for which you are applying, including its purpose, benefits, and how it aligns with the IPPS criteria.
04
Include data and evidence supporting the effectiveness and necessity of the technology, such as research studies or pilot program results.
05
Complete any financial details required, including projected costs and potential savings.
06
Review the form for accuracy and completeness before submitting.
07
Submit the Tracking Form before the designated deadline to ensure consideration for the New Technology Add-on Payments.

Who needs Tracking Form for Applicants for New Technology Add-on Payments under IPPS?

01
Providers and organizations that are planning to apply for additional payments under the Inpatient Prospective Payment System (IPPS) for new technologies.
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When you've been admitted as an inpatient to a hospital, that hospital assigns a DRG when you're discharged, basing it on the diagnosis you received and the treatment that you needed during your hospital stay. The hospital gets paid a fixed amount for that DRG, regardless of how much money it spent treating you.
The new technology add-on payment (NTAP) is a Medicare policy that offers additional reimbursement to hospitals using eligible new technologies, beyond standard Diagnostic Related Group (DRG) payments.
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.
NTAPs Approved for FY 2025 Approval MethodNumber of NTAPs Continued approval from 2024 23 Approval under the traditional pathway 4 Approval under the alternative pathway 12 Total NTAPs 39 Sep 10, 2024
A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service (for example, diagnosis-related groups for inpatient hospital services).

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The Tracking Form for Applicants for New Technology Add-on Payments under the Inpatient Prospective Payment System (IPPS) is a document used by hospitals to apply for additional Medicare payments for new technologies that provide significant clinical advantages.
Hospitals that provide inpatient services and are seeking additional payments for new technologies implemented under the IPPS are required to file the Tracking Form.
To fill out the Tracking Form, applicants must provide detailed information about the new technology, including its FDA approval status, clinical data, cost implications, and how it meets the criteria for new technology add-on payments.
The purpose of the Tracking Form is to streamline the application process for hospitals seeking additional payments for qualifying new technologies, ensuring that innovations are reimbursed appropriately under Medicare.
The information required on the Tracking Form includes the name and description of the new technology, its clinical benefits, evidence of safety and effectiveness, submission of FDA approval documentation, the anticipated cost of the technology, and any relevant patient outcome data.
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