CMS set the timer on transforming MS-DRGs in the recently released fiscal year (FY) 2021 IPPS final rule . The agency strongly signaled its wish to de-emphasize the role of the chargemaster and the cost-to-charge ratio (CCR) in MS-DRG rate setting and laid out a pathway to a methodology that would align traditional Medicare MS-DRG rates with Medicare Advantage (MA).
As we continue seeing an influx of novel coronavirus (COVID-19) cases, there is no better time for inpatient coders to review ICD-10-PCS reporting for extracorporeal membranous oxygenation (ECMO) procedures. Hopefully these procedures are only necessary in rare circumstances for those COVID-19 inpatients.
The fiscal year (FY) 2021 ICD-10-CM code set includes 26 new codes for nervous system conditions such as cerebellar ataxia, Dravet syndrome, and cerebrospinal fluid (CSF) leaks. This article details these code changes and associated updates to the ICD-10-CM Official Guidelines for Coding and Reporting , which went into effect last month.
It’s more important than ever that organizations keep ahead of COVID-19 ICD-10-CM and MS-DRG audits and denials. The financial strain that many organizations are under makes it imperative that they minimize disruptions to revenue.
The finalized fiscal year (FY) 2021 ICD-10-CM and ICD-10-PCS code sets were recently released in the FY 2021 IPPS final rule, introducing new, revised, and deleted codes for diagnostic and procedural services and accompanying guideline changes.
Valerie A. Rinkle, MPA, CHRI , reviews what providers need to know about the latest payment model from CMS’ Centers for Medicare and Medicaid Innovation.
A few years ago, there was a change of attitude within seizure medicine that manifested itself as new terminology. The older term “pseudoseizure” was replaced by the phrase “psychogenic non-epileptogenic seizure.”
Gloryanne Bryant, RHIA, CDIP, CCS, CCDS , reviews healthcare compliance as a whole, and says it is important to be aware of these healthcare compliance risks, especially in ICD-10-CM reporting.
CMS released the fiscal year (FY) 2021 IPPS final rule on September 2. In this article, we will review key priorities for the coming FY, including a continuing emphasis on addressing disparities in reimbursement between urban and rural hospitals and expanding beneficiary access to cutting-edge technologies.
CMS recently released the fiscal year ( FY) 2021 IPPS final rule , which increased hospital payment rates, created new MS-DRGs, and finalized CC/MCC designations.
Valerie A. Rinkle, MPA, CHRI, reviews what providers need to know about the latest payment model from CMS’ Centers for Medicare and Medicaid Innovation.
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August. Read about these proposals which if finalized, will impact hospital billing and payment starting January 1.
Dee Jones, CFO, describes eight ways 340B covered entities can optimize their 340B programs to gain immediate operational efficiencies while accelerating cash flow and savings.
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.
Because of the complexity and frequency of ischemic stroke admissions, inpatient coders should review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
This increase in alcohol-related deaths is consistent with reports of increases in alcohol-related illnesses and injuries during the same period. This study highlights the fact that alcohol-related admissions are not uncommon, which is why inpatient coders should brush up on reporting these disorders in ICD-10-CM.
