67 results.
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Evolution of DRGs (2010 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: March 2010
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Analysis of Final Rule for FY 2003 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: AHIMA Policy and Government Relations Team
Source: AHIMA regulation analysis
Publication Date: August 02, 2002
The final rule regarding FY 2003 revisions to the Medicare hospital inpatient prospective payment system (PPS) was published in the August 1, 2002 issue of the Federal Register.
This rule becomes effective on October 1, 2002.This analysis will cover changes to DRG classificat....
Closer Look at All-Patient Refined DRGs
Author: Averill, Richard F.
Source: Journal of AHIMA
Publication Date: January 2002
Are you fluent in DRG? This article takes a look at the evolution of the three distinct DRG systems and spotlights the most recent iteration, All-Patient Refined DRGs. It also sheds light on how this system, when codes are properly applied, can help an organization study morbidity and mortalit....
ICD-10 Gap Analysis Points to Revenue Neutral Transition
Author: Barta, Ann
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: May 2015
The implications of ICD-10-CM/PCS for healthcare reimbursement is a topic at the top of everyone’s mind in the healthcare industry these days. As healthcare organizations continue to prepare for the transition to ICD-10-CM/PCS on October 1, 2015, an essential and important element of a su....
Evolution of DRGs
Author: Boucher, Anne; Bowman, Sue E; Piselli, Caroline; Scichilone, Rita A
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2006
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Severity-Adjusted DRGs for FY08?: CMS Proposes DRG Refinements Based on Severity of Illness
Author: Bowman, Sue E
Source: Journal of AHIMA
Publication Date: July 2007
If approved, the hospital inpatient prospective payment system (IPPS) proposed rule, published in the May 3, 2007, Federal Register, will bring major changes to the current Medicare DRG system for fiscal year (FY) 2008.
In the proposed rule, the Centers for Medicare and Med....
New DRG System for IPPS: CMS Proposes Severity-Adjusted DRG System Based on APR DRGs
Author: Bowman, Sue E
Source: Journal of AHIMA
Publication Date: July 2006
In the April 25, 2006, issue of the Federal Register, the Centers for Medicare and Medicaid Services (CMS) proposed a consolidated severity-adjusted DRG system for fiscal year 2008 in proposed rule changes to the hospital inpatient prospective payment system (IPPS) for fiscal year 2007. CMS bel....
Ensuring Compliant Malnutrition Coding
Author: Bryant, Gloryanne H.
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2011
Coding malnutrition has always been a challenge, especially since MS-DRGs were implemented. However, with Recovery Audit Contractors and other regulatory auditing being initiated across the country, providers and HIM professionals must be proactive rather than reactive when coding this conditi....
Compliance Efforts Get Some PEPP
Author: Bryant, Gloryanne H.
Source: Journal of AHIMA
Publication Date: September 1999
Earlier this year, the Office of the Inspector General (OIG) informed the Health Care Financing Administration (HCFA) that "the DRG system is vulnerable to abuse by providers who wish to increase reimbursement inappropriately through upcoding, particularly so within certain DRGs.&....
Coding Beyond DRGs ... What That Means to You and Your Facility
Author: Bryant, Gloryanne H.
Source: AHIMA Convention
Publication Date: October 10, 2001
Introduction
Physicians and interdisciplinary staff document in the medical record but not in a manner that adequately reflects the acuity and severity of the patient's clinical presentation-often not accurately enough to reflect the detail of care being delivered, which resu....
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