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.

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....

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....

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....

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.

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....

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....

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....

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.&....

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....