190 results.
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Ins and Outs of HCCs
Author: Fernandez, Valerie
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: June 2017
A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services’ (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Pl....
How MACRA Changes HIM
Author: Marron-Stearns, Michael
Source: Journal of AHIMA
Publication Date: March 2017
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is widely viewed as one of the most significant and complex changes to Part B Medicare reimbursement in several decades. The Centers for Medicare and Medicaid Services (CMS) created the Quality Payment Program (QPP) that incl....
CY 2017 OPPS Update
Author: Comfort, Angie
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2017
As last year drew to a close, facilities began the looming task of reviewing the Hospital Outpatient Prospective Payment System (OPPS) final rule to ensure their chargemaster and systems were up-to-date with the 2017 changes. The final rule for calendar year (CY) 2017 was released on Novem....
Role of HIM in MACRA
Author: Primeau, Debra
Source: Journal of AHIMA - website
Publication Date: December 01, 2016
As providers gear up to meet reporting requirements under the Medicare Access and CHIP Reauthorization Act’s (MACRA’s) new Quality Payment Program (QPP), health information management (HIM) stands to play a prominent role in the transition to value-based care.
Success un....
MACRA Strategies for 2017: Advantages and Disadvantages of Four Options
Author: Marron-Stearns, Michael
Source: Journal of AHIMA - website
Publication Date: November 07, 2016
While the Medicare Access and CHIP Reauthorization Act (MACRA) Final Rule was released nearly three weeks ago, many providers and health information management professionals are still analyzing the 2,200-plus pages to diagnose just what it says and how it impacts healthcare. While the fina....
New "MOON" — Observation Status Notification
Author: Wilson, Donna D
Source: CodeWrite | AHIMA newsletter article
Publication Date: September 2016
"Why do I owe so much money for my last hospital stay? I have Medicare; doesn't that cover everything?" Maybe you have heard this question before—possibly from your own grandparents. The Centers for Medicare and Medicaid Services (CMS) hears regularly from Medicare beneficiaries whos....
AHIMA's comments on CMS proposed changes to the Conditions of Participation for Hospitals and Critical Access Hospitals
Author: AHIMA Advocacy and Policy Team
Source: AHIMA testimony and comments
Publication Date: August 2016
Letter to Andy Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services
AHIMA Comments on Merit-Based Incentive Payment System and Alternative Payment Model Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models
Author: AHIMA Advocacy and Policy Team
Source: AHIMA testimony and comments
Publication Date: June 27, 2016
AHIMA’s response to CMS's proposed MACRA rule
MACRA, MIPS, and Advanced APMs: Time to Prepare
Author: Marron-Stearns, Michael
Source: Journal of AHIMA - website
Publication Date: June 02, 2016
On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule titled “Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment....
Moving Toward Value-Based Payment
Author: Easterling, Sharon
Source: CodeWrite
Publication Date: March 2016
As industry propels itself toward a shift in how providers are reimbursed, measured, and selected for care, providers have to be open, fluid, and deliberate in their plans over the next three years and beyond. The "CMS Quality Strategy 2016" was released by the Centers for Medicare an....
MACRA and the Role of Clinical Data Integrity
Author: Stearns, Michael
Source: Journal of AHIMA
Publication Date: January 2016
President Obama signed into law the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 on April 16, 2015. This legislation repealed the sustainable growth rate (SGR) but also introduced a number of provisions designed to compensate physicians and other healthcare professionals ba....
Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: October 06, 2015
State Operations Manual Appendix C
DRG Grouping and ICD-10-CM/PCS
Author: Foley, Margaret M.
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: July 2015
Prior to the October 1, 2015 implementation of ICD-10-CM/PCS, every hospital must examine how the new code set will impact MS-DRG reimbursement. A recent Centers for Medicare and Medicaid Services (CMS) analysis indicates the overall effect of the transition to ICD-10 on hospital reimburs....
10 Facts About ICD-10
Author: U.S. Centers for Medicare & Medicaid Services
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: May 2015
With the October 1, 2015, transition fast approaching, the healthcare community needs to get ready now for ICD-10.
To respond to myths and common misperceptions, and to demystify ICD-10, the Centers for Medicare and Medicaid Services (CMS) has identified 10 facts the healthcare co....
OIG Reveals Top Oversight Priorities for 2015
Author: AHIMA Advocacy and Policy Team
Source: Journal of AHIMA
Publication Date: March 2015
OIG's 90-page work plan for fiscal year 2015 (FY15) offers a high-level view of the office's continued monitoring of various HHS programs and initiatives, particularly those designed to ensure the appropriateness of Medicare and Medicaid payments. The work plan also outlines many of the government's activities in FY15 designed to ensure care quality and safety in hospitals and other healthcare settings.
NPP Services Furnished 'Incident-to' a Physician's Service
Author: Lojewski, Tedi
Source: CodeWrite | AHIMA newsletter article
Publication Date: March 2015
Non-physician practitioners (NPP) are becoming commonplace in the physician office setting as a way to increase a physician practice’s accessibility, productivity, and patient satisfaction without compromising quality medical care. Under physician supervision, NPPs such as nurse practitio....
Physician Fee Schedule Released for 2015
Author: Ward, Maria
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2015
On October 31, 2014, the Centers for Medicare and Medicaid Services (CMS) released the 2015 Medicare Physician Fee Schedule (PFS) Final Rule. Because of section 101 of the Protecting Access to Medicare Act (PAMA) of 2014, no changes to the fee schedule will occur until April 1, 2015. At t....
Hospital Discharge Status Codes: Risks and Rewards
Author: Haik, William E
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2015
It is a well known fact that ICD-9-CM diagnosis and procedure codes impact hospital reimbursement and compliance. But there is an additional code that often flies under the radar—the discharge status code. Inaccurate discharge status code assignments for Medicare post-acute care transfers....
Healthcare On Demand: An Expanding World of Telemedicine Raises New Questions for HIM Professionals
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: September 2014
It’s midnight, and your cough has been unrelenting. You power up your laptop and visit one of the many websites that feature online access to physicians 24/7. Within minutes, you’re engaging in a video consultation with a board-certified physician who evaluates you, provides clinical inst....
HHS Opens Up National Patient Access to Lab Test Reports
Author: AHIMA Advocacy and Policy Team
Source: Journal of AHIMA
Publication Date: April 2014
The healthcare patient engagement revolution rolls on in the US, with the latest victory for patient advocates coming via a change in patient access rights to lab test information. New legislation recently enacted makes it easier than ever before for all US patients to gain access to thei....
TELEhealth for MEDicare (TELE-MED) Act Group Support Letter
Author: AHIMA; et al.
Source: AHIMA testimony and comments
Publication Date: February 25, 2014
Letter in support for the TELEhealth for MEDicare (TELE-MED) Act of 2013.
Justice-Involved Health Information: Policy and Practice Advances in Connecticut
Author: Trestman, Robert L; Aseltine, Rob H Jr
Source: Perspectives in Health Information Management
Publication Date: January 2014
Abstract
Sharing health information across correctional boundaries presents many challenges. Three such projects in Connecticut may be of value in informing other jurisdictions of similar opportunities. This article describes the development and implementation of an interagency re....
Quality Initiatives
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.) | External web site
Publication Date: August 14, 2013
CMS has developed various quality improvement efforts. This page provides links to a few of these efforts.
Early Assessment Finds That CMS Faces Obstacles In Overseeing The Medicare EHR Incentive Program
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Government (U.S.)
Publication Date: November 29, 2012
Inappropriate Payments To Skilled Nursing Facilities Cost Medicare More Than A Billion Dollars In 2009
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Government (U.S.)
Publication Date: November 12, 2012
Progress Notes and Forms (CMS Manual System Transmittal 438)
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: November 09, 2012
Accountable Care and Data Analytics Emerging in Healthcare
Author: White, Susan E; Taylor, Lisa Brooks
Source: Journal of AHIMA
Publication Date: November 2012
Value-based purchasing of healthcare is transforming the US healthcare delivery system and payment methodologies. Spurred by commercial pay-for-performance initiatives and the roll out of the Centers for Medicare and Medicaid Services’ (CMS) Medicare Shared Savings Program (MSSP), accountable....
Overview of FY 2013 Medicare Hospital Inpatient Prospective Payment System Final Regulation
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: October 09, 2012
ICD-10 Implementation Strategies and Planning National Provider Call
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: November 17, 2011
Health Information Exchange – Our Successes and Challenges with the Virtual Lifetime Electronic Record
Author: Foley, Teresa; Gillen, Zachary; Teal, Jennifer
Source: AHIMA Convention
Publication Date: October 02, 2011
Background
In the spring of 2009, President Obama announced plans to create a joint Virtual Lifetime Electronic Record (VLER) to improve care and services between the Department of Veterans Affairs (VA), Department of Defense (DoD), and the private sector. President Obama directed the Dep....
Observation Services - Ensuring Every Dollar
Author: Canter, Kelly
Source: AHIMA Convention
Publication Date: October 02, 2011
Introduction
Inpatient medical necessity has become a very hot topic for the Recovery Audit Contractors (RACs) over the last 12 months. Due to the focus on medical necessity for inpatient admissions, proactive and reactive hospitals are scrutinizing their admission practices. Since there....
Coding for Medicare Advantage Plans
Author: Truscott, Tricia
Source: AHIMA Convention
Publication Date: October 02, 2011
Background
The Centers for Medicare and Medicaid Services (CMS) use a reimbursement methodology similar to the DRG system for coverage of Medicare patients enrolled in Medicare Advantage plans through private insurance companies. Using ICD codes from hospital and physician visit....
Pick One: Comparing the Medicare and Medicaid EHR Incentive Programs
Author: Heubusch, Kevin
Source: Journal of AHIMA
Publication Date: September 2011
Approximately 77,000 healthcare providers had registered for the meaningful use EHR incentive programs through July, program officials told the Health IT Policy Committee at its August 3 meeting. That is a significant number, but it leaves plenty of eligible providers and hospitals still to re....
Predictive Modeling 101: How CMS’s Newest Fraud Prevention Tool Works and What It Means for Providers
Author: White, Susan E
Source: Journal of AHIMA
Publication Date: September 2011
In July the Centers for Medicare and Medicaid Services (CMS) began applying predictive modeling techniques to Medicare claims data to detect fraud. CMS contracted with Northrop Grumman, an information solutions company, to develop the technology. Northrop Grumman partnered with Verizon and Nat....
Stop Payment: CMS Prohibits Medicaid Payments on “Healthcare-Acquired Conditions”
Author: AHIMA
Source: Journal of AHIMA
Publication Date: July 2011
Effective July 1 the federal government will prohibit Medicaid payments to states for services treating healthcare-acquired conditions. Compliance begins July 1, 2012.
The Centers for Medicare and Medicaid Services published the new policy in a final rule June 6. The changes and the e....
ACO Primer: Reviewing the Proposed Rule on Accountable Care Organizations
Author: White, Susan E; Kallem, Crystal; Viola, Allison F.; Bronnert, June
Source: Journal of AHIMA
Publication Date: June 2011
In April the Centers for Medicare and Medicaid Services (CMS) published a notice of proposed rulemaking for the Medicare Shared Savings Program. The program was mandated by the Affordable Care Act to encourage the development of accountable care organizations (ACOs) in Medicare.
The....
Three-Day Window Updates
Author: Garrett, Gail S.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2011
The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 was signed into law on June 25, 2010. One of its provisions revised the three-day payment policy, or the so-called "three-day DRG window."
This article highlights the changes to the three-da....
AHIMA Comments on the Notice of Proposed Rulemaking. Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations and Medicare Program: Waiver Designs in Connection With the Medicare Shared Savings Program and the Innovation Center
Author: AHIMA
Source: AHIMA testimony and comments
Publication Date: June 02, 2011
Speeding Decisions: Social Security’s Information Exchange Program
Author: Winter, Kitt; Hastings, Bob
Source: Journal of AHIMA
Publication Date: May 2011
The Social Security Administration has plenty of reasons to streamline its records request process-more than 15 million reasons each year, in fact. That's why it has been pioneering information exchange projects with the private sector, including use of the Nationwide Health Informa....
AHIMA comments regarding the development of a Medicaid Quality Measurement Program: Initial core set of Health Quality Measures for Medicaid-Eligible Adults
Author: Viola, Allison F.
Source: AHIMA Advocacy and Policy
Publication Date: March 01, 2011
AHIMA comments regarding the development of a Recovery Audit Contractor (RAC) Program for the Medicare Part C and D Programs
Author: Viola, Allison F.
Source: AHIMA Advocacy and Policy
Publication Date: February 25, 2011
Medicaid Measures Open for Comment: HHS Publishes Initial Measures for Quality Program Starting January 2012
Author: Viola, Allison F.
Source: Journal of AHIMA
Publication Date: February 2011
In March 2010 President Obama signed into law the Patient Protection and Affordable Care Act (ACA), which includes many provisions calling for the implementation of quality measurement programs. One program that must be established by January 2012 is the Medicaid Quality Measurement Program, w....
Payout: Reviewing Meaningful Use Payments
Author: Viola, Allison F.; Rode, Dan
Source: Journal of AHIMA
Publication Date: October 2010
CMS will pay meaningful use bonuses through three programs: Medicare Fee for Service (FFS), Medicare Advantage (MA), and Medicaid programs.
FFS Payments to Providers
For eligible professionals (EPs), understanding the payment system is especially important, because they must ch....
ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2010
In August 2000, the HIPAA Transaction and Code Sets required the use of the ICD-9-CM code set. Subpart J, section §162.1002 Medical data code sets, states the adoption of the following code sets as standard medical data code sets:
ICD-9-CM, volumes 1 and 2 (including the "ICD-9-CM Official....
Two Key Metrics in Evaluating the Effectiveness of Hospital Coding Services: Paid Claims Error Rate and Coding Accuracy
Author: Spencer, Carol
Source: AHIMA Convention
Publication Date: September 27, 2010
Measurement, as defined by Webster's Dictionary, is to regulate by a standard, an estimate of what is expected, a basis or standard of comparison, a step planned or taken as a means to an end, to choose or control with cautious restraint. This is accomplished repeatedly and systematically....
Trends in Severity-Adjusted Reimbursement for Inpatient Care: Implications for Hospitals, Payers, and Patients
Author: Redmon, D. Patrick; Bell, Susan
Source: AHIMA Convention
Publication Date: September 25, 2010
This technical paper was prepared for the 2010 AHIMA Convention and Exhibit in Orlando, FL, September 25-30, 2010.
Abstract
This session will explore the growing trend toward adjusting inpatient payment for differences in patient severity. Maryland's all-payer system adopted APR....
Computer-Assisted Coding of Medicare Advantage (Part C) Hierarchical Condition Codes: a Case Study
Author: Taylor, James M; Morsch, Mike
Source: AHIMA Convention
Publication Date: September 25, 2010
Background
Kaiser Permanente is an integrated health care delivery system operated by Kaiser Foundation Health Plan of Colorado and the Colorado Permanente Medical Group. We provide care for 513,312 members. 884 physicians in 18 facilities are joined by 5,500 employees in caring....
Overview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: September 15, 2010
AHIMA Comments: Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2011 Payment Rates; Proposed Rule
Author: Bowman, Sue E
Source: AHIMA testimony and comments
Publication Date: August 19, 2010
Telemedicine: Bridging Gaps in Healthcare Delivery
Author: Majerowicz, Anita; Tracy, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2010
Traditionally, healthcare has been provided in the physician’s office, hospital, or outpatient clinic. Patient care has been based primarily on face-to-face contact, with the exchange of information via conversation.
However, technology is changing how and where care is delivered. M....
ARRA in Flux: Healthcare Industry Awaits Rules on Several ARRA Provisions
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: April 2010
The series of snow storms that hit Washington, DC, in February shut down Congress and the federal government for several days. The storms only added to delays that have kept the healthcare industry in a state of flux, awaiting several rules from provisions in the American Recovery and Rein....
Recovery Audit Contractor (RAC) Toolkit
Author: AHIMA
Source: AHIMA toolkit
Publication Date: January 19, 2010
RAC Primer for LTC Facilities
Author: Leonard, Mary Ann
Source: Journal of AHIMA
Publication Date: January 2010
Last year the Centers for Medicare and Medicaid Services (CMS) began rolling out the Recovery Audit Contractor (RAC) program to all 50 states and all providers, including long-term care facilities. HIM professionals working in LTC facilities need to understand the basics of the program in....
CMS Eliminates Reimbursement for Consultations
Author: Nelson, Tanai S
Source: AHIMA newsletter
Publication Date: December 02, 2009
As proposed, the Centers for Medicare and Medicaid Services (CMS) finalized their decision to eliminate the use of all consultation codes (inpatient and office/outpatient codes for various places of service except for telehealth consultation G-codes). What does that mean? That means that CMS w....
Coding in Critical Access Hospitals
Author: Kostick, Karen M.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2009
National health policy has been increasingly responsive to the healthcare needs of rural residents and providers. Rural America has a large percentage of the nation’s Medicare population, and this percentage continues to grow as residents born in the Baby Boomer generation begin to retir....
Graham: How e-HIM Forges Ahead at the VA
Author:
Source: AHIMA Today
Publication Date: October 06, 2009
The evolving world of health information technologies is changing the way HIM professionals work and presenting them with new challenges and opportunities. This is especially the case at the US Department of Veterans Affairs (VA), where the widespread use of electronic health records (EHRs) ha....
Analysis of Final Rule for FY 2010 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: October 02, 2009
Stop Medicare Fraud [external web site]
Author: U.S. Department of Health and Human Services; U.S. Department of Justice
Source: Government (U.S.)
Publication Date: July 15, 2009
Medicare fraud results in higher health care costs for everyone. Eliminating fraud cuts costs for families, businesses, and the federal government. It also increases the quality of services for those who need care.
Understanding National Coverage Policies: Navigating the Maze of HACs, Serious Reportable Events, and Wrong Surgical Sites
Author: Cook, Jane; D'Amato, Cheryl; Garrett, Gail S.; Ruhnau-Gee, Becky; Hyde, Linda A.; Novak, Natalie
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2009
Present on admission indicators, hospital-acquired conditions, serious reportable events, and “wrong” surgical events are each hot topics. However, they also can be a hot topic together, because a number of these reporting requirements are interrelated. HIM professionals must under....
Medicare: Improvements Needed to Address Improper Payments in Home Health
Author: U.S. Government Accountability Office
Source: Government (U.S.)
Publication Date: February 27, 2009
Analysis of Final Rule for 2009 Revisions to the Medicare Hospital Outpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: January 02, 2009
Analysis of Final Rule for FY 2009 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: November 02, 2008
ABCs of Medicare Advantage
Author: Hernandez, Jeannette
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2008
Although most Medicare beneficiaries receive their health coverage through the traditional Medicare Part A and B fee-for-service programs, more and more beneficiaries are enrolling in Medicare Part C, referred to as Medicare Advantage (MA), to manage their healthcare costs.
By June 2....
Centers for Medicare & Medicaid Services (CMS) ICD-10 Planning
Author: AHIMA
Source: Government (U.S.)
Publication Date: October 05, 2008
CMS ICD-10 Planning Initial Summary of AHIMA Executive Report
Author: AHIMA
Source: Government (U.S.)
Publication Date: October 05, 2008
Evaluation & Management Services Guide
Author: Medicare Learning Network
Source: Government (U.S.)
Publication Date: June 02, 2008
Clarifying Patient Status Code
Author: Bryant, Gloryanne H.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2008
The patient status code reflects the level of care a patient was discharged or transferred to when leaving an acute care hospital as an inpatient or outpatient (i.e., emergency department or emergency room). A recent Centers for Medicare and Medicaid Services MLN Matters publication provides a....
Coding in Long-Term Care Hospitals: How Medicare Distinguishes LTCHs from Other Providers
Author: Bronnert, June
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2008
The term “long-term care hospital” (LTCH) can leave some in a quandary—do these facilities provide acute care or long-term care? Many people associate them with skilled nursing facilities.
However, LTCHs are not synonymous with skilled nursing facilities; each has....
Key Issues in the 2008 OPPS Final Rule
Author: Clark, Andrea
Source: Journal of AHIMA
Publication Date: March 2008
The main objective of the Centers for Medicare and Medicaid Services (CMS) implementation of the 2008 Outpatient Prospective Payment System (OPPS) final rule was to address the recent explosion of growth in program expenditures for hospital outpatient services. CMS has created additional i....
Reducing Outpatient Billed as Inpatient Errors
Author: Malone, Sue M.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2008
From 2006 to 2007, the Colorado Foundation for Medical Care (CFMC), the quality improvement organization (QIO) for Colorado, led a project to reduce the outpatient billed as inpatient billing error rate in five area hospitals. This article discusses the findings from the project, as well as be....
Analysis of Final Rule for 2008 Revisions to the Medicare Hospital Outpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: January 02, 2008
Report to Congress: Plan to Implement a Medicare Hospital Value-Based Purchasing Program
Author: U.S. Centers for Medicare & Medicaid Services
Source: U.S. Department of Health & Human Services
Publication Date: November 21, 2007
This report discusses options for a plan to implement a Medicare Hospital VBP program, building on Medicare's Reporting Hospital Quality Data for Annual Payment Update Program.
Are You Ready for MS-DRGs and POA? AHIMA Has Resources that Can Help You through the Transition
Author:
Source: Journal of AHIMA
Publication Date: October 2007
The final rule for the FY 2008 acute care hospital inpatient prospective payment system (PPS) brings unprecedented change to DRGs beginning this month. On October 1, the new severity adjusted MS-DRG system took effect.
The system consists of 745 new DRGs that replace the current....
Medicare Inpatient Hospital Payments: CMS Has Used External Data for New Technologies in Certain Instances and Medicare Remainds Primary Data Source
Author: U.S. Government Accountability Office
Source: Government (U.S.)
Publication Date: September 20, 2007
Analysis of Final Rule for FY 2008 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: Bowman, Sue E
Source: AHIMA regulation analysis
Publication Date: September 15, 2007
The final rule regarding fiscal year (FY) 2008 revisions to the Medicare hospital inpatient prospective payment system (IPPS) was published in the August 22, 2007 issue of the Federal Register. This rule becomes effective on October 1, 2007. This analysis covers highlights of the rule that are....
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