After CMS reclassified homelessness from a non-complication or comorbidity to a complication or comorbidity code, organizations must ensure they are accurately documenting social determinants of health (SDoH) ICD-10-CM codes.
Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.
The 2024 Inpatient Prospective Payment System (IPPS) final rule, released August 1, contains some good news for hospitals related to potential payment for certain social determinants of health.
Terry Tropin, MSHAI, RHIA, CCS-P, reviews the biggest changes to the 2024 ICD-10-CM guidelines and tabular list set to take effect October 1, including deletions of certain COVID-19 screening guidelines, and additional direction for new resistant hypertension and myocardial infarction codes.
Several proposals in the fiscal year 2024 Inpatient Prospective Payment System (IPPS) proposed rule signal that CMS is serious about a major overhaul of MS-DRG severity levels. Review these and other major proposals to help your organization prepare for the release of the final rule.
Encephalopathy refers to any disease of the brain that alters its function or structure. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, breaks down documentation requirements and ICD-10-CM coding for toxic, acute, and chronic encephalopathy.
CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.
The 2023 Inpatient Prospective Payment System (IPPS) final rule includes a welcome payment rate increase, coding updates, and adjustments to quality and reporting programs. Review the major provisions of the rule to ensure your organization is in compliance.
Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, writes about the 2023 updates coders will find in the “Mental, Behavioral, and Neurodevelopmental Disorders” chapter for dementia.
CMS issued the final rules for the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) on August 1 and, like the proposed 2023 OPPS proposed rule, there aren’t any big surprises this year.
