Health Information Management

Good news on implementation

HIM-HIPAA Insider, April 27, 2015

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

I spent the weekend reading the 2016 Inpatient Prospective Payment System (IPPS) proposed rule. Not the most thrilling reading ever (government-ese should be classified as a foreign language). I did not read all 1,526 page word for word, in part because of the number of tables included in the proposed rule. Those tables offer a pretty strong indication that CMS believes ICD-10 will be implemented this October.

In the IPPS proposed rule, CMS discusses requests for changes to MS-DGRs. What makes the discussion interesting this year is CMS refers mainly to ICD-10-CM and ICD-10-PCS codes. Last year, CMS used ICD-9-CM codes. (If you are interested, the discussion of requested MS-DRG changes begins on page 143.)
If CMS is going through the trouble of justifying why it is not (or in a few cases is) changing MS-DRG assignment based on ICD-10 codes, the agency must feel pretty confident about implementation this year. Otherwise, the staff would have used ICD-9-CM codes.
This article originally appeared on HCPro’s ICD-10 Trainer blog.

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular