Revenue Cycle

The CDI team's impact on the CMS pneumonia readmission measure

HIM Briefings, February 1, 2016

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The Hospital Readmissions Reduction Program is a CMS pay-for-performance program that links the amount hospitals are paid to risk-adjusted readmission rates. Measures included in the program are claims based, which simply means that the ICD-10 codes we submit on our claims for payment are also used to assess our performance; our performance then impacts our payment.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to HIM Briefings.

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