Revenue Cycle

CDI specialists play vital role in capturing pay for performance measures

HIM Briefings, May 1, 2015

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

Since the implementation of the Hospital Value-Based Purchasing (HVBP) Program in 2013, CMS has adjusted the MS-DRG payment for each traditional Medicare discharge. The type and amount of the adjustment, which could be a financial penalty and/or an incentive payment, is determined by the hospital's performance for defined quality measures, such as risk-adjusted mortality. Since that time, the number of pay for performance (P4P) programs and quality measures has expanded. By 2017, P4P payment adjustments will impact up to 6% of traditional Medicare revenue.

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

Most Popular