Health Information Management

Good news on implementation

HIM-HIPAA Insider, April 27, 2015

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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.



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