Keeping up with MS-DRG Revisions

Rayellen Kishbach's picture

CMS has issued two errata and correction notices for how MS-DRG logic functions in FY2017. These changes may impact payment. This article highlights a few examples.

It is important to note that CMS published v34 r2 in time for implementation on 10/1/2016, but the v34 r3 was released after claims for FY2017 had begun, so improper payments may have occurred.

Webinar Replay -The Great Eight: A Deep Dive into SNF PPS Final Rule

Reimbursement will dramatically change for skilled nursing homes over the next two and a half years. This session will detail the top ten things to know about the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Fiscal Year (FY) 2017 update. In addition, a detailed description of how the Value-Based Purchasing Program (VBP) and the SNF Quality Reporting Program (QRP) will be implemented is provided.

Join us as we break the Final Rule into the digestible pieces you need to ensure your facility proactively defuses the financial impact of this rule on October 2018:

Supporting Compliance in the New World of Remote and Outsourced Coding & Billing.

Rayellen Kishbach's picture

According to a recent HIM Benchmark Report, HIM department managers equally ranked Coder Productivity, Quality, and Managing Financial Metrics as their biggest challenges, while that same report noted that close to 60% of HIM professionals outsource a portion of their coding needs. Even without direct outsourcing, we notice an increase in the opportunity to do coding and billing work remotely.


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