With the release of the new ICD-10-PCS codes for the 2017 fiscal year effective October 2016, we certainly are hearing lots of discussion and opinions. There are 3,827 new hospital inpatient procedure codes, and 97 percent will update the cardiovascular and lower joint body systems, per the Centers for Medicare…
In the past year, the spectacle of clashing interests, priorities, and agendas of the public and private sectors of America’s healthcare system played out in the electronic pages of ICD10monitor’s e-newsletter, which chronicled the turmoil leading to the adoption of the International Classification of Diseases, Version 10 (ICD-10).There it was…
The proposed Inpatient Prospective Payment System (IPPS) rule changes proposed for the 2017 fiscal year were released on April 18. In reviewing the changes outlined in the 1,585-page rule, it became clear that there were a few practice areas that will be particularly impacted, and this article will focus on…
We are nearly six months into ICD-10 and more coding reviews and audits are underway, which is a good thing. There are close to 30 times more procedure codes and five times more diagnosis codes in ICD-10-CM/PCS, compared to ICD-9-CM.In addition, thousands of new and revised codes will continue to…
EDITOR’S NOTE: This article is the second article in a two-part series regarding FY17 IPPS Proposed Rule. Read part one here.The Centers for Medicare and Medicaid Services (CMS) has released the display version of Inpatient Prospective Payment System (IPPS) for fiscal year 2017 on April 18, 2017. Comments on Proposed Rule…
It seems like a near-daily occurrence these days that a blog, industry survey, or Centers for Medicare & Medicaid Services (CMS) announcement reminds us all of what a success ICD-10 was. It has been common for pundits to refer to the fear leading up to the event as a Y2K-esque…
The MS-DRG methodology was implemented in 1983 as the first version of prospective payment methodology.  Because the amount of money that was to be impacted by the implementation of ICD-10 was a large and very real worry.  One concern since the implementation of ICD-10 was the Medicare Severity Diagnosis Related Group…
EDITOR’S NOTE: ICD10monitor produced a special edition broadcast on Friday, March 11 covering the outcome of the Coordination and Maintenance Committee meeting. This article is a follow up to the broadcast. A Centers for Medicare & Medicaid Services Coordination and Maintenance Committee meeting was held on March 9-10 to discuss…
We are five months into ICD-10 at this point. Many coders have plateaued or nearly plateaued as it pertains to productivity. So, if we have not already done so, we need to shift our focus from productivity and examine our coding quality. As I mentioned in my recent article “Coding…
The Centers for Medicare & Medicaid Services (CMS) Coordination and Maintenance Committee meeting continued on March 10, with additional diagnosis code applications being discussed.