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Insights to Coding and Data Quality FY 2015 …

Insights to Coding and Data Quality FY 2015 inpatient prospective payment system grouper changes by Nancy J. Cervi, RHIT n August 1, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that will update fiscal year (FY) 2015 Medicare payment policies and rates under the inpatient prospective Payment system (IPPS) and the Long-Term Care Hospital prospective Payment system (LTCH PPS). This article provides a summary of the MS-DRG grouper changes that take effect October 1, 2014. Five additional MS-DRGs and three deleted MS-DRG are final for FY 2015 . The total changed from 751 to 753 MSDRGs: MDC 5 New MS-DRG 266 (Endovascular Cardiac Valve Replacement with MCC) New MS-DRG 267 (Endovascular Cardiac Valve Replacement without MCC) MDC 8 New MS-DRG 518 (Back & Neck Procedures except Spinal Fusion with MCC or Disc Device/Neurostimulator) New MS-DRG 519 (Back & Neck Procedures except Spinal Fusion with CC) New MS-DRG 520 (Back & Neck Procedures except Spinal Fusion without CC/MCC) Combined MS-DRGs 483 and 484 (Major Joint & Limb Reattachment Procedure of Upper Extremity with CC/MCC and without CC/MCC, respectively) into a single MS-DRG by deleting MS-DRG 484 and revising the title of MS-DRG 483 to read Major Joint/Limb Reattachment Procedure of Upper Extremities.

Insights to Coding and Data Quality FY 2015 inpatient prospective payment system grouper changes by Nancy J. Cervi, RHIT n August 1, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final

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