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Of Medicare Severity Diagnosis Related Groups

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Health Care Code Sets: ICD-10 (MLN900943) - CMS

Health Care Code Sets: ICD-10 (MLN900943) - CMS

www.cms.gov

diagnosis codes on claims, MACs determine benefits and coverage using them, not in determining the amount we pay for services delivered. Inpatient acute care providers report ICD-10-CM diagnosis and ICD-10-PCS procedure codes on claims to assign the appropriate Medicare Severity-Diagnosis Related Group (MS-DRG) codes used to calculate payment.

  Medicare, Related, Diagnosis, Severity, Diagnosis related, Medicare severity

Home Health Prospective Payment System - CMS

Home Health Prospective Payment System - CMS

www.cms.gov

Inclusion of more diagnosis groups (pulmonary, cardiac, gastrointestinal, blood disorders, affective ... Have a face-to-face encounter related to the primary reason the patient requires home health ... Consistent with the nature and severity of the illness or injury and the patient’s particular medical needs, which include services that are ...

  Group, Related, Diagnosis, Severity, Diagnosis groups

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