HCPro, JustCoding Inpatient - 2021 Issue 23 (June)
CMS mulls MS-DRG changes and relief for hospitals in 2022 IPPS proposed rule
June 8th, 2021
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Article Overview
This article explains the major hospital inpatient payment and grouping policy proposals in CMS’s FY 2022 IPPS proposed rule. It is relevant to hospital HIM, CDI, reimbursement, and coding professionals who need to understand how CMS is approaching rate-setting, severity classification, and related reporting requirements. The article also discusses the agency’s request for feedback and the broader implications for future MS-DRG policy.
Why This Topic Matters
The proposals could affect hospital payment methodology, documentation priorities, case-mix reporting, and operational workload for inpatient billing and coding teams. Readers can use the article to gauge which CMS policy areas may change and where stakeholder comments may matter.
Article Sections
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Payment update
Summarizes CMS’s proposed inpatient hospital payment update and the data considerations behind its rate-setting approach for the upcoming fiscal year.
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MS-DRG rate-setting update
Reviews CMS’s proposed changes to its earlier MS-DRG reporting and rate-setting policies, along with the related administrative impact on hospitals.
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Other MS-DRG proposals
Discusses additional MS-DRG-related proposals involving therapy grouping, broader category revisions, and related payment questions.
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CC/MCC updates
Covers proposed changes to complication and major complication classification policies and the potential effect on severity grouping and reporting.
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Conclusion
Provides a closing summary of the article’s focus on CMS proposals and the importance of stakeholder review and comment.
What You Will Learn
- The general direction of CMS’s FY 2022 IPPS proposed rule
- How CMS is approaching inpatient hospital payment update methodology
- What types of MS-DRG policy changes are being reconsidered
- How CMS is proposing to revise CC/MCC classification and severity groupings
- Why hospitals and HIM professionals are being encouraged to review and comment on the rule
Who Should Read This
- Hospital HIM professionals
- Inpatient coders
- CDI specialists
- Hospital reimbursement staff
- Revenue cycle leaders
- Healthcare compliance teams
Codes Discussed
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