FY 2019 IPPS proposed rule: Reviewing proposed changes to HIV disease, ARDS, and more

Why This Topic Matters

The article helps readers understand which proposed federal inpatient payment and reporting changes may affect diagnosis coding, case-mix, CDI review, and quality-program workflows. It is useful for hospitals and coding professionals tracking CMS rulemaking and preparing for final-rule updates.

Article Sections

1. Introduction

   An overview of the proposed FY 2019 IPPS changes and the article’s caution that the material reflects proposals rather than final policy.

2. HIV disease

   Discussion of a proposed change affecting an HIV-related ICD-10-CM diagnosis and its severity designation within inpatient payment classification.

3. Acute respiratory distress syndrome

   Review of a proposed severity-designation change for an acute respiratory condition and related coding context.

4. Sepsis following an obstetrical procedure

   Summary of a proposed obstetric infection-related diagnosis addition and related coding and sequencing considerations noted in the article.

5. Other CC/MCC changes

   Coverage of additional proposed diagnosis-code and severity-designation updates affecting inpatient classification, including several condition categories and code revisions.

6. Quality measure changes

   Overview of proposed hospital quality-reporting measure removals and related CMS rationale for reducing reporting burden.