Healthcare News: CMS discusses methodology behind 2020 CC/MCC updates

Why This Topic Matters

CMS severity-level updates can affect inpatient grouping, case mix, and reimbursement analysis. Understanding the policy context and the scope of proposed diagnosis reclassifications helps coding and CDI teams track likely future changes.

Article Sections

1. CMS listening session on CC/MCC methodology

   Overview of the CMS discussion, the purpose of the session, and the role it played in gathering feedback for future inpatient rulemaking.

2. How severity-level groupings were evaluated

   Broad explanation of the methodology referenced during the session, including the general approach used to compare subgroups and resource use within MS-DRG analysis.

3. Examples of proposed diagnosis-category changes

   Summary of the major diagnosis groupings and code families discussed as part of the proposed severity-level updates in the IPPS rule cycle.

4. Public questions and upcoming rulemaking

   Discussion of the topics raised during the Q&A portion and the anticipated timing of the next proposed rule.