Healthcare News: CMS moves ECMO procedures to new MS-DRG

Why This Topic Matters

The article explains a payment-policy update that can affect inpatient grouping, claim interpretation, and hospital reimbursement workflows for ECMO cases. It is useful for readers who need to understand how CMS’s final rule changes relate to ICD-10-PCS reporting and MS-DRG assignment.

Article Sections

1. CMS final rule changes for ECMO procedures

   Summarizes the CMS inpatient payment rule update and its effect on ECMO-related procedure classification and MS-DRG assignment.

2. Stakeholder questions about new ICD-10-PCS ECMO codes

   Describes comments asking CMS for guidance on reporting newly created ECMO procedure codes in different inpatient care settings.

3. Requests for reprocessing FY 2019 claims and CMS response

   Covers requests related to prior-year claims and CMS’s response about the timing and applicability of the final rule changes.

4. Outlier payment comment from the final rule

   Notes the final rule discussion referencing Medicare outlier payment concepts and related statutory language.