Healthcare News: CMS proposes ample changes to MS-DRGs in 2018 IPPS proposed rule

Why This Topic Matters

Proposed MS-DRG and ICD-10-PCS classification changes can affect inpatient claim grouping, reporting, and payment under the IPPS system. Readers tracking Medicare rulemaking can use this overview to identify which areas of the proposed rule may affect their facility workflows.

Article Sections

1. MS-DRG proposal overview

   Introduces the fiscal year 2018 IPPS proposed rule and summarizes the scope of proposed MS-DRG changes. It frames the article as a review of inpatient payment classification updates.

2. Proposed changes involving neurostimulator-related cases

   Covers a proposed update tied to MS-DRG assignment for cases involving a responsive neurostimulator system. The section focuses on how the proposal would affect one MS-DRG title.

3. Title revisions for percutaneous cardiovascular procedure MS-DRGs

   Describes proposed title revisions for two MS-DRGs in the cardiovascular procedure group. The discussion centers on terminology alignment within the classification system.

4. Percutaneous mitral and tricuspid valve replacement procedure reassignments

   Summarizes proposed reassignment of certain mitral valve replacement procedures and addition of new tricuspid valve replacement procedures to different MS-DRGs. The section also identifies the ICD-10-PCS procedure codes referenced in the proposal.

5. Rule timeline and implementation dates

   Notes the comment deadline, expected final rule timing, and the planned effective date if the proposal is finalized. This section provides the regulatory schedule associated with the proposed changes.