Healthcare News: CMS releases FY 2020 IPPS proposed rule

Why This Topic Matters

The proposed rule can affect diagnosis and procedure code maintenance, case mix severity groupings, and hospital payment rates for the upcoming fiscal year. Readers who manage inpatient coding, DRG assignment, or payment policy monitoring can use this overview to identify whether the full article is relevant.

Article Sections

1. Overview of the FY 2020 IPPS proposed rule

   Introduces the CMS proposed rule and summarizes the main categories of changes discussed in the article, including coding updates, designation revisions, and payment policy changes.

2. Proposed ICD-10-CM updates

   Describes the scope of proposed diagnosis code changes for fiscal year 2020 and the general clinical areas affected.

3. Proposed ICD-10-PCS updates

   Summarizes the proposed procedure code changes for inpatient hospital reporting, including broad categories of procedures affected.

4. Proposed code invalidations and designation changes

   Covers proposed invalidations and the broader review of severity and DRG designation changes addressed in the rule.

5. Proposed IPPS payment changes

   Explains the proposed operating payment update and other payment policy adjustments discussed by CMS for FY 2020.

6. Comment period and final rule timing

   Notes the public comment opportunity and the expected timing for release of the final rule.