Healthcare News: CMS releases FY 2021 IPPS final rule

Why This Topic Matters

The final rule affects hospital reimbursement, grouping logic, and diagnosis/procedure code maintenance for FY 2021. It also signals reporting and data changes that can influence future payment methodology and compliance workflows.

Article Sections

1. CMS releases FY 2021 IPPS final rule

   Overview of the final rule and the main policy areas addressed in the update. Includes timing context and broad payment-related changes for the inpatient prospective payment system.

2. Finalized 2021 MS-DRGs, ICD-10-CM/PCS code sets

   Discussion of the finalized inpatient grouping and code-set updates for FY 2021. Covers the general categories of MS-DRG, ICD-10-PCS, ICD-10-CM, and CC/MCC changes implemented with the new fiscal year.

3. Changes to the CC list

   Summary of the categories of diagnosis codes added to the CC list in the final rule. Focuses on broad clinical groupings and maintenance updates to complication/comorbidity status.

4. Changes to the MCC list

   Summary of the categories of diagnosis codes added to the MCC list in the final rule. Highlights the major clinical groupings affected by the update.