Healthcare News: CMS releases FY 2023 IPPS proposed rule

April 26th, 2022

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news article covers CMS’s FY 2023 Inpatient Prospective Payment System proposed rule and the major policy areas addressed in it. It is relevant for hospital coders, compliance teams, revenue cycle staff, and quality reporting professionals who track annual inpatient payment updates, ICD-10-CM/PCS changes, MS-DRG policy, and inpatient quality measure proposals. The article gives a high-level overview of proposed code-set updates, payment adjustments, and new hospital quality initiatives, along with the public comment timeline.

Why This Topic Matters

The proposed rule affects inpatient hospital coding, payment, and quality reporting planning for the coming fiscal year. Readers can quickly determine whether they need the full article to monitor CMS updates that may influence coding workflows, reimbursement, and reporting preparation.

Article Sections

  1. ICD-10-CM/PCS code updates

    Overview of proposed annual changes to the ICD-10 code sets and the types of clinical topics included in the update.

  2. Payment data

    Summary of proposed hospital payment-rate adjustments, including the general direction of operating and capital IPPS changes and related factors discussed by CMS.

  3. Health equity and maternity care

    Discussion of proposed quality measures and related hospital reporting initiatives focused on equity and maternal health.

What You Will Learn

  • What CMS proposed in the FY 2023 IPPS rule
  • Which broad areas of ICD-10-CM/PCS updates were addressed
  • How the rule affects hospital payment-rate policy at a high level
  • What kinds of new quality measures CMS proposed for hospitals
  • When the public comment period closes

Who Should Read This

  • Hospital coders
  • Coding managers
  • Revenue cycle professionals
  • Compliance teams
  • Quality reporting staff
  • Health information management professionals
  • Healthcare administrators

Codes Discussed

  • ICD-10-CM: D68.020
  • ICD-10-CM: F01.53
  • ICD-10-CM: N80.113
  • ICD-10-CM: O35.15X1
  • ICD-10-PCS: 04LE0CV
  • ICD-10-PCS: 0DX84ZB
  • ICD-10-PCS: XW023V7

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