HCPro, JustCoding Inpatient - 2018 Issue 20 (May)
Healthcare News: MCC/CC list sees potential changes in FY 2019 IPPS proposed rule
May 15th, 2018
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Article Overview
This article explains proposed FY 2019 IPPS updates from CMS with a focus on MCC and CC list revisions. It is aimed at coders, CDI professionals, and hospital reimbursement staff who need to track classification changes that may affect MS-DRG payment, quality measurement, and related Medicare reimbursement areas. The discussion centers on proposed additions and deletions, the policy context for those changes, and the timing for public comments and the final rule.
Why This Topic Matters
Tracking MCC and CC list revisions is important because these classifications can affect inpatient reimbursement and quality-related reporting across Medicare payment programs. The article helps readers understand the scope of proposed FY 2019 changes and why they matter for coding and compliance workflows.
Article Sections
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Overview of FY 2019 IPPS proposed rule changes
Introduces the proposed inpatient payment rule and explains that a significant portion of the discussion concerns diagnosis classification updates for Medicare payment and quality programs.
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Proposed deletions to the MCC list
Summarizes the section of the proposed rule addressing diagnoses proposed for removal from the major complication or comorbidity list and notes the policy context for those changes.
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Proposed deletions to the CC list
Covers the diagnoses proposed for removal from the complication or comorbidity list and identifies the proposed-rule tables where those changes are listed.
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Proposed additions to the MCC list
Outlines the section of the proposal addressing new major complication or comorbidity additions and their placement in the proposed-rule tables.
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Proposed additions to the CC list
Reviews the section describing proposed complication or comorbidity additions and the related table reference in the proposed rule.
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CMS approach and comment timeline
Summarizes CMS’s general method for classifying diagnoses and the public comment period and final-rule timing discussed at the end of the article.
What You Will Learn
- How the FY 2019 IPPS proposed rule addresses MCC and CC list revisions
- Which broad categories of diagnosis classifications are being proposed for addition or deletion
- How CMS frames the relationship between diagnosis classification and hospital payment and quality programs
- When public comments are due and when the final rule is expected
Who Should Read This
- Inpatient coders
- Clinical documentation integrity professionals
- Hospital reimbursement staff
- DRG and case-mix analysts
- Compliance and revenue cycle teams
Codes Discussed
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