Review CMS’ recent corrections to FY 2020 IPPS final rule

November 12th, 2019

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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 article explains CMS’s correction notice for the FY 2020 IPPS final rule and summarizes the types of updates hospitals should review. It is aimed at hospital reimbursement, coding, and compliance professionals who need to track changes affecting inpatient payment factors, MS-DRG updates, and new technology add-on payment implementation guidance. The article also points readers to related CMS publications and source materials for the final rule year.

Why This Topic Matters

These corrections can affect inpatient payment calculations, MS-DRG assignment awareness, and implementation of new technology add-on payment reporting. Hospitals and coding staff reviewing FY 2020 IPPS updates need a concise map of what CMS changed and where to find the supporting guidance.

Article Sections

  1. Payment factors

    Summarizes corrected inpatient payment factor information for the FY 2020 IPPS final rule. Covers operating and capital payment elements and the fixed-loss amount.

  2. MS-DRG changes

    Reviews the FY 2020 changes to MS-DRG content and organization. Includes newly added, deleted, and retitled groupings referenced in the correction notice.

  3. New technology add-on payment

    Describes corrected FY 2020 guidance on inpatient new technology add-on payment updates. Focuses on the technologies discussed and the related coding and billing reference points cited by CMS.

  4. Additional sources of authority

    Lists the CMS and Federal Register reference materials associated with the correction notice. Includes related rulemaking, web resources, and implementation guidance documents.

What You Will Learn

  • How CMS organized the FY 2020 IPPS correction notice
  • What categories of payment information were updated
  • Which MS-DRG areas were revised in the correction
  • What kinds of technology-related payment updates were highlighted
  • Which CMS and Federal Register source materials support the article

Who Should Read This

  • Hospital coders
  • Inpatient reimbursement professionals
  • Revenue cycle staff
  • Hospital compliance teams
  • Healthcare consultants
  • Medicare payment policy readers

Codes Discussed

  • MS-DRG: 319
  • MS-DRG: 320
  • MS-DRG: 691
  • MS-DRG: 692
  • MS-DRG: 207
  • MS-DRG: 266
  • MS-DRG: 267
  • MS-DRG: 291
  • MS-DRG: 296
  • MS-DRG: 693
  • MS-DRG: 694
  • MS-DRG: 870
  • ICD-10-PCS: XW033B3
  • ICD-10-PCS: XW043B3
  • ICD-10-PCS: 0JH60DZ
  • ICD-10-PCS: 05H03MZ
  • ICD-10-PCS: 05H33MZ
  • ICD-10-PCS: 05H43MZ
  • ICD-10-PCS: XW033H4
  • ICD-10-PCS: XW043H4
  • ICD-10-PCS: XW03372
  • ICD-10-PCS: XW04372
  • ICD-10-PCS: X2A5312
  • ICD-10-PCS: XV508A4
  • ICD-10-PCS: XW033N5
  • ICD-10-PCS: XW043N5
  • NDC: 70842012001
  • NDC: 65293000901
  • ICD-10-PCS: XW033G4
  • ICD-10-PCS: XW043G4
  • ICD-10-PCS: XW033C3
  • ICD-10-PCS: XW043C3
  • ICD-10-PCS: XW033S5
  • ICD-10-PCS: XW043S5
  • ICD-10-PCS: XXE5XM5
  • ICD-10-PCS: XW0DXJ5
  • ICD-10-PCS: XW0DXT5
  • ICD-10-PCS: XW0DXV5
  • ICD-10-PCS: XW013W5
  • ICD-10-PCS: XW033W5
  • ICD-10-PCS: XW043W5
  • ICD-10-PCS: XW0DXL5
  • ICD-10-PCS: 3E097GC
  • ICD-10-PCS: XW033Q5
  • ICD-10-PCS: XW043Q5

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