HCPro, JustCoding Inpatient - 2019 Issue 38 (September)
The threat of ICD-10-CM code severity changes rests, for now
September 17th, 2019
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Article Overview
This article examines CMS’s FY 2020 ICD-10-CM severity-related proposals and compares them with the final rule. It is aimed at hospital coders, CDI professionals, and reimbursement-focused readers who want to understand how CC/MCC review affects diagnosis code classification trends, IPPS rulemaking, and hospital payment impact at a high level.
Why This Topic Matters
CC and MCC designations can influence inpatient reimbursement and reflect the relative complexity of a case. Understanding which proposed changes were finalized helps coding and CDI teams monitor CMS rulemaking and anticipate how diagnosis classification changes may affect hospital operations and payment.
Article Sections
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FY 2020 IPPS proposed and final rules
Introduces the annual rulemaking process and the comparison between proposed and final CC/MCC list updates. It also identifies the tables referenced for reviewing changes.
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Closer look at the updates
Summarizes the categories of proposed severity changes and contrasts them with what was ultimately finalized. The discussion is organized around proposed additions, downgrades, and unchanged designations.
What You Will Learn
- How CMS handles annual CC and MCC list review in the IPPS rulemaking cycle
- Why severity assignment changes matter for inpatient coding and reimbursement
- What broad categories of diagnosis code changes were proposed for FY 2020
- How the proposed updates compared with the finalized FY 2020 rule
- Why hospitals and coding professionals monitor CC/MCC designations
Who Should Read This
- Hospital coders
- CDI professionals
- Revenue cycle staff
- Inpatient reimbursement specialists
- Compliance and coding educators
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