tci Medicare Compliance & Reimbursement - 2004 Issue 36

Hospitals: This October, Hospitals' IPPS Ship Comes In

More DRGs mean more money for hospitals.Several diagnosis-related groups are on deck for updates, according to the Centers for Medicare & Medicaid Services. Here's a peek at how the money will be flowing in October 2004. CMS will:increase payment for burn patients who have respiratory failure and require the long-term use of mechanical ventilation;increase payment for heart assist devices (including left ventricular assist devices) by reassigning them to the DRG for heart transplants;split the DRG for tracheostomy into two new groups, to allow for a higher payment when an additional surgical procedure is performed with a...

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