IPPS 2013: HAC Could Impact Your Reimbursement

Why This Topic Matters

Understanding these IPPS updates helps hospitals support accurate inpatient coding, document present-on-admission conditions, and anticipate reimbursement effects tied to CMS policy changes.

Article Sections

1. Add 2 HACs to Your Watch List

   Introduces the new hospital-acquired condition topics highlighted for the fiscal year and summarizes the related inpatient documentation focus.

2. SSI category

   Discusses the surgical site infection HAC topic and the associated coding and procedure-identification context.

3. Pneumothorax coding

   Covers the iatrogenic pneumothorax HAC topic and the related coding context involving venous catheterization.

4. How it works

   Explains the general purpose of the HAC list, present-on-admission documentation, and its reimbursement implications.

5. Don’t Miss the MS-DRG and CC Tweaks

   Summarizes selected MS-DRG and CC-related updates described for the year, along with examples of affected inpatient groupings.

6. Example 1

   Provides a reimbursement-related MS-DRG example involving influenza and pneumonia diagnoses.

7. Example 2

   Provides a reimbursement-related example involving a procedure code reassigned to different MS-DRG groupings.

8. CC changes

   Notes the reported status changes affecting complication/comorbidity categories and mentions additional CC topics.

9. Bottom line

   Closes with a brief summary of the overall magnitude of the 2013 changes and the context in which they were made.