The 2022 IPPS Final Rule: What About MS-DRG?
If you’re not familiar with every section of the Social Security Act of 1935, you’re most likely not alone. It was signed into law by President Franklin D. Roosevelt on August 14, 1935, consisting of about 6 pages. It has undergone multiple amendments, and thousands of pages and sections have been added to it. One of those sections, Section 1886(d), specifies that the Secretary of Health and Human Services (HHS) establish a classification system (referred to as DRGs) for inpatient discharges and adjust payments under the Inpatient Prospective Payment System (IPPS) based on appropriate weighting factors assigned to each DRG.…
2022 ICD-10 Updates: Are You Prepared?
It’s hard to believe summer is almost over. Many students are back in school, the football season has kicked off, and temperatures in most of the country are slowly getting cooler. For healthcare providers and payers, the beginning of fall means it’s only a few weeks until October 1 when the fiscal year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting go into effect. Released on July 12, somewhat earlier than in years past, these codes are to be utilized for discharges and patient encounters occurring from October 1, 2021 through September 30, 2022. Although the FY 2022 codes mostly only include…
Optimizing the Future of Healthcare with Revenue Cycle Experts
Virtual healthcare is automating many tasks - both clinical and non-clinical. But in the era of value-based care, revenue cycle experts will always be in demand. As healthcare moves quickly along the digital path, the revenue cycle often faces challenges. Let’s examine some current trends and how revenue cycle experts are primed to lead organizations in adapting. Assessing the explosion of telehealth With the beginning of the COVID-19 pandemic came a rapid increase in virtual care. Although the growth of telemedicine and its benefits are undeniable, it can pose challenges for the revenue cycle. One of those challenges includes how…
