tci Medicare Compliance & Reimbursement - 2005 Issue 26

Hospitals: CMS Looking To Change IPPS Billings

New medical services and technologies could bolster payments.Hospitals should watch for a number of new diagnosis-related groups and diagnosis and procedure code changes under existing DRGs, as the Centers for Medicare and Medicaid Services turns its attention to rate-of-increase limits and policy changes for hospitals excluded from the inpatient prospective payment system. GME Cost Changes Get A Look In a proposed rule published in the May 4 Federal Register, CMS made the following proposals:  DRG classification and relative weight annual adjustments, and changes to Medicare payments on graduate medical education costs.  Wage index revisions based on hospital...

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