tci Medicare Compliance & Reimbursement - 2013 Issue 2

IPPS 2013: HAC Could Impact Your Reimbursement

Be careful to document all "present on admission" conditions for each patient. While the Inpatient Prospective Payment System (IPPS) has not been overhauled for 2013 by the Centers for Medicare & Medicaid Services (CMS), you’ll need to be on your toes to address the changes like modifications to the MS-DRGs that affect you most. Keep your billing and reimbursement on track by implementing the new provisos announced by CMS. Add 2 HACs to Your Watch List CMS limits payments for certain conditions a patient might acquire after his or her admission. This group is known as HAC, for...

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