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Inpatient Facility Coding & Compliance Alert

IPPS 2013:

Watch for New HACs, Modified MS-DRGs for 2013

Published on Mon Dec 17, 2012

Tip: Pay special attention to qualifying secondary dx for SSI following CCID. CMS didn’t overhaul its MS-DRG methodology or other areas of the Inpatient Prospective Payment System (IPPS) for 2013, but every hospital still needs to pay attention to the changes that affect them most. Read on for the top announcements that you need to implement to ensure your billing and reimbursement stay on track. 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 "hospital acquired conditions." Two new HACs have been added for fiscal year (FY) 2013: Surgical site infections (SSI) following cardiac implantable electronic devices (CIED) procedures Iatrogenic pneumothorax associated with venous catheters. SSI category: The HAC addressing SSI following CIED procedures creates a new subcategory of HACs. Coders have several options for coding the condition since there’s [...]
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