2014 Conference, Track 3: IPPS Final Rule and Expanded CMS Value Initiatives: Learn How Your CDI Program Can Help

Shannon Newell, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, and Richard D. Pinson, MD, FACP, CCS, describe how hospitals get paid for their performance by CMS using outcomes derived from ICD-9-CM (soon to be ICD-10-CM) codes. In the IPPS FY 2014 final rule, CMS refined and further  expanded these claims-based outcome metrics as defined by the Value-Based Purchasing Program,  the Hospital Readmission Reduction Programthe Hospital Acquired Condition Reduction Program, and the Inpatient Quality Reporting Program. This presentation explains these key regulatory changes from a CDI program perspective.