ICD-10-CM and IPPS regulatory mapping: An opportunity for change

Each fall we join our revenue cycle, quality, and coding colleagues in a race to read and understand the impacts of the newest ICD-10-CM coding changes and the Inpatient Prospective Payment System (IPPS) final rule. As CDI professionals, we can have influence and impact with these changes. Understanding the process by which codes and rules are developed is key to using our experience and expertise to its fullest extent.

As CDI specialists, we can have a strong collective voice in creating a new codes, DRG assignments, and code designation as a CC or a MCC. The ACDIS Regulatory Committee has put together a guide to the ICD-10-CM and IPPS processes that help you learn to impact these critical facets of our work.

CDI professionals have a unique view of how rules and regulations impact data-driven healthcare. We challenge each of you to explore the process and take the initiative to make a difference.

The ACDIS Regulatory Committee thanks Dee Banet, MSN, RN, CCDS, CDIP, for leading the effort at regulatory mapping and serving as lead author for this work.