FY 2018 Changes to IPPS, MS-DRGs, and CMS' Quality Programs

September 28, 2017

This presentation will explain the IPPS updates for FY 2016, as well as the motivation and rationale. It will describe the changes and additions to the MS-DRGs, CC, MCC and OR procedure lists and the impact these changes will have case mix, coding practices and data reporting. It will provide an update on revisions to the measures in CMS' various quality programs as well as refinements to scoring methodology used to determine rankings and financial incentives and penalties.

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Learning Outcomes

By the end of this webinar participants will be able to:

  • the main IPPS changes for FY 2018
  • Recall the changes to the MS-DRGs, CC , MCC and operating room (OR) procedure  lists and assess the impact on case mix and coding practices
  • Describe the revisions to the measures, reporting criteria, scoring methodologies of the  following CMS programs, and assess the impact on payment and rankings:
    • Inpatient Quality Reporting (IQR) program
    • HAC-POA program
    • HAC reduction program
    • Hospital readmission reduction program
    • Hospital mortality reduction program
    • Hospital value-based purchasing program
    • Bundled Payment Model program
    • EHR Incentive program
  •  

Presenter

Lynn-Marie Wozniak, MS, RHIT
l.wozniak@elsevier.com

Lynn-Marie Wozniak is a Revenue Cycle Content Manger and subject matter expert for Elsevier's Clinical Solutions Division. Previously, Lynn was manager of health policy and information for a health policy analysis and research firm in Albany, NY. She has 35 years of experience in hospital reimbursement consulting, health services research, health policy review, and development. She is a recognized expert in patient classification systems, DRG systems, data quality evaluation and in the analysis and interpretation of case mix data.

Ms. Wozniak is a past president of the New York Health Information Management Association (NYHIMA), and is currently serving as the chair of AHIMA's Commission on Certification for Health Information and Informatics Management (CCHIIM). She has also served on AHIMA’s Council on Accreditation, as well as AHIMA's research review panel, program, nominating, and scholarship committees. She is a recipient of AMRA’s (now AHIMA) 1989 Professional Achievement Award, and the 1993 NYHIMA Distinguished Member Award.

Lynn is a Registered Health Information Technician (RHIT) and has a M.S. in Technical Communications from the Rensselaer Polytechnic Institute (RPI) in Troy, NY

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