FY2022 IPPS Updates to Payments, MS-DRGs and Quality Programs

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Description: This webinar will provide participants involved in coding, documentation improvement and revenue cycle functions with a brief overview of the changes made to the Inpatient Prospective Payment System (IPPS) for FY2022, that pertain to Medicare payment rates, the MS-DRG relative weights, New Technology Add-on payments and the Medicare Code Editor. The main focus of this webinar will be on the changes to the MS-DRGs, the MCC/CC and O.R. Lists, and the hospital quality programs that impact hospital Medicare payments.

1 CEU - Domain IV. Revenue Cycle Management

Objectives:
By the completion of this Webinar, participants will be able to

• Recall the main components contributing to the change in their hospital’s Medicare DRG payment rates and the potential impact on hospital revenue
• Distinguish which MS-DRGs had the biggest change in relative weights and the potential impact those changes could have on their hospital’s case mix index
• Identify revisions to the MS-DRG classification, including the new kidney transplant DRGs and joint replacement for hip fracture DRGs, diagnosis and procedure code reassignments, and changes to the MCC, CC, and O.R. Procedure lists.
• Recognize items included in the New-Technology Add-on Payment Program for FY2022
• Remember the changes made to edits in the Medicare Code Editor (MCE) for FY2022
• Distinguish between the various quality improvement programs (HIQRP, HBVP, HAC Reduction Program, Hospital Readmission Program) and changes made to each program for FY2022

Goal: Participants will have a better understanding of the IPPS system and be able to apply that knowledge to their work situations to improve coding, documentation, and data reporting, in order to achieve increased revenue and better patient care outcomes.

Lynn-Marie Wozniak, MS, RHIT, CDIP, FAHIMA has over 40 years of experience in health information management consulting, health services research, strategic planning, and health policy review and development. She is currently the CDI Analyst for the Rochester Regional Health System in Rochester, NY where she is responsible for tracking and reporting CDI productivity and impact metrics as well as analyzing impact of regulations and legislations on CDI processes and goals.

Prior to her current position she spent 12 years as the Revenue Cycle Content Manager for Elsevier where she was responsible for the development and maintenance of e-learning curricula in CDI, patient financial services, hospital reimbursement, and quality measurement.

Ms. Wozniak is a former member of the New York State Department of Health Data Protection Review Board and a past president of the New York Health Information Management Association. She has also served on AHIMA's Commission on Certification for Health Informatics and Information Management; Council on Accreditation; Research Review Panel; and the Program, Scholarship, and Nominating committees. She is an AHIMA Fellow and a recipient of AMRA's (now AHIMA's) Professional Achievement Award, as well as the NYHIMA Distinguished Member Award.

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