CMS finalized a documentation and coding adjustment (DCA) of -2% for fiscal year (FY) 2012, according to the inpatient prospective payment system (IPPS) final rule. CMS originally proposed a year-over-year reduction of 0.5% in payments to acute care hospitals, including a DCA of -3.15%. However, CMS finalized a cut of 2%, a decrease from 2.9% in FY 2011, which translates to $1.13 billion more in hospital payments in FY 2012 than hospitals received the previous year.
Editor's note: In 2011 we're celebrating MRB's 25th birthday with special content each month. For October, we've put together a report on the latest quarterly benchmark survey findings, this time on ICD-10 implementation efforts. Just a few of the highlights from the report are included below.
With 46% of survey respondents anticipating revenue losses from the ICD-10 transition, it may appear illogical that only 3% of healthcare leaders say they are already prepared to make this transition. However, the reason behind the unpreparedness is quite understandable. With mounting mandates and competing priorities, healthcare leaders say they cannot free up the manpower or financial resources needed to get this initiative under way.
Gloryanne Bryant, RHIA, RHIT, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) for Kaiser Permanente in Oakland, compiled a sample list of some of the terms coders are likely to see when coding for wound care. Consider sharing this reference tool with your coding staff.