Neonatal intensive care unit (NICU) reviews remain a bit of an albatross in the CDI community, with scarce educational resources, different clinical indicators, and a need to constantly change and adapt to keep up with an evolving field.
You’ll select a modifier and receive a pay boost, one that’s amplified for eligible accountable care organization participants, if CMS goes through its plan to replace patient trust code G2211 with two modifiers.
Review ICD-10-PCS updates that take effect in October, including changes to the Medical and Surgical, Administration, Extracorporeal or Systemic Assistance and Performance, and Imaging sections.
In the 2027 Medicare Advantage (MA) and Part D rate announcement, CMS highlighted risk adjustment accuracy, payment integrity, and accountability for diagnoses that drive reimbursement.
