YESBLOG: HIM & CODING NEWS
The YES HIM Consulting blog provides medical coding news, updates, and resources for health information management and coding professionals. Subscribe to the YES HIM & Coding Insights Newsletter today.
The Centers for Medicare & Medicaid Services (CMS) has posted the ICD-10-CM 2024 codes for use by all provider types, including Inpatient and Outpatient. The updates include 395 new codes and 25 deletions in 17 different chapters of ICD-10-CM.
CMS updated the 2024 CMS-HCC risk adjustment model by including reliable predictors of future costs and excluding unreliable ones. In summary, the CY2024 CMS-HCC model classifies the ~74,000 ICD-10-CM diagnoses codes into 266 CMS-HCCs.
CMS released the FY 2024 ICD-10-PCS file in June. With 78 new codes and five deletions, the total number of ICD-10-PCS codes for 2024 is 78,603. There were also 14 code title revisions. All these changes are effective on October 1, 2023.
Mastering DRG assignment is essential for hospitals and healthcare organizations to achieve optimal reimbursements and operational efficiency. Let’s explore examples of DRGs and introduce invaluable resources for selecting the correct DRG, including a DRG list and DRG assignment software.
While every hospital CFO is justifiably concerned about their DNFB, all departments should work together to develop a trending tool as a means of gaining perspective on the long term. Treat your DNFB as a marathon, not a sprint.