As we begin the second half of the year, it is a convenient time to make plans and take stock of our coding operations. There will be much to do when the Inpatient Prospective Payment System (IPPS) Final Rule is released.
For example:
| Region | Median CMI |
| New England (CT, ME, MA, NH, RI, VT) | 1.49655 |
| Mid-Atlantic (PA, NY, NJ) | 1.5563 |
| East North Central (IL, IN, MI, OH, WI) | 1.6427 |
| West North Central (IA, KS, MN, MO, NE, ND, SD) | 1.7216 |
| South Atlantic (DE, DC, FL, GA, MD, NC, SC, VA, WV) | 1.6306 |
| East South Central (AL, KY, MS, TN) | 1.59315 |
| West South Central (AR, LA, OK, TX) | 1.7814 |
| Mountain (AZ, CO, ID, MT, NV, NM, UT, WY) | 1.7804 |
| Pacific (AK, CA, HI, OR, WA) | 1.7821 |
Take the time to do this review at the beginning of July. It will clean up any problems, as well as capture additional reimbursement, when appropriate.
Listen to Laurie Johnson report this story live during today’s Talk Ten Tuesday, 10 Eastern, with Chuck Buck and Dr. Erica Remer.
IPPS FY25 Proposed Rule, pg.621, https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2025-ipps-proposed-rule-home-page
IPPS FY24 Final Rule, MAC Implementation File 8: https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
The Centers for Medicare & Medicaid Services (CMS) has released the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code updates for the 2025
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