Now that the 2023 IPPS Coding Summit is in the rear mirror, new coding issues emerge to confront coders and coding staff.
Although it’s now in the history books, the fallout from last week’s 2023 IPPS Coding Summit is likely to challenge coders and coding staff in the ensuing months.
The three-day webcast series, produced by ICD10monitor, is now available on-demand so that coders can continue gain a deeper understanding of the challenges that lie ahead. The new codes and subsequent issues will be effective Oct. 1, 2023.
According to senior healthcare consultant Laurie Johnson, who presented the information during the series, three major issues emerged from her research and manifested themselves in her presentation —a presentation that was augmented with commentary from Erica Remer, MD, cohost for the long-running Talk Ten Tuesdays Internet broadcast.
“New technology add-on payments (NTAPs) are expected to be a game changer,” Johnson told ICD10monitor in an email. “Many NTAPs for FY23 come at a time when hospitals are losing money, since many of them are for medications,” indicating that this is one of three looming changes for 2023.
The second major change comes from the OR designation relative to CC and MCC designation, according to Johnson.
The third challenge that Johnson said was revealed during the 2023 IPPS Coding Summit relates to National Drug Codes (NDCs).
“Adding the NDCs into the chargemaster could begin preparation for a time when an ICD-10-PCS code for a medication does not trigger the NTAP,” Johnson said.
Johnson said the Centers for Medicare & Medicaid Services (CMS) is entertaining using NDCs in place of PCS codes to trigger the NTAP.
“The use of the NDC codes in place of PCS codes will remove the need to get a PCS code for new technology add-on payments (NTAPs). This action will also impact the Coordination and Maintenance Committee meeting agenda.”
In recent years, the PCS agenda has been filled with administration of new medications and devices. Typically, coders would not assign codes for the administration of specific medications or devices used during a procedure.
Johnson also reviewed the MCE Edit #20 (Unspecified Codes) which became effective April 1, 2022. This edit looks for unspecified laterality for ICD-10-CM codes and is triggered when the laterality is unspecified. Johnson told attendees that when the edit is triggered, there is a specific response if the code cannot be updated to a specified laterality.”
When downloading the on-demand series, here is reader’s guide to the content that was presented last Tuesday, Wednesday and Thursday.
2023 IPPS Summit Day 1: Master ICD-10-CM Changes
The first session features a review of FY23 changes to ICD-10-CM codes.
2023 IPPS Summit Day 2: Master ICD-10-PCS Changes
This is the second session and features a review of the hundreds of FY23 changes to ICD-10-PCS codes.
2023 IPPS Summit Day 3: MS-DRG Shifts and NTAPs
The third and final session features a review of FY23 changes to the MS-DRG methodology and the NTAPs.
The on-demand version will now available. Additional information, including registration is here.
EDITOR’S NOTE: Healthcare attorney David Glaser is a permanent panelist on Monitor Mondays. Hiring is both difficult and important, yet we rarely discuss strategies for
February is American Heart Month. Takotsubo syndrome is also known as broken heart syndrome. According to the American College of Cardiology, it typically occurs following
Please log in to your account to comment on this article.
Master the complexities of heart failure coding with this expert-led webcast by Emily Montemayor, CCS, CMBCS, COC, CPC, CPMA. Discover strategies to ensure compliance with ICD-10-CM guidelines, documentation integrity, and capture comorbidities like CKD and hypertension. Learn how to resolve coding challenges, improve documentation practices, and submit clean claims to minimize denials and safeguard your organization’s financial health. With practical insights and real-world examples, this session equips you to prevent revenue leakage, enhance compliance, and secure optimal reimbursement—all while supporting better patient outcomes.
Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.
Join Beth Wolf, MD, CPC, CCDS, for an in-depth webcast on the FY2025 spinal fusion MS-DRG updates. Discover key changes in DRG classification, understand impacts on documentation and CMI, and learn strategies to ensure compliance.
Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.
Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.
Hospitals face growing challenges in measuring observation metrics due to inconsistencies in classification, payer policies, and benchmarking practices. Join Tiffany Ferguson, LMSW, CMAC, ACM, and Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV as they provide critical insights into refining observation metrics. This webcast will address key issues affecting observation data integrity and offer strategies for improving consistency in reporting. You will learn how to define meaningful metrics, clarify commonly misinterpreted terms, and apply best practices for benchmarking, and gain actionable strategies to enhance observation data reliability, mitigate financial risk, and drive better decision-making.
The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.
Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.
Copyright © 2025 ICD10monitor. Powered by MedLearn Media.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
