CMS is also proposing to delete MS-DRG 490 and 491 and replaced them with the following MS-DRGs:
CMS also proposes removing the following additional diagnosis codes to MS-DRG 794 (neonate with significant problems):
"These diagnoses really don't impact the newborn but cause a normal newborn DRG 795 to move to the higher paying DRG 794 when assigned as an additional diagnosis," McCall says.
CMS also proposes changes to the Hospital Inpatient Quality Reporting Program.
The proposed rule would increase IPPS operating payment rates by 1.3% after reductions, including a 0.8% coding and documentation reduction. CMS estimates Medicare payments to inpatient facilities will decrease by $241 million in Fiscal Year 2015.
A display copy of the proposed rule is available on the Federal Register website.