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MSHIMA E-News

MSHIMA Annual Conference Wrap-Up


Thank you to the more than 180 health information professionals that attended this year’s conference in Jackson. We enjoyed a great agenda, terrific conversation, and another fun president’s reception under the theme of “Boots on the Ground.” We have received very positive feedback from the conference, and we appreciate your support. If you visited a sponsor but lost their information, you may view it anytime on the MSHIMA sponsor page.  

Next year’s conference will be held at Lake Terrace Convention Center in Hattiesburg on June 13-16, 2017.

2017 ICD-10-CM Update Released


The Centers for Disease Control and Prevention Fiscal Year (FY) 2017 ICD-10-CM files have been posted. These code changes go into effect with discharges or patient encounters on or after October 1, 2016. The FY 2017 General Equivalence Mappings (GEMs) files will be posted in August. Updated ICD-10-CM Official Guidelines for Coding and Reporting will be forthcoming.

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Value-Based Reimbursement Set to Eclipse FFS


The adoption of value-based reimbursement models is fast-paced and expected to dwarf the fee-for-service model by 2020, survey data shows. Value-based reimbursement models in healthcare have graduated from the wave of the future to the tsunami of the present. Data from the second survey commissioned by McKesson to gauge the prevalence of value-based reimbursement models among hospitals and payers nationwide was released this week at the annual conference of America's Health Insurance Plans (AHIP). "Overall, the fast pace of change in healthcare payment continues unabated since 2014, with payers reporting they are now 58% along the continuum toward full value-based reimbursement, a sharp 10% increase since 2014. Hospitals aren't far behind at 50% along the value continuum, up 4% in the past two years," McKesson's survey report says.

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CMS wants to hear from CAHs on proposal to change reimbursement from 101 to 100%


The Centers for Medicare and Medicaid wants to hear from Critical Access Hospitals on the President’s budget proposal to change CAH reimbursement from 101 to 100 percent and what that would mean to your facility and your community. We need the CAH community to share with CMS the impact the reduction would have on the ability to provide care to your local community.

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Home Health Agencies: Proposed Payment Changes for CY 2017


On June 27, CMS announced proposed changes to the Medicare Home Health (HH) Prospective Payment System for CY 2017 that would foster greater efficiency, flexibility, payment accuracy, and improved quality. CMS projects that Medicare payments to home health agencies in CY 2017 would be reduced by 1.0 percent, or $180 million based on the proposed policies. The proposed decrease reflects the effects of the 2.3 percent home health payment update percentage ($420 million increase)

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Updated Inpatient and Outpatient Data Available


CMS posted the fourth annual release of the hospital inpatient and outpatient utilization and payment Public Use Files (PUFs):

2014 Inpatient PUF includes discharges, average Medicare payments, and average hospital charges organized by Medicare Severity Diagnosis Related Group (MS-DRG)

2014 Outpatient PUF includes services, average payments, and average hospital charges organized by Ambulatory Payment Classification (APC) Groups

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HIT stakeholders share criticisms of MACRA proposal


More than 3,800 stakeholders have weighed in with comments on the Centers for Medicare & Medicaid Services’ proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and the new Merit-Based Incentive Payment System (MIPS). While many comments addressed the payment mechanisms for doctors, there also were numerous comments relating to health IT. For instance, while the proposed rule allows for more flexibility in selecting measures and streamlined reporting, many commenters expressed concern with the proposed three-part attestation requirement that providers were not involved in information blocking.

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