Special Project - Gastrointestinal Disorders
In July 2006, the Centers for Medicare & Medicaid Services (CMS) approved IPRO's launch of a new HPMP project to reduce payment errors in Medicare claims data in New York State hospitals. The purpose of the project is to assist hospitals in reducing both inappropriate admissions and occurrences of incorrect coding/DRG assignment for DRG 174 (GI Hemorrhage with CC) and DRG 182 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders age > 17 with CC ).
IPRO will select both a baseline and a re-measurement sample of cases to be evaluated for admission necessity and coding/DRG assignment accuracy from 20 New York State short-term acute care hospitals. More details are available in the HPMP Special Project - Reduction of Payment Errors for DRGs 174 and 182 Administrative Memo.
Resources
IPRO's Aggregate Baseline Report Recorded Trainings:- August 25, 2006. Content: Project background, rationale, data reports and admission necessity denials in detail. All New York State short-term acute care providers are encouraged to listen to the recorded Webinar and to post any questions or comments about the project to our Online Community Forum.
- September 19, 2006 Coding for Quality. Content: Case examples of proper and improper coding for these DRGs.
- View WebEx presentation
- View PowerPoint slides
- Continuing Education: A Self Study Test for Coders: Targeting DRG 174 and DRG 182
(174-GI Hemorrhage with CC and 182- Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders age>17 with CC) - Coding Booklet Coding for Quality: Documentation and Coding Tips for Gastrointestinal Disorders
- October 12, 2006 Preliminary Results and Blinded Case Review Examples. This Live Webinar Training provided the preliminary results of baseline case review findings as well as blinded case examples from the HPMP special project on reduction of payment errors associated with DRGs 174 and 182.
Dissemination of hospital-specific data reports on billing patterns for DRGs related to gastrointestinal disorders (i.e., DRGs 174, 175, 182, 183) began in August 2006. These reports are based on administrative claims data and are available quarterly throughout the project.
HPMP Insight (IPRO's electronic newsbrief covering HPMP issues):- HPMP Insight - July | August
- Register to receive HPMP Insight monthly electronic newsletter
- IPRO Medicare 8th Scope of Work HPMP Special Project: Statewide Aggregate Baseline Report - Reduction of Payment Errors in DRGS 174 and 182 - (200606)
- Training Session for Medicare Hospital Payment Monitoring Program - Special Project on Gastrointestinal Disorders: Preliminary Results And Blinded Case Review Examples - (200605)
- Educational Materials for Medicare Hospital Payment Monitoring Program Special Project: "Coding for Quality: Documentation and Coding Tips for Gastrointestinal Disorders Electronic Coding Booklet and Recorded Training" (200604)
- HPMP Special Project - Reduction of Payment Errors for DRGs 174 and 182 (200603)




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