Professor John Jacobi in The Wall Street Journal on the New Jersey veto of Health Insurance Exchanges and the possibility of compromise going forward

Professor John Jacobi appeared in The Wall Street Journal regarding the last minute veto by Governor Chris Christie of a bill which would have created a health insurance exchange in New Jersey. The Journal reports: New Jersey Gov. Chris Christie on Thursday vetoed a bill to create a medical-insurance exchange, rejecting a key element of President […]

Of Drug and Device and a Lack of Personal Jurisdiction

As much as I write about medical malpractice, it seems only fair that I devote a post and direct our fair readers to the other side of the bar: The Drug and Device blog put out by a number of Dechert, LLP attorneys involved in pharmaceutical and medical device product liability litigation– from the defense […]

First Circuit Finds Generic Drugmaker Had State Law Duty to Stop Selling Unsafe Drug

Earlier this month, the First Circuit surprised observers when it held, in Bartlett v. Mutual Pharmaceutical, that a state law product liability suit founded on the claim that a generic drug was unreasonably dangerous due to a design defect was not preempted by the Federal Food, Drug, and Cosmetic Act (FDCA). In coming to its […]

ICD-10 Implementation will Impact HIPPS Case Mix Groups

ICD-10 will re-write the book on diagnosis and procedure coding, utilization pattern history will shift. HIPPS and ICD-10 should not be viewed as separate issues for ICD-10 assessments.

The Health Insurance Prospective Payment System (HIPPS) rate codes represent specific sets of patient characteristics (or case-mix groups) on which payment determinations are made under several prospective payment systems. Case-mix groups are developed based on research into utilization patterns among various provider types. The Centers for Medicare and Medicaid Services (CMS) created HIPPS codes as part of the Medicare program’s implementation of a prospective payment system for skilled nursing facilities in 1998.

Related concepts and Blogs:

CMS Bundling Payments and Health Care Payment Reform

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Tags: case-mix, HIPPS, ICD-10, reimbursement

This entry was posted on Monday, November 7th, 2011 at 4:50 pm and is filed under HIPPS, ICD-10, ICD-10 Assessment, ICD10. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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