What is IPPS ? (Inpatient Prospective payment System)
INTRODUCTION - Inpatient Medica Coder is an advanced coding position that is responsible for accurately assigning codes to diagnoses and procedures for all IP cases ranging from moderate to high complexity. (i.e. Trauma invasive cardiac, Multiple procedure) using current version of ICD-10-CM classification for hospitals. - The patient should stay more than 24 hours. - IPPS (Inpatient Prospective Payment System) The Inpatient Prospective Payment System (IPPS) is the payment method used by Medicare to reimburse hospitals for inpatient stay. The actual workflow of IPPS is like, Patient Admission - Physician Documentation - Medical Record Review - ICD10CM Coding - ICD10PCS Coding - MS DRG Assignment - Hospital Reimbursement. Think of IPPS as a package-pricing system for hospital admissions. Instead of paying hospitals for every individual service, medication, test or supply used during patient stay, Medicare pays a predetermined amount based on the patient diagnosis and ...