This page addresses follow-up questions and additional information pertinent to our webinar
Introduction to Home Health Coding.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Now that the Medicare Code Edits (MCE) are not released as part of the IPPS Final Rule, where can we find information about changes to the MCE?
A: You can locate information about MS-DRG Classifications and Software at CMS’ website at: https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/ms-drg-classifications-and-software. This webpage has a lot of information about the release of the MCE, including a new publication, Definition of Medicare Code Edits Version 42 (https://www.cms.gov/files/zip/definition-medicare-code-edits-version-42.zip).
Q: Which fiscal year of claims did CMS use to set rates for FY 2025?
A: Claims from FY 2023 (October 1, 2022, through September 30, 2023)
Q: If we want to submit proposals for changes to the FY 2026 IPPS, where do we send proposals?
A: All proposals for changes to the IPPS can be submitted through CMS’ MEARIS™ system at https://mearis.cms.gov/public/home. To be considered for the FY 2026 IPPS, requests must be submitted before October 1, 2024.
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Tommi Mooney, MS, RHIA, CCS
Senior Coding Quality Auditor
Tommi brings ten years of experience in coding and auditing to the team as a Senior Coding Quality Auditor. Her career began as a Hospital Coding Specialist, where she quickly advanced through various roles, ultimately becoming the Director of Coding over Internal Audits and Education. In each of these positions, Tommi honed her skills in coding, auditing, and compliance. Throughout her career, Tommi has overseen internal audits, developed educational resources for coding professionals, and provided guidance to ensure coding accuracy and compliance across departments. Her leadership and dedication to improving coding quality have made her a key contributor to the team, where she provides audit oversight and coding expertise to support clients.
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