Impact of ICD-10-CMS/PCS on MS-DRGs
Introduction Procedural and diagnosis codes, as well as their associated descriptions, play an important role in numerous health care processes. For instance, both hospitals and the Centers for Medicare and Medicaid Services (CMS) rely on coded information to help run primary care activities. Such activities include reimbursement management, care optimization, and population health monitoring among others. As this happens, there is a need for constant technological changes and upgrades to facilitate accuracy and completeness in data transmission. The recent movement from the ICD-9 code set to ICD-10 is a perfect example of such upgrades. This paper shows that the ...