HPMP Insight Newsletter

HPMP Insight is a bi-monthly hospital payment monitoring newsletter. To be notified of new issues as they become available, please subscribe to our announcement list.

Current Issue

Nov/Dec 2007 - Present on Admission: Coder Integral to Implementation - (PDF)

In this issue: The Deficit Reduction Act of 2005 (DRA), section 5001(c), requires that CMS implement present on admission indicators for all diagnoses on Medicare claims for inpatient acute care discharges beginning October 1, 2007. Many hospitals across the country began to submit Present On Admission (POA) indicator information for all principal and secondary diagnoses.

Previous Issues

Sept/Oct 2007 - (PDF)
In this issue: IPRO HPMP Special Project Statewide Remeasurement Report - Reduction of payment errors for DRGs 174 & 182

July/August 2007 - (PDF)
In this issue: IPRO releases PEPPER supplementary readmission reports to assist NYS hospitals in their data review.

June 2007 - (PDF)
In this issue: Present on Admission; Preparing for Severity-Adjusted DRGs; New York State Fiscal Year 2005 Payment Error Cause Analysis (PECA); Notification of Hospital Discharge Appeal Rights - Update on CMS-4105-F

May 2007 - (PDF)
In this issue: CMS Revises Medicare Payment Error Target Areas;

April 2007 - (PDF)
In this issue: DRG 320 - Kidney and Urinary Tract Infections, Age >17 with CC; Notification of Hospital Discharge Appeal Rights - Update on CMS-4105-F

March 2007 - (PDF)
In this issue: National Payment Error Cause Analysis Data Released; Special Project DRG 174-182 Update; PEPPER Training; and Notification of Hospital Discharge Appeal Rights - Update on CMS-4105-F

Feb 2007: DRG 296 - (PDF)
In this issue: DRG 296 - Nutritional and Metabolic Disorders, Age > 17 w CC.

Jan 2007 - (PDF)
In this issue: Short-Stay Medical Necessity audit tool; and PEPPER data update.

HPMP Insight: 2006/2005 Issues