As of now CMS is sticking with the concept of clubbing all the corresponding ICD-10 codes for a given ICD-9 code under the same DRG group that was associated with the ICD-9 code--basically leading to a payment neutral scenario. The large payers also seem to be following the same pattern. But I wonder how long that will last?
The two primary reasons for the ICD-10 transition are 1) improved quality of care, and 2) reduced cost of care. Currently the CMS focus seems to be on the first while keeping the payments neutral, thereby maintaining the cost of care. But how long will that last? How long, before CMS breaks down the ICD-10 codes for the one ICD-9 code into multiple DRG groups and associated different prices/rates for each of those groups?
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