The Inpatient Prospective Payment System proposed rule for fiscal 2015 continues the Centers for Medicare & Medicaid Services move toward basing reimbursement on quality of care, not quantity.
At MedStar Franklin Square Medical Center in Baltimore, discharges are facilitated by a multidisciplinary transitional care team, led by a transitional care nurse who fosters communication between disciplines and collaborates with post-acute providers to ensure that transitions are smooth and timely.
Hospital efficiency of care, a new domain in the Centers for Medicare & Medicaid Services Value-based Purchasing Program, bases hospital scores on spending three days before admission through 30 days after discharge.
If discharge documentation isnt complete and accurate, coders may not use the correct discharge status code, which could affect a hospitals reimbursement.
