Medicare Continues to Modernize Payment Software

MLN Matters Number: SE20019
Article Release Date: May 19, 2020

SE 20019 informs providers about efforts by the Centers for Medicare & Medicaid Services (CMS) to modernize payment grouping and code editing software. A previous article, SE19013, provided initial information on this modernization. SE20019 informs providers that in October 2020, CMS will expand this modernization effort to include these additional software products:

  • The IRF Case-Mix Group (CMG) Grouper
  • The IRF Pricer and PC Pricer

Note: A similar conversion for the SNF Patient Driven Payment Model (PDPM) Grouper is planned for October 2021.

View the complete CMS Medicare Learning Network (MLN) Matters Special Edition (SE)20019.

 

Last Updated May 20, 2020