“Dive Brief:
- Using grouped diagnostic and ‘present at admission’ codes in CMS modeling improved predictions for total patient payments within 30 days of hospitalization for acute myocardial infarction, heart failure and pneumonia, a comparative effectiveness study released Wednesday in JAMA Network Open found.
- The study used data from Medicare fee-for-service hospitalizations for the three conditions at acute care hospitals from July 2013 to September 2015.
- Changing variables from those currently used in CMS payment prediction models has implications for research, benchmarking, public reporting and calculations for population-based programs, the researchers said.” Read the full article here.
Source: Tweaking CMS model variables can improve payment estimates, JAMA study finds – By Dana Elfin, August 14, 2019. Healthcare Dive.
