Sec. 631. IPPS DOCUMENTATION AND CODING ADJUSTMENT FOR IMPLEMENTATION OF MS-DRGS
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## SEC. 631 IPPS DOCUMENTATION AND CODING ADJUSTMENT FOR IMPLEMENTATION OF MS-DRGS ###
(a)Rule of Construction and Clarification ####
(1)Rule of construction Nothing in the amendments made by subsection
(b)shall be construed as changing the existing authority under section 1886(d) of the Social Security Act (42 U.S.C. 1395ww(d)) to make prospective documentation and coding adjustments to the standardized amounts under such section 1886(d) to correct for changes in the coding or classification of discharges that do not reflect real changes in case mix. ####
(2)Clarification Effective on the date of the enactment of this section, except as provided in section 7(b)(1)(B)(ii) of the TMA, Abstinence Education, and QI Programs Extension Act of 2007, as added by subsection (b)(2)(A)(ii)(IV) of this section, the Secretary of Health and Human Services shall not have authority to fully recoup past overpayments related to documentation and coding changes from fiscal years 2008 and 2009. ###
(b)Adjustment Section 7 of the TMA, Abstinence Education, and QI Programs Extension Act of 2007 (Public Law 110-90; 121 Stat. 986) is amended— ####
(1)in the heading, by striking “limitation” and all that follows through “adjustment” and inserting “documentation and coding adjustments”; and ####
(2)in subsection (b)— #####
(A)in paragraph (1)— ######
(i)in the matter before subparagraph (A)— ######
(I)by striking “or 2009” and inserting “, 2009, or 2010”; and ######
(II)by inserting “or otherwise applied for such year” after “applied under subsection (a)”; and ######
(ii)in subparagraph (B)— ######
(I)by inserting “(i)” after “(B)”; ######
(II)by striking “or decrease”; ######
(III)by striking the period at the end and inserting “; and”; and ######
(IV)by adding at the end the following: > > ###### “(ii) > > make an additional adjustment to the standardized amounts under such section 1886(d) based upon the Secretary’s estimates for discharges occurring only during fiscal years 2014, 2015, 2016, and 2017 to fully offset $11,000,000,000 (which represents the amount of the increase in aggregate payments from fiscal years 2008 through 2013 for which an adjustment was not previously applied).” > ; and #####
(B)in paragraph (3)— ######
(i)in subparagraph (A), by inserting before the semicolon the following: “or affecting the Secretary’s authority under such paragraph to apply a prospective adjustment to offset aggregate additional payments related to documentation and coding improvements made with respect to discharges during fiscal year 2010”; and ######
(ii)in subparagraph (B), by striking “and 2012” and inserting “2012, 2014, 2015, 2016, and 2017”.
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- Pub. L. 110-90
- 121 Stat. 986
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Sec. 631
IPPS DOCUMENTATION AND CODING ADJUSTMENT FOR IMPLEMENTATION OF MS-DRGS
Pub. L.Pub. L. 110-90
Stat.121 Stat. 986
Cites 3Cited by 0 across 0 sources