IT companies help with new DRG prep

Ingenix, based in Eden Prairie, Minn., has entered into a strategic partnership with Precyse Solutions in Wayne, Pa., to provide hospitals with a package of services to help prepare for Medicare’s new severity-adjusted diagnosis-related groups (DRGs).

The new DRGs go into effect on Oct. 1 and require that providers capture more detailed codes to identify complications and comorbid conditions to achieve maximum Medicare reimbursement. Ingenix’s Hospital Impact claims data analysis software lets users create reports on the potential impact of the new DRGs on their financial performance. Precyse will provide consulting services, analyzing these reports. Precyse will then conduct a more detailed audit of the hospital’s weakest coding areas and recommend action, such as customized training.

Around the web

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.

Deepak Bhatt, MD, director of the Mount Sinai Fuster Heart Hospital and principal investigator of the TRANSFORM trial, explains an emerging technique for cardiac screening: combining coronary CT angiography with artificial intelligence for plaque analysis to create an approach similar to mammography.

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease.