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Coding Changes Driving Reductions in Readmission Rates

from Modern Healthcare

Coding changes may have helped bolster improvements in 30-day hospital readmission rates. A new study, published in Health Affairs, showed that reductions in readmissions rates corresponded to a change the CMS made allowing hospitals to increase the number of diagnosis codes they could submit for patient claims. That change impacted the risk-adjustment the CMS uses to determine changes in readmission rates, making patients overall appear sicker and therefore caused any readmission improvements made by hospitals to appear better. more


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