Federally funded American healthcare finance continues to shift from fee-for-service or cost-based payment systems to Prospective Payment Systems (PPS), and the next venue for this change is the inpatient psychiatric facility (IPF). The Centers for Medicare and Medicaid Services (CMS) issued the final rule for IPFs on November 3, 2004, and set the effective date for cost reporting periods beginning on or after January 1, 2005.

This mandate requires all IPFs to change their current Medicare reimbursement systems to conform to the final published rules from CMS. To avoid adverse effects on their reimbursement, IPFs must be sure they understand the new Inpatient Psychiatric Facility DRGs and are ready to begin correctly coding and grouping their patient data. Additionally, hospitals must be prepared to update and maintain this new system regularly so it continues to match any changes to the mandated requirements.

As optional components of the 3M™ Coding and Reimbursement System, the 3M™ Inpatient Psychiatric Facility DRG Software products are designed to provide healthcare organizations with the tools they will need to comply with the new PPS. Currently scheduled for release in 2005, these products include:

• 3M™ Inpatient Psychiatric Facility DRG (IPF-DRG) Software (2005 release)—works with the expert logic of the 3M™ Codefinder™ Software and uses current coding and editing guidelines to help the coding professional capture all appropriate diagnosis contributions and obtain the correct IPF-DRG code
• 3M™ Inpatient Psychiatric Facility Reimbursement Calculation (IPF-RCS) Software (2005 release)—calculates and displays the expected reimbursement for the designated IPF-DRG code

3M IPF-DRG Software (PDF 556 KB)

For more information, call 800.367.2447 or click here.