IPPS: FY 2027 Updates: Final Rule examines the changes to the Inpatient Prospective Payment System (IPPS) for FY 2027, helping coding and CDI professionals prepare for coding, MS-DRG, reimbursement, and payment policy changes. The course reviews MS-DRG revisions, ICD-10-CM/PCS updates, payment initiatives, and quality reporting changes.
IPPS: FY 2027 Updates: Final Rule
Kathy Fennick, RHIA, CCS, CDIP
$99.00
CEUs: 1 1 AHIMA
1 AAPC
Included in eLearning Library.
Price per person. Group rates available.
- Overview
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Overview
IPPS: FY 2027 Updates: Final Rule examines the changes to the Inpatient Prospective Payment System (IPPS) for FY 2027, helping coding and CDI professionals prepare for potential coding, MS-DRG, reimbursement, and payment policy changes. The course reviews MS-DRG revisions, ICD-10-CM/PCS updates, payment initiatives, and quality reporting changes.
MS-DRGs
MS-DRG Reviews and Changes by Major Diagnostic Category (MDC)
Pre-MDC
- CAR T-cell and other immunotherapies – MS-DRG 018 relative weight methodology refinements
MDC 04 – Diseases & Disorders of the Respiratory System
- External heart assist devices – stakeholder request for MS-DRG reassignment; existing MS-DRG structure retained
- CYTALUX® – stakeholder request for higher-severity MS-DRG assignment; existing MS-DRG structure retained
MDC 05 – Diseases & Disorders of the Circulatory System
- Cardiac pacemaker MS-DRG restructuring
- Other circulatory system O.R. procedure designation and MS-DRG changes
MDC 08 – Diseases & Disorders of the Musculoskeletal System
- Spinal fusion MS-DRG restructuring
- Hip and knee procedure MS-DRG restructuring involving periprosthetic joint infection
MDC 10 – Endocrine, Nutritional & Metabolic Diseases
- CERAMENT® G – stakeholder request for higher-severity MS-DRG assignment; MS-DRG changes finalized
MDC 11 – Diseases & Disorders of the Kidney & Urinary Tract
- Prostatectomy – removal of procedure code combinations from MS-DRG logic
- Islet cell transplantation – stakeholder request for O.R. designation; existing non-O.R. designation retained, with eleven non-O.R. ICD-10-PCS codes added to the logic for three MS-DRGs (8, 10, and 19)
MDC 13 – Diseases & Disorders of the Female Reproductive System
- Gynecologic oncology MS-DRG restructuring
MDC 25 – HIV-Related Conditions
- HIV-related condition logic header revision
ICD-10-CM and ICD-10-PCS Changes
- Diagnosis and procedure code updates
- CMS Tables 6A-6D
- MCC and CC additions and deletions
- MCC/CC exclusion considerations
Other Changes
- FY 2027 New Technology Add-on Payment (NTAP) applications and final determinations
- NTAP eligibility criteria and alternative pathways
- Wage index revisions and market basket updates
- Post-acute care transfer payment policies
- Hospital Readmissions Reduction Program updates
- Transforming Episode Accountability Model (TEAM) revisions
- Future sepsis measure for the Hospital Readmissions Reduction Program
There is always more to learn in coding!
Master the annual code changes, what they mean and how to apply them. Libman Education’s ICD-10-CM and ICD-10-PCS Code Updates offers explanations of complex coding concepts. Ensure your coding is up-to-date, accurate, by-the-book, complete, and defensible.
eLearning Library: Inpatient Coding offers the resources you need to master the ICD-10-CM and ICD-10-PCS coding systems. On-demand access to up-to-date course materials enhances job-specific, self-paced learning for one full year.
IPPS: FY 2027 Final Rule examines the changes to the Inpatient Prospective Payment System (IPPS) for FY 2027, helping coding and CDI professionals prepare for potential coding, MS-DRG, reimbursement, and payment policy changes. The course reviews MS-DRG revisions, ICD-10-CM/PCS updates, payment initiatives, and quality reporting changes.
MS-DRGs
MS-DRG Reviews and Changes by Major Diagnostic Category (MDC)
Pre-MDC
- CAR T-cell and other immunotherapies – MS-DRG 018 relative weight methodology refinements
MDC 04 – Diseases & Disorders of the Respiratory System
- External heart assist devices – stakeholder request for MS-DRG reassignment; existing MS-DRG structure retained
- CYTALUX® – stakeholder request for higher-severity MS-DRG assignment; existing MS-DRG structure retained
MDC 05 – Diseases & Disorders of the Circulatory System
- Cardiac pacemaker MS-DRG restructuring
- Other circulatory system O.R. procedure designation and MS-DRG changes
MDC 08 – Diseases & Disorders of the Musculoskeletal System
- Spinal fusion MS-DRG restructuring
- Hip and knee procedure MS-DRG restructuring involving periprosthetic joint infection
MDC 10 – Endocrine, Nutritional & Metabolic Diseases
- CERAMENT® G – stakeholder request for higher-severity MS-DRG assignment; MS-DRG changes finalized
MDC 11 – Diseases & Disorders of the Kidney & Urinary Tract
- Prostatectomy – removal of procedure code combinations from MS-DRG logic
- Islet cell transplantation – stakeholder request for O.R. designation; existing non-O.R. designation retained, with eleven non-O.R. ICD-10-PCS codes added to the logic for three MS-DRGs (8, 10, and 19)
MDC 13 – Diseases & Disorders of the Female Reproductive System
- Gynecologic oncology MS-DRG restructuring
MDC 25 – HIV-Related Conditions
- HIV-related condition logic header revision
ICD-10-CM and ICD-10-PCS Changes
- Diagnosis and procedure code updates
- CMS Tables 6A-6D
- MCC and CC additions and deletions
- MCC/CC exclusion considerations
Other Changes
- FY 2027 New Technology Add-on Payment (NTAP) applications and final determinations
- NTAP eligibility criteria and alternative pathways
- Wage index revisions and market basket updates
- Post-acute care transfer payment policies
- Hospital Readmissions Reduction Program updates
- Transforming Episode Accountability Model (TEAM) revisions
- Future sepsis measure for the Hospital Readmissions Reduction Program
The level of effort to complete this course, start to finish, is equivalent to 1 CEU and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for an extended 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.
Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 1 CEU.
AHIMA: 1 CEU
This course has been approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
AAPC: 1 CEU
This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- WebinarPlus™ multimedia and interactive online training format promotes engagement with challenging materials while offering independent self-study.
- Knowledge checks and/or final assessment ensure mastery of material.
- Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
- Earn Libman Education Certificate of Completion and CEUs.
- To receive CEU credit, students must achieve a passing rate on the course assessment(s).
- Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
- Unlimited course access during 16-week enrollment period. Purchase two or more Code Update courses and receive full-year enrollment.
- Extensions to the enrollment period are available.
- Price listed is per person/per course. Group rates available upon request.
Kathy Fennick, RHIA, CCS, CDIP
Kathy Fennick is a healthcare revenue cycle leader with over 30 years of experience in coding operations, clinical documentation improvement, and revenue management. Drawing on executive roles at Geisinger Health System and Stanford Hospital and Clinics, she now brings that expertise to education and coaching as a member of Avenra Solutions, where she supports the CDI and Coding Bootcamp for Inpatient — helping healthcare organizations strengthen their CDI programs and empowering individuals to advance their careers in coding and documentation.
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Required Resources:
- ICD-10-CM Code Book – 2027 or students may elect to use electronic files
- ICD-10-PCS Code Book – 2027 or students may elect to use electronic files
Recommended Resources:
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