After months of discussions with the Cabinet for Health and Family Services (CHFS) via the KHA Medicaid Technical Advisory Committee (TAC) meetings, monthly Medicaid managed care organization (MCO) issue list meetings, individual meetings with CHFS and presentations to the Medicaid Advisory Committee (MAC), the Cabinet has made a final decision regarding sepsis.
On Wednesday, Department for Medicaid Services (DMS) Medical Director Judy Ann Theriot released a memo detailing coding and reimbursement guidelines for sepsis. CHFS will follow the CMS DRG and ICD-10 definitions of sepsis. MCOs are directed to "...base utilization management for sepsis on sepsis-2 criteria until such time that CMS adopts sepsis-3 criteria."
View the memo for more details.
Hospitals participating in K-HEN 2.0 are invited to attend the Kentucky Sepsis Summit: Facing the Sepsis Challenge on August 24 at the Paroquet Springs Conference Center in Shepherdsville.
This conference will present comprehensive information on
the clinical problem of sepsis and collecting data on both
process and outcome measures associated with sepsis and
severe sepsis. In addition, helpful tips on care improvement
will be provided by national subject matter experts and hospital
practitioners with experience in this topic.
View the brochure for details and register online to reserve your seat today.
Post Office Box 436629
Louisville, Kentucky 40253-6629