Blog - Revenue Cycle Works

MS-DRG V43.1: 80 New Procedure Codes and What They Mean for Your Revenue Cycle

2026-04-07 • Revenue Cycle Works • MS-DRG Updates

CMS is adding 80 new ICD-10-PCS procedure codes effective April 1, 2026 in MS-DRG V43.1. Learn which codes drive DRG assignment changes, which are OR vs non-OR, and how to prepare your CDM, coding, and CDI teams for revenue impact.

MS-DRG V43.1 ICD-10-PCS CMS Revenue Cycle CDM New Technology April 2026

Understanding POA Indicators: How Present on Admission Status Impacts MS-DRG Reimbursement

2025-11-21 • Revenue Cycle Works • Healthcare Billing

Learn how Present on Admission (POA) indicators fundamentally alter MS-DRG groupings by determining whether specific complications can be used to justify higher reimbursement. Understand the financial impact of hospital-acquired conditions.

POA MS-DRG Hospital-Acquired Conditions HAC CMS Medicare Reimbursement

FY 2026 MS-DRG Grouper Changes: CMS Updates

2025-09-30 • Revenue Cycle Works • MS-DRG Updates

The Centers for Medicare & Medicaid Services (CMS) has released updates to the Medicare Severity Diagnosis Related Group (MS-DRG) classification system for Fiscal Year 2026. Learn about deleted, new, and revised MS-DRG codes.

MS-DRG FY 2026 CMS Healthcare Billing DRG Grouper