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The CDI team's impact on the CMS pneumonia readmission measure

The Hospital Readmissions Reduction Program (HRRP) is a CMS pay-for-performance program that links the amount hospitals are paid to risk-adjusted readmission rates. Measures included in the program are claims based, which simply means that the ICD-10 codes we submit on our claims for payment arealso used to assess our performance; our performance then impacts our payment.

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