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By Jacqueline Thelian, CPC, CPC-I, CHCA, CPMA for For the Record Many health care organizations can relate to the following scenario: An insurance carrier, Medicare, or a Medicaid HMO requests medical records for the purpose of an audit. The provider believes it has forwarded all the necessary supporting documentation, but the results indicate a 90%…
By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10 Procedure Coding System updates for fiscal year 2020 that include 734 additions. Here are 20 of the added codes: 3E0M30Y Introduction of hyperthermic antineoplastic into peritoneal cavity, percutaneous approach 3E1U48X Irrigation of joints using irrigating substance, percutaneous endoscopic approach, diagnostic 3E1U48Z Irrigation of joints using irrigating…
By Angie Stewart for Becker’s Hospital Review CMS posted changes to the ICD-10-CM codes for fiscal year 2020. Five key points: There were 71,932 ICD-10-CM codes for fiscal year 2019. The update includes 72,184 codes. CMS added 273 codes, deleted 21 codes and made 30 revisions to codes pertaining to various treatments. Additions included codes related to orbital wall…
By Rebecca Pifer for Healthcare Dive Dive Brief: A CMS innovation center demonstration that pairs payment incentives with a home-based primary care delivery model showed mixed results in terms of Medicare cost savings for chronically ill beneficiaries, according to data from the first four years of the test. The reward payment structure had some success…
By Rebecca Pifer for Healthcare Dive Dive Brief: For the first time in more than a year, CMS updated its hospital star ratings. The agency collects the data from its Hospital Quality Initiative programs and the public can view the star ratings on the Hospital Compare website. The American Hospital Association, which has requested a complete termination of the star…
By Samantha Liss for Healthcare Dive Dive Brief: With its final Outpatient Prospective Payment System (OPPS) rule for 2019, CMS is eliminating the pay discrepancy Medicare beneficiaries face visiting a hospital-owned outpatient setting as opposed to a traditional doctor’s office. CMS said cutting reimbursement at hospital-owned outpatient settings for these visits will save Medicare $380 million…
By Tony Abraham for Healthcare Dive Dive Brief: CMS on Thursday issued its final rule on the Inpatient Prospective Payment System, cementing the agency’s April proposal to increase transparency by pushing hospitals to post standard charges online in a machine-readable format. The rule doesn’t require posting any more information than hospitals are already mandated to provide…
By Mike Bassett for For The Record, Vol. 28 No. 5 P. 16 With the announcement of the proposed rule, the M&M acronyms are quickly becoming top of mind for health care executives. In the long tradition of producing acronyms at a frightening pace, the health care industry has succeeded in producing two more that are rolling…
Article by Mary Butler. This article was originally published on the Journal of AHIMA website on June, 2016 and is republished here with permission. Teachers know there are two kinds of students. Student A studies and does their assigned reading throughout the whole semester, earning extra credit where they can. When the final exam rolls up, they’re…
By Laurie M. Johnson, MS, RHIA, CPC-H, FAHIMA for ICD10 monitor The Centers for Medicare and Medicaid Services (CMS) released the 2017 ICD-10-PCS codes as well as other supporting documentation on Thursday. Before you get excited, the 2017 ICD-10-CM codes have not been released yet. The additional supporting documentation includes the 2017 ICD-10-PCS Official Coding and Reporting…