CMS has been releasing ICD-10 National Coverage Determination (NCD) “omnibus” transmittals since September 2012, which gives providers some information about CMS’ coverage policies moving forward. NCDs are only part of the picture. On September 6, CMS...Read More »
CMS issued new guidance last week aimed at clarifying the so-called “two-midnight rule” finalized in the 2014 IPPS. The rule essentially states that physicians should order an inpatient admission if he/she expects the care...Read More »
Although Recovery Auditors have identified more than a billion dollars in inappropriate payments, CMS needs to do more to improve its oversight of the program, and target potential instances of fraud identified by the program,...Read More »
Inpatient coders are accustomed to assigning a present-on-admission (POA) indicator in ICD-9-CM and they will continue to do so in ICD-10-CM. Although the POA indicators remain the same, ICD-10-CM includes a list of codes that...Read More »
Effective January 1, 2014, candidates who apply for the Certified Clinical Documentation Specialist (CCDS) exam must have a minimum of two years of documentation specialist experience in order to qualify. This is a change from current requirements....Read More »