by Joel Moorhead, MD, PhD, CPC, and Diana Williams, BS, CPC, CCS-P, CPMA
The ICD-9 chapter-specific guidelines for neoplasms (Section 1.C.2) provides guidance for coding and sequencing of complications associated with malignancies. This section in the ICD-9-CM Manual ...Read More »
The National Quality Forum (NQF) published a draft report updating the NQF-endorsed Serious Reportable Events in Healthcare: A Consensus Report. The new report includes an updated list of serious reportable events (SREs) that includes 25 updated SREs and four new SREs, including the...Read More »
The Medicare Payment Advisory Commission (MedPAC) considered a draft recommendation from its chair, Glenn M. Hackbarth, JD, calling for a full “market basket” update of 2.6% for fiscal year 2012 inpatient hospital payments, AHA News Now reported on December 2. Hackbarth’s proposal comes...Read More »
CMS sought comments from healthcare providers regarding proposed implementation of accountable care organizations (ACOs). ACOs are a collaboration of various providers who work together to manage and coordinate care for Medicare beneficiaries and, in return, may receive payments for shared...Read More »
The Commission on Certification for Health Informatics and Information Management (CCHIIM) recently announced ICD-10 recertification requirements for individuals certified by the American Health Information Management Association (AHIMA).
In the document, “ICD-10 CE Requirements for...Read More »
The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal year (FY) 2010—the largest in history—and $3 billion in total civil fraud claims, according to a DOJ press release. Of that...Read More »
CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to document posted November 10 on the...Read More »
