The Outpatient Prospective Payment System (OPPS) proposed rule put on display by CMS on July 8. In it, CMS proposes significant changes to the ambulatory payment classifications (APC) packaging system and visit codes to further bundle and consolidate...Read More »
Nearly 30% of respondents to a recent ACDIS poll indicated that “only God or the government can tell” whether ICD-10-CM/PCS implementation date will hold fast to its current October 1, 2014 perch, with somewhat good reason....Read More »
Three out of four Recovery Auditors (RAs) list medical necessity of cardiovascular procedures as their top issue, according to CMS data published in May 2012. Medical necessity of minor surgery or other treatment billed as an inpatient stay is the top issue for the fourth RA.
In the April edition of the CDI Journal, ACDIS published the joint ACDIS/AHIMA practice brief on “Guidelines for Achieving a Compliant Query Practice.” Relating to that publication, a sample query...Read More »
In its FY 2014 IPPS proposed rule, CMS not only redefines inpatient status, but it also discusses the ‘why’ and ‘how’ physicians should document the defining characteristic of all admissions: medical necessity.Read More »
The ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014 – and on that date medical practices and their billing service companies, clearinghouses, and all covered entities and payers will need to use ICD-10 codes....Read More »
More than 40% of facilities without CDI programs in place expect to launch one in 2013, according to a survey from TrustHCS, presented by the company’s president, Torrey Barnhouse, during AHIMA’s ICD-10-CM/PCS and CAC Summit held in Baltimore this April.Read More »