Say good-bye to guidance from the American Hospital Association’s (AHA) Coding Clinic for ICD-9-CM.
“I know everyone is anxious about it going away,” said Nelly Leon-Chisen, RHIA, Director of Coding and Classification for the AHA during CMS’...Read More »
The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on hospital performance in the areas of reporting of adverse events and quality measure data, present on admission coding, inpatient outlier payments, and same-day readmissions.
CMS will host a National Provider Call on Thursday, November 17, 1:30-3 p.m. (ET) regarding ICD-10 implementation strategies. The call will feature presentations by the four cooperating parties: CMS, the American Hospital Association (AHA), the American Health Information Management Association...Read More »
On November 1, CMS issued its Medicare Physician Fee Schedule (MPFS) for calendar year 2012. In it, CMS details the new “value-based payment modifier,” according to a Fact Sheet on the matter.
On October 20, CMS released its long-awaited final rule governing accountable care organizations (ACO), with major concessions to the original plan that had soured many healthcare leaders and physicians against participating....Read More »
The Department of Health and Human Services and the Department of Defense accused Baltimore-based Kernan Hospital, a part of the University of Maryland Medical System, of inappropriately billing “protein malnutrition” as “kwashiorkor”—a $1.6 million potential error that could ultimately cost the...Read More »
Patients cared for in facilities which HealthGrades deems as five-star have 73% less risk of dying than patients seen in one-star hospitals, according to a new report titled...Read More »
CMS recently updated its Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot Software and its ICD-10 MS-DRG RI Definitions Manual. Further information is available on the CMS website at http://...Read More »