Hospitals reported syncope and collapse (MS-DRG 312) as the top MS-DRG with respect to financial impact due to denials for lack of medical necessity and incorrect coding, according to previously released RACTrac data from the...Read More »
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 »