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 »
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 »
By the end of September, hospitals will be able to view results for eight hospital-acquired condition measures which will be posted at data.cms.gov, and www.qualitynet....Read More »
Ever choose a restaurant or movie based on how many “stars” it receives from those who’ve eaten there or seen the flick? For many, that type of rating system provides a quick reference analysis regarding the purported quality...Read More »
Documentation in the EHR can have a significant impact both from data reporting and reimbursement standpoints, said Sue Bowman, MJ, RHIA, CCS, FAHIMA, senior director of coding policy and compliance at AHIMA,...Read More »
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 »
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 »
