Oh great—more new modifiers! If you’re like me, I read my CMS updates and focus on what needs to be managed based on regulatory deadlines. Back in 2016, I read […]
While the intent of MIPS is important with its end goal of improved quality and patient care, the program’s content can be challenging for coders, billers and providers. The data […]
In my last blog, I recommended checking out excerpts from the March ICD-10 Coordination and Maintenance meeting. Those excerpts were written proposals for ICD-10 codes describing SDOH (Social Determinants of […]
HIM, CDI, and inpatient coding professionals can play a significant role in helping their organizations be successful under HACRP. Read Cheryl Manchenton’s article to find out how.
The March 19, 2019 letter from Seema Verma, CMS Administrator, to Charles Grassley (Chairman of the Committee on finance) assures that CMS is once again analyzing claims data to determine […]
For several years now we’ve had four -X modifiers, generally presented as -X (E, P, S, U) which can be used instead of the -59 modifier to unbundle procedure codes […]
According to a March 7, 2019 article in Modern Healthcare, the Medicare Payment Advisory Commission (MedPAC) has decided to recommend that HHS revisit the national ED coding rules by 2022, citing […]
On January 17, 2019, CMS issued Transmittal 4204, which states HCPCS Q4122-Dermacell per square centimeter can be assigned either revenue code (RC) 278-Implant or RC 636-Drugs requiring detailed coding. I […]
Modern Healthcare recently published another article questioning the utility of the CMS hospital readmission reduction program (HRRP). The article used as its basis two publications, the first of which returned […]
One of the things that makes Tom Brady a great quarterback is his ability to think downfield. He’s not just thinking about the current play, but considering all the plays […]
In this webinar, 3M quality expert Cheryl Manchenton will discuss the latest HAC regulatory updates and penalties and examine the clinical impact on your hospitals and your patients.
CMS has released the Advance Notice Parts I and II per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year. The Advance Notices provide the parameters […]