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FY 2013 IPPS Final Rule Released

On August 1, 2012, the Centers for Medicare and Medicaid Services (“CMS”) released the fiscal year (FY) 2013 Inpatient Prospective Payment System (“PPS”) Final Rule. The Rule contains several updates to Affordable Care Act (“ACA”) programs implemented in prior rule makings. The Rule also finalized the market basket update of 2.8% for IPPS hospitals. The…

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System of Nearly 140,000 Codes Has You Covered

Today, hospitals and doctors use a system of about 18,000 codes to describe medical services in bills they send to insurers. Apparently, that doesn’t allow for quite enough nuance. A new federally mandated version will expand the number to around 140,000—adding codes that describe precisely what bone was broken, or which artery is receiving a…

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One Year ICD-10 Delay Finalized

On Friday, August 24th, the Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced a final rule that will save time and money for physicians and other health care providers by establishing a unique health plan identifier (HPID). The rule is one of a series of changes required by the Affordable Care Act…

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HHS Releases Final Insurance Exchange Blueprint

HHS, on August 14, issued a final “blueprint” that states can use to operate their own health insurance exchanges. The blueprint details the functions that state-based exchanges will perform, how exchanges operated as partnerships between the federal government and states will perform, and what actions states may take in “federal facilitated” exchanges.

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ATTN: Medicare Electronic Funds Transfer (EFT) – JH Implementation Alert

ATTN: Colorado Providers —

We are getting a new Medicare Administrative Contractor (MAC). No longer will Trailblazer be our Medicare contractor. The new company, Novitas Solutions, Inc.

If you receive payments through EFT (and you probably do) you must update your information.

If you need assistance please e-mail us at info@RTWelter.com

DO NOT leave this to chance. Payment disruptions (you have heard the horror stories) can be avoided by being proactive.

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OCR Reveals HIPAA Audit Protocol

The U.S. Department of Health & Human Services’ Office for Civil Rights (OCR) has made public its long-awaited HIPAA audit protocol, posting it on its website June 26. The Health Information Technology for Economic and Clinical Health (HITECH) Act, which amended the Health Insurance Portability and Accountability Act in 2009, required OCR to conduct a pilot audit…

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