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The Centers for Medicare & Medicaid Services is preparing to update eligible professionals and group practices on its plans for 2017 Medicare payment adjustments in an upcoming Medicare Learning Network (MLN) Provider Call on September 24. The call scheduled for later this month — Medicare Quality Reporting Programs: 2017 Payment Adjustments — will focus on…
DetailsBelow, you will find clarification regarding ICD-10 flexibilities for post-transition (as scheduled for October 1, 2015) from the Centers for Medicare and Medicaid Services (CMS.) CMS intended last week’s frequently asked questions (FAQs) on these flexibilities to provide clarification for healthcare organizations and providers. Apparently, two FAQs in particular did not do the trick and…
DetailsS05.51XA — Penetrating wound with foreign body of right eyeball, initial encounter W39.XXXA — Discharge of firework, initial encounter Y92.833 — Campsite as the place of occurrence of the external cause In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you…
DetailsMost reimbursement, one way or another, directly or indirectly is based on the RBRVS. The RBRVS updates and changes. It is doing so now quite rapidly! If you have not updated your billed charges in the last year or so, it is time to do so! Compare your billed charges to the current RBRVS and…
DetailsL55.0 —Sunburn of first degree L55.1 —Sunburn of second degree L55.2 — Sunburn of third degree L55.9 — Sunburn, unspecified In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical…
DetailsRemember: fraud exists and it is amazingly/sadly common in healthcare. Tighten up your processes and procedures for paying bills, credit card usage and permissions. Differentiation of duties, cross checks and transparent reporting are great ways, all be it not ironclad ways, to stop or discourage fraud. It is ALWAYS the last person you would expect! …
DetailsCMS announced earlier this month that it will provide greater flexibility during the transition to ICD-10 billing codes, easing physicians’ trepidation about the move by incorporating several changes that the AAFP urged the agency to adopt. When CMS introduced plans for ICD-10, family physicians raised concerns that moving to a new set of codes required…
DetailsThe U.S. Supreme Court upheld a core component of President Barack Obama’s health-care law, backing tax credits used by millions of Americans to buy insurance and preserving the landmark measure that will define his legacy. The 6-3 ruling eliminates the most potent legal challenge to a law designed to cover at least 30 million uninsured…
DetailsLast week, we reviewed a new bill that would allow for a new two-year “grace period” for accepting the new set of ICD-10CM/PCS code that was presented to the US House of Representatives. Now, we will examine its potential for negative impact on implementation.
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