RT Welter
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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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