CMS Releases 2017 OPPS Final Rule
The Centers for Medicare & Medicaid Services (CMS) has released the 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System policy changes,...
View ArticleDOJ Releases General Compliance Program Guidance
According to an article published in the AHLA Weekly, new compliance program guidance has been issued by the Fraud Section of the Department of Justice (DOJ). While the “Evaluation of Corporate...
View ArticleCMS releases 2017 ICD-10-CM codes
CMS releases 2017 ICD-10-CM codes CMS has released the final list of new and revised ICD-10-CM codes available for reporting beginning October 1, 2016, with more than 2,000 changes. The files include...
View ArticleOIG releases its FY 2015 mid-year update
OIG releases its FY 2015 mid-year update The Office of Inspector General (OIG) released its fiscal year (FY) 2015 Mid-Year Update last week. The update summarizes new and ongoing reviews and activities...
View ArticleAMA Releases Vaccine Code Changes
The American Medical Association (AMA) recently posted a short list of new and revised vaccine codes on their website. These codes are effective July 1, 2017, and will appear in the CPT® 2018 codebook:...
View ArticleCMS Releases Pediatric Measure Set
The Centers for Medicare & Medicaid Services (CMS) announced today the release of a Pediatric measure set as part of the Core Quality Measures Collaborative (CQMC). The Pediatric measure set...
View ArticleCDC Releases Errata for 2018 I-10 Guidelines
Only a week after the release of the 2018 ICD-10-CM Official Guidelines by the Centers for Disease Control and Prevention (CDC), the agency released an errata updated rules for diabetes mellitus,...
View ArticleCMS Releases Final CLFS Payment Rates for ADLTs
Final payment rates, codes, and supporting documentation for the new private payer rate-based Clinical Laboratory Fee Schedule (CLFS) payment system, effective Jan. 1, 2018, are available. What’s...
View ArticleONC releases final 2016 interoperability standards
The ONC published the final 2016 Interoperability Standards Advisory (ISA) December 22, 2015. The final version includes structural changes available in the fall 2015 draft version. Each standard and...
View ArticleAMA Releases 335 Coding Changes For 2019
The American Medical Association has released the 2019 Current Procedural Terminology code set. The code set was released Aug. 31, and the AMA announced the release Sept. 5. Six things to know: 1. The...
View ArticleAMA Releases 335 Coding Changes For 2019
The American Medical Association has released the 2019 Current Procedural Terminology code set. The code set was released Aug. 31, and the AMA announced the release Sept. 5. Six things to know: 1. The...
View ArticleCMS releases 2019 Medicare Parts A&B premiums and deductibles
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View ArticleAMA Releases CPT® Errata and Technical Corrections
CPT® 2020 Category I errata and technical corrections released by the American Medical Association (AMA), are effective Jan. 1, 2020. If you have a CPT® 2020 code book, get out your marker. You’ll need...
View ArticleAMA Releases CPT 2021
The updated code set includes E/M code revisions and more. Here’s a preview. Medical coders will get a bit of a reprieve next year when it comes to learning new procedure codes. The CPT® Editorial...
View ArticleCMS Releases ICD-10 MS-DRG V38.1
Latest update includes assignments for new COVID-19-related diagnoses and procedures. The ICD-10 Medicare Severity-Diagnosis Related Group (MS-DRG) V38.1 Grouper Software, Definitions Manual Table of...
View ArticleAMA Releases COVID-19 Vaccine Code for Janssen
A fourth COVID-19 vaccine code has been released by the American Medical Association’s CPT® Editorial Panel, along with a proprietary administration code. The AMA released on Jan. 19, 2021, CPT® code...
View ArticleAMA Releases 2021 CPT® Errata and Technical Corrections
Every year we take direction from the most recent CPT® code book, but it’s important to recognize that it doesn’t have the final say on how to document and code evaluation and management (E/M) visits....
View ArticleCMS Releases 2022 Physician Fee Schedule Final Rule
The 2022 MPFS final rule promotes greater telehealth utilization and boosts payment rates for vaccine administration. The Centers for Medicare & Medicaid Services (CMS) has finalized 2022 payments...
View ArticleOIG Releases Medicaid Fraud Annual Report
Medicaid Fraud Control Units recovered $ 1.7 billion in fiscal year 2021. Reducing Medicaid fraud is a top priority for the U.S. Department of Health and Human Services Office of Inspector General...
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