In CMS
Sep 29th, 2008
In 2006, the Centers for Medicare & Medicaid Services (CMS) allowed approximately $96 million in improper payments for facet joint injections services and an additional $33 million in improper payments for associated facility claims, according to an Office of Inspector General (OIG) September report. That’s a whopping 63 percent of facet joint injection services allowed ...
In Billing
Sep 22nd, 2008
HHS Publishes Proposed Changes to HIPAA Transaction and Code Set Standards On August 22, 2008, the Department of Health and Human Services (HHS) published proposed changes to the HIPAA Transaction and Code Set Rules signaling the intent to eliminate use of ICD-9-CM as the codes for reporting diagnoses and implementation of ICD-10-CM with a proposed ...
In Coding
Sep 12th, 2008
Curious about the Ilizarov procedure (20692 Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type))? Utah Attorney General Mark Shurtleff provides an excellent explanation on his blog, www.utahag.blogspot.com. Photographs, X-rays, and a description of the technique are provided. The attorney general’s leg was br...
In CMS
Sep 12th, 2008
The Centers for Medicare & Medicaid (CMS) has instructed their contractors to hold all Outpatient Prospective Payment System (OPPS) claims containing HCPCS Level II code ...
Aug 19th, 2008
Comments Off on ICD-10-CM date proposed by CMS: October 1, 2011
The Department of Health and Human Services (HHS) announced Friday a long-awaited proposed regulation that would replace the ICD-9-CM code sets now used to report health care diagnoses and procedures with greatly expanded ICD-10-CM (diagnosis) and ICD-10-PCS (hospital procedure) code sets, effective Oct. 1, 2011. In a separate proposed regulation, HHS has proposed adopting the ...