Aug 1st, 2012
By Serine A. Haugsness, CPC The concept of risk adjustment was “born” upon passage of the Balanced Budget Act of 1997 and refined by the Beneficiary Improvement Act of 2000, which mandated that the Centers for Medicare & Medicaid Services (CMS) implement risk adjustment for Medicare Advantage organizations (MAOs) in 2004 and achieve 100 percent ...
Jan 1st, 2011
By Jill M. Young, CPC, CEDC, CIMC Chronic obstructive pulmonary disease (COPD) is a progressive disease that causes coughing, wheezing, shortness of breath, chest tightness, and other symptoms. The leading cause of COPD is smoking; most people who smoke, or have smoked, have some form of COPD. In 2007, an estimated 12.1 million Americans had ...
Apr 1st, 2010
By G. John Verhovshek, MA, CPC To comply with Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) requirements, the Centers for Medicare & Medicaid Services (CMS) updated chapter 32 of the Medicare Claims Processing Manual to define coverage and appropriate coding for cardiac rehabilitation (CR) programs, intensive cardiac rehabilitation (ICR) programs, and pulmonary ...