In Billing
Jun 9th, 2014
Patients with end stage renal disease (ESRD), and other stages of chronic kidney disease (CKD), often also suffer from conditions such as hypertension, diabetes mellitus, anemia, and transplant complications. Be sure to sequence these conditions properly when assigning ICD-9-CM codes, as follows: Diabetes: Section I.C.3.a.4 of the ICD-9-CM Official Guidelines for Coding and Reporting specifies, ...
Feb 1st, 2012
Use the 2012 OIG Work Plan to chart your hospital’s compliance plan. By Jillian Harrington, MHA, CPC, CPC-P, CPC-I, CCS-P Last month, we explained the U.S. Department of Health & Human Services (HHS) Office of Inspector General’s (OIG’s) annual work plan, with details about physician practice interests for 2012, from an audit and evaluation perspective ...
Jan 1st, 2012
Overall CMS estimates an increase with an emphasis on quality reporting. By Denise Williams, RN, CPC-H In the 2012 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) bases payments on claims data submitted by hospital providers during 2010. CMS estimates that payments under the OPPS will increase overall ...
In CMS
Aug 11th, 2011
The Centers for Medicare & Medicaid Services (CMS) has launched a new quality initiative for Medicare-certified renal dialysis facilities. The End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) will begin Jan. 1, 2012. Facilities that do not meet quality measures established by CMS may be subject to a payment reduction of up to 2 percent on ...
In CMS
Dec 14th, 2009
The Centers for Medicare & Medicaid Services (CMS) has updated the 2010 composite payment rates for end stage renal disease (ESRD) facilities. New Year Brings ESRD Payment Adjustments was last modified: July 5th, 2011 by admin aapc...