In Coding
Mar 24th, 2016
Despite a chilly reception, ICD-10 was successfully implemented on Oct. 1, 2015. Now it’s time to heat things up. At the ICD-10 Coordination and Maintenance Committee meeting, March 9-10, 2016, stakeholders proposed numerous updates to the ICD-10-CM and ICD-10-PCS codes sets. It’s been four years since the last regular annual update to both the ICD-9-CM ...
In Billing
Feb 4th, 2015
Physicians Practice results are in for the 2014 Fee Schedule Survey, showing how much physicians are paid for common services. From around the country, 1613 physician practices participated. Respondents submitted how much they are paid for major diagnostic codes for new and established patients, and for common procedure codes. Private payers do not publicly disclose payment information; however, P...
Dec 1st, 2012
By G. J. Verhovshek, MA, CPC You’ve probably heard of the “multiple procedure rule,” which reduces Medicare payment by 50 percent for the second and subsequent procedures provided to a single patient by the same physician on the same day. But did you know that a modified version of the multiple procedure rule may apply ...
Oct 1st, 2012
By Holly J. Cassano, CPC Accurate payment under the Centers for Medicare & Medicaid Services (CMS) risk adjustment reimbursement model depends on diagnosis code specificity and reporting all current chronic conditions. A leading cause of incorrect and/or insufficient reimbursement from Medicare Advantage (MA) plans is deficient hierarchal condition categories (HCC) code reporting. CMS has been ...
In CMS
Jul 1st, 2011
The Centers for Medicare & Medicaid Services (CMS) posted the final version of new, revised, and invalid ICD-9-CM diagnosis codes for 2012 on its website June 17. The updated code set will be effective for dates of service on or after Oct. 1. Review the summary tables on the CMS website, or go to the ...