OIG calls for expanding use of claim codes for certain replacement devices

AHA News Now

The Centers for Medicare & Medicaid Services should continue to work with national standards body X12 to include the new unique device identifier on its next version of health care claims forms, the Department of Health and Human Services’ Office of Inspector General advised yesterday. OIG also... read more

Topic: Advocacy and Public Policy
Tags: quality, Medicare, coding

MACs to offer online access to new Medicare beneficiary identifiers

AHA News Now

Starting next June, health care providers will be able to use their Medicare Administrative Contractor’s secure portal to look up their patients’ new Medicare Beneficiary Identifiers, according to a new Centers for Medicare & Medicaid Services factsheet. The factsheet was recently mailed to all Medicare... read more

Topic: Advocacy and Public Policy
Tags: Medicare, coding

CMS, HRSA release Medicare chronic care management resources

AHA News Now

The Centers for Medicare & Medicaid Services’ Office of Minority Health and Health Resources and Service Administration’s Federal Office of Rural Health Policy today launched an educational initiative for Medicare patients and health care professionals on the benefits of chronic care management services.... read more

Topic: Advocacy and Public Policy
Tags: physicians, Medicare, rural, coding, nurses, chronic conditions

CMS won't penalize failure to report PQRS data affected by coding change

AHA News Now

The Centers for Medicare & Medicaid Services will not apply 2017 or 2018 payment adjustments to any eligible professional or group practice that fails to satisfactorily report certain quality data to the Physician Quality Reporting System for fourth-quarter calendar year 2016 solely due to the impact of... read more

Topic: Advocacy and Public Policy
Tags: quality, physicians, Medicare, ICD-10, coding

CMS launches web resource on provider transition to Medicare Beneficiary Identifier

AHA News Now

The Centers for Medicare & Medicaid Services has launched a webpage to help health care providers prepare for the Medicare Beneficiary Identifier, which will replace the Health Insurance Claim Number on transactions such as billing, eligibility status and claim status by April 2019. The agency expects a ... read more

Topic: Advocacy and Public Policy
Tags: Medicare, coding

Standards organization approves UDI changes

AHA News Now

As urged by the AHA, X12 voted last night on a solution for reporting the new unique device identifier on health care claims that will allow tracking of medical devices for safety reasons, while minimizing disruptions to automated claims processing. The technical solution meets the objectives that the... read more

Topic: Advocacy and Public Policy
Tag: coding

CMS issues coding/billing factsheet on Medicare advance care planning

AHA News Now

The Centers for Medicare & Medicaid Services has issued a factsheet on coding and billing for advance care planning in the Medicare fee-for-service program. CMS pays for voluntary advance care planning under the Medicare physician fee schedule and hospital outpatient prospective payment system.

Topic: Advocacy and Public Policy
Tags: Medicare, coding, advanced illness care

CMS: ICD-10 claims auditing/quality reporting flexibility expires Oct. 1

AHA News Now

The Centers for Medicare & Medicaid Services last week updated its guidance on ICD-10 claims auditing and quality reporting flexibility for Part B physician fee schedule claims, noting that the flexibility will expire Oct. 1 as planned. CMS provided flexibility in the claims auditing and quality reporting... read more

Topic: Advocacy and Public Policy
Tags: quality, physicians, Medicare, ICD-10, coding

CMS delays new claims coding, documentation policy for unused drugs

AHA News Now

The Centers for Medicare & Medicaid Services today delayed to Jan. 1 a new policy requiring health care providers to document in the patient’s record and on Medicare claims, through the use of the ”JW modifier,” the amount discarded when Part B drugs or biological products contained in single-use vials or... read more

Topic: Advocacy and Public Policy
Tags: patient safety, EHRs, Electronic Health Records, Medicare, coding

New ICD-10 diagnosis codes released

AHA News Now

The Centers for Disease Control and Prevention today released roughly 1,900 diagnosis codes that will be added to the ICD-10 coding system for health care claims in fiscal year 2017. The ICD-10-CM codes are available at www.cdc.gov. Some 3,651 new ICD-10 PCS inpatient procedure codes for FY 2017 were... read more

Topic: Advocacy and Public Policy
Tags: ICD-10, coding

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