Depending on a surgeon's area of expertise, documentation becomes an important tool not simply as a marker of care quality, but for the proper capture of charges and reimbursement.This past January 1st marked the 20th anniversary of CMS' adoption of Correct Coding Initiative (CCI) bundling edits, wh... Read More
Today, the Centers for Medicare & Medicaid Services (CMS) opened the application period for practices to participate in the new nation-wide primary care model, Comprehensive Primary Care Plus (CPC+). CPC+ is a five-year primary care medical home model beginning January 2017 that will enable prim... Read More
On July 29, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule outlining fiscal year (FY) 2017 Medicare payment policies and rates for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the IRF Quality Reporting Program (IRF QRP). The FY... Read More
Visit SRAWizard.com for a Security Risk Assessment (SRA) Tool complete with training and other guidance to aid practices in the complex SRA process. The features of this tool allow facilities to perform a detailed Security Risk Assessment in an effort to meet Federal requirements. Compli... Read More
The Centers for Medicare & Medicaid Services (CMS) ICD-10 website features official coding resources that can help you maintain your ICD-10 progress. Highlights include:
2017 ICD-10-CM diagnosis and ICD-10-PCS inpatient procedure code sets and guidelines
Specialty Resources Guide
ICD-10 Qui... Read More
OVERVIEW: On July 28, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a notice updating fiscal year (FY) 2017 Medicare payment policies and rates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS). The updates for FY 2017 are summarized belo... Read More
Today, Medicare announced that the average basic premium for a Medicare Part D prescription drug plan in 2017 is projected to remain relatively stable at an estimated $34 per month. This represents an increase of approximately $1.50 over the actual average premium of $32.56 in 2016.
“Stable M... Read More
New demonstration enhances agency’s enrollment and investigative options
Today, the Centers for Medicare & Medicaid Services (CMS) announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related dem... Read More
Hint: Don’t forget to report additional codes to identify alcohol or tobacco use.
When your clinician diagnoses xerostomia (dryness of the mouth), you will have check the cause for the disturbance in salivary secretion as this has a direct bearing on the code that you will select for the cond... Read More
Today, the Centers for Medicare & Medicaid Services (CMS) announced that it has approved Arizona’s plan to allow new enrollment in the Children’s Health Insurance Program (CHIP) after enrollment was frozen for several years. Now all states provide CHIP coverage to eligible children.&... Read More