GEMs is a term you will be very familiar with once you start your ICD-10 transition.
General Equivalence Mappings (GEMs) for the ICD-10-CM diagnostic codes were created in a joint effort by CMS and The Centers for Disease Control and Prevention (CDC). GEMs can help you to map codes forwar... Read More
Yes, earned incentive payments will be deducted by 2%; President Obama has required this by law. President Obama issued a sequestration order on March 1, 2013. Under these mandatory reductions, PQRS incentive payments made to eligible professionals and group practices have been reduced by 2%.... Read More
The Deficit Reduction Act of 2005 (DRA) requires a quality adjustment in Medicare Severity Diagnosis Related Group (MS-DRG) payments for certain hospital-acquired conditions. CMS has titled the provision “Hospital-Acquired Conditions and Present on Admission Indicator Reporting” (HAC &am... Read More
To assist you in understanding the key definitions related to documenting procedures in ICD-10, see below for a list of terms to be used in your documentation. Brought to you by Crozer Keystone ICD-10 tip of the month.
Alteration - Modifying the anatomic structure of a body part without... Read More
In 2013, CMS initiated recoveries from providers and suppliers based on data that indicated a beneficiary was incarcerated on the date of service. CMS subsequently discovered that some of the data used was incomplete. Since some of these recoveries might have been erroneous, CMS initiated refun... Read More
A patient discharge status code is a two-digit code that identifies where the patient is at the conclusion of a health care facility encounter or at the end time of a billing cycle. It belongs in Form Locator 17 on a UB-04 claim form or its electronic equivalent in the HIPAA compliant 837 format.
T... Read More
CMS is pleased to announce that the 2013 Electronic Prescribing (eRx) Incentive Program incentive payments are now available for eligible professionals and group practices who submitted data for Medicare Physician Fee Schedule Part B services provided January 1, 2013 through December 31, 2013.
As r... Read More
When determining the type of approach taken in a surgical procedure, it is important to review not only the title of the report but also the body of the report to locate the method used.
Somewhere in the body of the report, and always preferably in the title, scope, endoscope, endoscopy or whatever... Read More
Find-A-Code has posted the October 2014 edition of the Medicare Quarterly Provider Compliance Newsletter at:http://www.findacode.com/medicare/medicare-quarterly-provider-compliance-newsletter.htmlTopics include:
Recovery Auditor Finding: Hospital Discharge Day Management Service - Different Provi... Read More