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Viewing:  Aug 24, 2016
Find-A-Code Focus

Modifier 22 Tip

August 03, 2016
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

CMS announces next phase in largest-ever initiative to improve primary care in America

August 03, 2016
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

Final Fiscal Year 2017 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1647-F)

August 03, 2016
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


August 03, 2016
Visit 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

CMS ICD-10 Coding Resources

July 29, 2016
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

Final FY 2017 Medicare Payment and Policy Changes for Inpatient Psychiatric Facilities

July 29, 2016
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

Medicare projects relatively stable average prescription drug premiums in 2017

July 29, 2016
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

CMS extends, expands fraud-fighting enrollment moratoria efforts in six states

July 29, 2016
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

ICD-10 Coding: Decide From Two Options When Reporting Diagnosis of Xerostomia

July 27, 2016 - By Christine Taxin
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

CMS approves Arizona� ac!22s plan to re-open CHIP program

July 27, 2016 - By
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

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