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
A fact sheet is available with information on requirements for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) FY 2018 reporting year (data collection period October 1 through December 31, 2016). Visit the SNF Quality Reporting Program (IMPACT Act of 2014) webpage for more in... Read More
CMS will be releasing two reports in early fall that will require Enterprise Identity Management (EIDM) accounts to access. The reports scheduled for release are:
PQRS feedback reports depicting your program year 2015 PQRS reporting results, including payment adjustment assessment for 2017.
2015... Read More
Get to know one of the most knowledgeable, approachable, and well respected experts in ICD-10 and health information technology at PMI’s Conference this November. Dr. Nichols will provide a refreshing outlook on the latest in healthcare from a clinician’s point of view. As PMI&rsq... Read More
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PMI Conferences are the best place to get access to many experts and learning topics during... Read More
The scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set are available on the HCPCS Quarterly Update web page. Changes are effective on the dates indicated on the update.... Read More
Maximizing Patient Collections - Register now for this FREE ON DEMAND WEBINAR
In the era of consumer-driven health care, more financial responsibility is in the hands of the patient - and it’s up to you to collect from them. Industry research reveals that more than 80 percent of self... Read More
On Feb, 12, 2016, CMS issued its final rule implementing the Affordable Care Act (ACA) requirement that providers and suppliers report and repay overpayments from Medicare, known as the "60-Day Rule." The ACA requires a person who has received an overpayment to report and r... Read More
The Diabetes Prevention Program is a structured lifestyle intervention that includes dietary coaching, lifestyle intervention, and moderate physical activity, all with the goal of preventing the onset of diabetes in individuals who are pre-diabetic. The clinical intervention consists of 16... Read More
CMS has noted that several high volume procedure codes are typically reported with a modifier that unbundles payment for visits from the procedure, even though the modifier should only be used for reporting services beyond those usually provided. Therefore, CMS believes the services may be... Read More
The final version of the 2017 ICD-10- PCS codes has been released by the Center for Medicare and Medicaid Services. Beginning on October 1, 2016, the first day of the federal fiscal year, the use of these codes will become mandatory for hospital inpatient services.
The updates for the 2017 ICD-10-... Read More
Overview The CMS Oncology Care Model (OCM) is an innovative, multi-payer model focused on providing higher quality, more coordinated oncology care. Under OCM, physician group practices have entered into payment arrangements that include financial and performance accountability for episodes of care s... Read More