Physician Notes: CMS Wants to Ensure That You Don't Miss The ICD-10 Boat

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This piece summarizes two regulatory updates of interest to coding and compliance professionals: CMS efforts to prepare providers for the ICD-10 transition and OIG supplemental compliance guidance for nursing facilities with hospice-related provisions. It is relevant to physicians, coders, hospitals, and compliance staff who need to track federal implementation timelines, provider education, and fraud-and-abuse risk areas affecting nursing home and hospice arrangements.

Why This Topic Matters

It helps readers identify federal guidance that may affect diagnosis coding education and compliance practices in nursing facilities, especially where hospice relationships and referral arrangements are involved.

Article Sections

  1. CMS ICD-10 preparation

    CMS outreach activities and provider education related to the shift from ICD-9 to ICD-10 are discussed, along with the audience for planned conference calls and online materials.

  2. OIG nursing facility compliance guidance

    The article summarizes new OIG supplemental compliance guidance for nursing facilities and notes that it includes hospice-related compliance concerns and fraud-and-abuse risk areas.

  3. Hospice and nursing home arrangement risks

    The final portion highlights general risk areas associated with hospice and nursing home relationships, including payment and referral arrangements and reserved bed agreements.

What You Will Learn

  • What CMS is doing to prepare providers for the ICD-10 transition
  • Which provider groups are included in CMS education efforts
  • What general compliance topics the OIG guidance addresses for nursing facilities
  • Which broad hospice-and-nursing-home relationship issues are highlighted as risk areas

Who Should Read This

  • Physicians
  • Medical coders
  • Coding managers
  • Compliance officers
  • Hospitals
  • Nursing facilities
  • Hospice organizations

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