Industry Notes

Why This Topic Matters

It helps practices and revenue cycle teams monitor operational and coding-related updates that can affect compliance, payer communication, and planning. It also provides context for Medicare Advantage market concentration and CMS transition support materials.

Article Sections

1. CMS Offers ICD-10 Templates, Planning Assistance

   Overview of CMS transition support materials for moving from ICD-9 to ICD-10. The section focuses on implementation resources for different provider and payer settings.

2. MACs Will No Longer Send Three Letters Seeking Overpayments

   Discussion of changes to Medicare overpayment notification and collection timing. The section outlines a revised MAC letter sequence and associated administrative process updates.

3. 90654: Quell Confusion About New Flu Shot Code

   Explanation of a coding and Medicare payment update involving an influenza vaccine code. The section addresses the distinction between code availability and Medicare payment timing.

4. Use This Strategy To Tackle Managed Care Penetration

   Summary of Medicare Advantage enrollment patterns and state-level variation. The section highlights market concentration findings from an external report and their relevance to managed care strategy.