Medicare Compliance & Reimbursement
Get Up to Speed On 2017 ICD-10 Codes
You’ve got only a few short months to get up to speed on the new ICD-10 diagnosis codes hitting Oct. 1. See the updates at www.cms.gov/Medicare/Coding/ICD10/2017-ICD-10-CM-and-GEMs.html. The Centers for Medicare & Medicaid Services (CMS) says it will post the Generally Equivalent Mappings (GEMs) for the new codes next month.
Download the new codes today, urges consultant Beth Noyce with Noyce Consulting in her newsletter. “October 1st is nearer than we think,” Noyce warns.
Beware: When the new GEMS come out, don’t depend on them, warns coding expert Lisa Selman-Holman in her blog. CMS’s GEMS “often point to [an] unspecified code,” she says. “They may get you to the right neighborhood, but not to the right house.”
“Using GEMs or mappers to code leads to inaccuracy and, in time, CMS will note trends and change medical review policies and case mix scoring to the industry’s detriment,” Selman-Holman predicts.
Medicare Compliance & Reimbursement
- Reimbursement:
Proposed Rule: Enjoy Expanded Coverage for Telehealth Services
Keep an eye out for 8 new CPT® codes to get deserved telehealth reimbursement. If [...] - Pay Attention to Future POS Code Changes for Telehealth
Meanwhile, stick to using the code applicable to the patient’s location. In addition to all [...] - MACRA:
Alternative Approaches to Achieving MACRA Objectives Under Consideration
Physician advocacy groups cheer Slavitt flexibility. The deadline for putting into effect the provisos of [...] - Reimbursement:
You Could Be Forfeiting $26,000 Annually
Always investigate denials for 90460 — here’s why. For most pediatric practices, immunization is probably [...] - Compliance:
Get a Handle On the Basics of On-Call Arrangements
Tip: OIG suspicious of fraud in the guise of on-call coverage. If your facility has [...] - Industry Note:
Get Up to Speed On 2017 ICD-10 Codes
You’ve got only a few short months to get up to speed on the new [...] - Industry Note:
Medicare Claims System Fix On Deck
A claims system correction should clear up returned and held claims due to an error [...] - Industry Note:
Part D Prescription Drug Premiums Remain Status Quo
The cost of health care continues to be on the rise, and there’s no place [...]
