Medicare Compliance & Reimbursement
Pocket This ICD-11 Insight
Question: Is there any update on ICD-11? Georgia Subscriber Answer: While ICD-10 revisions continued in 2020 with the addition of a new chapter, Chapter 22 Codes for special purposes (U00-U85), and new codes U07.0 (Vaping-related disorder) and U07.1 (COVID-19), the timetable for the transition to ICD-11 in the U.S. still remains unclear — even though the World Health Organization (WHO) approved the code set in May 2019 for implementation in January 2022. In fact, AAPC believes it won’t be until 2025 that you’ll be using ICD-11 for reporting morbidity, and that the clinical modification (CM) version won’t appear until 2027 if needed. Bottom line: So, all you can do to prepare in 2021 is glance at the National Committee on Vital and Health Statistics (NCVHS) website (ncvhs.hhs.gov/) occasionally to see if these predictions continue to hold true.
Medicare Compliance & Reimbursement
- Compliance:
CMS Delivers Surprise Stark Update for the Holidays
Final rule gifts providers with exceptions galore. Despite a raging pandemic, fraud and abuse have [...] - Revenue Booster:
Beef Up Your Remote Coder Policies With These Steps
Tip: Set limits on IT to ensure patient privacy and security. Timely, trustworthy coders ensure [...] - Enforcement:
Feds Target Experts’ Speaker Fees in OIG Fraud Alert
Hint: Expect scrutiny to ramp up post-COVID. If you didn’t have speaker fees on your [...] - Reader Questions:
Know the Facts on COVID Swab Collection
Question: Our practice needs COVID-19 testing advice. If one of our clinicians does a telehealth [...] - Reader Questions:
Pocket This ICD-11 Insight
Question: Is there any update on ICD-11? Georgia Subscriber Answer: While ICD-10 revisions continued in [...] - Industry Notes:
‘Corrective Actions’ in Home Health, SNF Impact Rate Drop
If you’ve been waiting patiently for Medicare’s annual improper payment rate data, you’re in luck. [...] - Industry Notes:
Use Handy QPP Tools to Check PY 2021 APM and MIPS Status
With all the Quality Payment Program (QPP) regulatory rollbacks to accommodate COVID-19, you may be [...] - Industry Notes:
Care Compare Is Here to Stay
Whether or not you were ready to move on, the old Compare sites are now [...] - Industry Notes:
OIG Adds Two-Midnight Rule to Work Plan
If you thought your short-stay inpatient claims were good to go, you’d be wrong. In [...]
