Online resource packed with regulatory news and expert guidance, tips & tools pertinent to professionals across the post-acute care continuum.
The 2017 ICD-10-CM and ICD-10-PCS code updates, including a complete list of code titles, are available on the 2017 ICD-10-CM and GEMs and 2017 ICD-10-PCS and GEMs webpages. The posted files contain the complete versions of both ICD-10-CM (diagnoses) and ICD-10-PCS (procedures). 2017 General Equivalence Mappings (GEMs) will be posted in August 2016 Official Coding […]
On June 15, the Medicare Payment Advisory Commission (MedPAC) releases its June 2016 Report to the Congress: Medicare and the Health Care Delivery System. The report examines a variety of Medicare payment system issues, including: Medicare drug spending in its broader context Medicare Part B drug and oncology payment policy issues Improving the Medicare Part […]
The Centers for Medicare & Medicaid Services (CMS) will soon launch a series of updates for the HIPAA Administrative Simplification category of the CMS website. The updated pages will feature streamlined content and easier navigation. Please note that the new website will launch with a new URL, so you will need to update any bookmarks that you […]
To help you improve your use of ICD-10 codes, the Centers for Medicare & Medicaid Services (CMS) offers the Next Steps Toolkit. The toolkit can help you: Identify key metrics to track for accurate ICD-10 assessment Manage your revenue cycle Use these steps to analyze your ICD-10 progress: Assess Your Progress Establish a point of […]
Americans deserve a health care system that delivers the right care, at the right time, and at a cost that is reasonable and easy to understand. Such a system will result in fewer unnecessary hospital admissions and readmissions, fewer healthcare-associated infections, reduced patient harm, and will show continuous improvement in quality of care and cost […]
On June 7th, the Centers for Medicare & Medicaid Services (CMS) released a final rule improving how Medicare pays Accountable Care Organizations in the Medicare Shared Savings Program for delivering better patient care. Medicare is moving away from paying for each service a physician provides towards a system that rewards physicians for coordinating with each […]
The aim of the dementia-friendly community movement is to support dementia residents in living a more independent, less-stigmatized, lifestyle. In such a community, all sectors of the community are prepared and equipped to support people living with dementia and their care partners, Dementia Friendly America (DFA). The DF movement relies on collaboration of many community partners, […]
The AHA recommended to the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology that interoperability should be measured not only by electronic health information exchange and use, but should also include: availability of standards, structures and infrastructure to support those goals. One requirement of the Medicare Access and […]
The MCBS 2013 Access to Care public use file (MCBS PUF) provides the first publicly available MCBS file for researchers interested in the health, health care use, access to and satisfaction with care for Medicare beneficiaries, while providing the very highest degree of protection to the Medicare beneficiaries’ protected health information. Celebrating 25 years of […]
The OIG has found that some contract supplies in Round 2 of the Durable Medical Equipment Competitive Bidding Program had not met all of the competitive bidding licensure requirements. Specifically, of the 146 suppliers covered in our audit, 69 suppliers met licensure requirements. However, 63 suppliers did not meet licensure requirements for some of the […]