Healthcare News Articles
Below is a complete listing of all Healthcare News articles that have appeared in JustCoding News.
May 21, 2013
CMS has had a couple of busy months releasing various FY 2014 proposed rules. On May 1, CMS issued its proposed rule for skilled nursing facilities (SNF). On May 2, the agency issued its proposed rule for inpatient rehabilitation facilities (IRF). The two rules come in the wake of the IPPS proposed rule issued April 26.
May 14, 2013
CMS is translating only 27% of its current National Coverage Determinations (NCD) from ICD-9-CM to ICD-10-CM, according to Janet Anderson Brock, CMS’ director of the Division of Operations and Information Management, Coverage and Analysis Group Center for Clinical Standards and Quality.
May 7, 2013
Because of the code freeze currently in effect, CMS’ 2014 IPPS proposed rule, released April 26, contains a small number of code and MS-DRG changes.
April 30, 2013
The April 2013 issue of CMS’ Medicare Quarterly Provider Compliance Newsletter highlights two Comprehensive Error Rate Testing (CERT) issues that affect outpatient providers.
April 21, 2013
CMS seems to be giving hospitals somewhat of a reprieve when it comes to Recovery Auditor (RA) denials.
April 16, 2013
CMS added seven CPT® codes to the conditionally bilateral list as part of the April update to the Integrated Outpatient Code Editor. When a provider performs a conditionally bilateral service bilaterally, coders must append modifier -50 (bilateral procedure) to the code.
April 9, 2013
Three out of four providers have completed only 25% or less of their ICD-10-CM/PCS conversion process, according to an ICD-10 snapshot survey conducted by the Aloft Group in February. However, CMS and others are busy helping to ensure that providers and payers are ready for the transition to ICD-10-CM/PCS.
April 2, 2013
CMS added numerous device/procedure edits as part of the April update to the Integrated Outpatient Code Editor. To avoid triggering the edits, coders must report particular procedure codes and device codes together on the claim form.
March 26, 2013
Medical necessity for cardiovascular procedures is the top overpayment issue for three out of the four Recovery Auditors in FY 2013 first quarter (October 2012–December 2012), according to the most recent release of improper payment statistics.
March 19, 2013
On March 13, CMS issued a notice of ruling that establishes a policy that revises the current policy on Part B billing following the denial of a Part A inpatient hospital claim that a Medicare review contractor deemed to be not reasonable or necessary. The revisions are intended as an interim measure until CMS can finalize an official policy to address the issues raised by the Administrative Law Judge and Medicare Appeals Council decisions going forward.