In its January release, The Medicare Payment Advisory Commission (MedPAC) recommended Congress adjust Medicare’s hospital inpatient payments over three years to recover overpayments that have resulted from recent documentation...Read More »
Come October 2013, healthcare facilities will switch from reporting ICD-9-CM codes to the internally accepted ICD-10-CM code set.
CMS developed General Equivalence Mappings (GEMs) in order to help translate ICD-9 codes to ICD-10. Providers can use the GEMs “as a sort of...Read More »
Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review with a list of 24-DRGs in December 2009. A few weeks later it added 15 more DRGs to its list.
Connolly’s list was the first published, so it provided a good preview
Most organizations evaluate performance by looking at calendar year data, so set aside some time in January to run some reports and analyze your program. If you’re not the data manager for your program, make an appointment to sit down with your data person/report developer/manager to review...Read More »
