CMS released a change request May 30 describing changes which will be implemented in the July 2017 quarterly update to the outpatient prospective payment system (OPPS...Read More »
CMS released the final 2018 ICD-10-CM code set for October 1 implementation this week. The update includes codes relating to cardiac conditions, substances, and myocardial infarctions (MI)—to name a few.Read More »
Researchers studying ED visits at a freestanding academic children’s hospital from June 1, 2013, to May 31, 2015, found that electronic alerts help reduce missed pediatric sepsis diagnoses by 76%,...Read More »
Q: At my institution, we typically do not capture the pleural effusions noted and documented with a congestive heart failure (CHF) exacerbation unless a pleural tap was completed. Coding Clinic states it is acceptable to...Read More »
Editor’s note: This article originally appeared in the Revenue Cycle Advisor. For more information about Hierarchical Condition Categories (HCCs), read ...Read More »
Freedom Health and Optimum Healthcare, two large health insurers based in Florida, are paying $32.5 million to resolve a federal and state investigation into claims they defrauded CMS by submitting risk adjustment scores that improperly inflated their Medicare Advantage reimbursement,...Read More »
