Anthem is currently facing a False Claims Act lawsuit from the Department of Justice (DOJ) for submitting inaccurate diagnosis codes to get a higher Medicare...Read More »
The state of New York issued an executive order directly effecting the work of health information management (HIM) professionals in light of the COVID-19 pandemic. Currently, the state of New York has over 83,000...Read More »
CMS announced that it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission. The action comes as part of the response to the novel...Read More »
CMS has released voluntary recommendations for elective surgeries in an effort to encourage providers to cancel non-essential procedures until the COVID-19 pandemic subsides, HealthLeaders Media reported. The administration urged everyone to conserve critical resources such as...Read More »
CMS announced the release of an updated ICD-10 MS-DRG grouper software package to accommodate the new diagnosis code, U07.1 for COVID-19, effective with discharges on and after April 1, 2020.
The announcement notes that this will replace the grouper software package V37.1 that was...Read More »
ECRI Institute recently published its annual list of the Top 10 Patient Safety Concerns. The goal of this list is to help facilities’ efforts for proactively identifying and responding to threats to patient safety.
ECRI notes that this list was created before the COVID-19 outbreak...Read More »
Humana recently launched an initiative aimed to help clinicians address nonmedical health risk factors. The social determinants of health (SDOH) value-based program targets these nonmedical issues such as homelessness, inconsistent access to food, and housing instability, Healthcare Dive...Read More »
The Centers for Disease Control and Prevention (CDC) announced during the March 18 ICD-10-CM Coordination and Maintenance Committee meeting that a new code specifically for reporting COVID-19 will be available for use starting on April 1, 2020. The code will be housed in Chapter 22, Codes for...Read More »
