CMS plans major changes to payment calculations

September 1, 2012
Briefings on APCs

CMS is proposing two major changes as part of the 2013 OPPS proposed rule, released July 6. One has to do with how CMS proposes to calculate APC relative weights; the other addresses the reimbursement level for separately payable drugs and biologicals without pass-through status.

Supervision delay extension for CAHs among proposals

September 1, 2012
Briefings on APCs

CMS proposes extending non-enforcement of supervision requirements, asks for comments on observation services as part of 2013 OPPS proposed rule.

Compare coding for diabetes in ICD-9-CM, ICD-10-CM

September 1, 2012
Briefings on APCs

Many coders can quickly quote the code for diabetes mellitus in ICD-9-CM (code 250.00) when the physician only documents diabetes mellitus. But what will coders need in the documentation for diabetes mellitus in ICD-10-CM? Dissect the differences in coding for diabetes mellitus in ICD-9-CM and ICD-10-CM.

This Month's Coding Q&A

September 1, 2012
Briefings on APCs

Our coding experts answer questions about reporting dialysis for ESRD patient in ED, coding for sequential infusions, procedures on the inpatient-only list, replacement code for C9732, and new drug HCPCS codes.