A report released last month by the American Hospital Association (AHA), called Commercial Health Plans’ Policies Compromise Patient Safety and Raise Costs, found that not only is the cost of private health insurance raising affordability issues for American consumers, but policies, such as prior authorization requirements, may increasingly be putting patients at risk and driving up hospital administrative costs.
Effective October 1, the ICD-10-CM code set will be updated to include over 1,100 new codes before counting code revisions and deletions. This article covers new codes for musculoskeletal and genitourinary conditions including muscle wasting, rib and sternal fractures, drug-induced neuropathy, and endometriosis.
This week’s Medicare updates include two updates to the OIG work plan, an updated emergency use authorization for the Pfizer and Moderna vaccines, details about a MEDCAC meeting to examine the requirements for clinical studies submitted for CMS coverage under Coverage with Evidence Development, and more!
Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, writes about the 2023 updates coders will find in the “Mental, Behavioral, and Neurodevelopmental Disorders” chapter for dementia.
CMS issued the final rules for the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) on August 1 and, like the proposed 2023 OPPS proposed rule, there aren’t any big surprises this year.
This week’s Medicare updates include the October update of the OPPS, the October I/OCE update, a revision to the manual regarding inpatient Part B services, and more!
