In the OPPS proposed rule, CMS had proposed to do away with the device to procedure and procedure to device edits. While this may seem like a provider friendly change, in fact, these edits have ensured that all costs, including the costs of all devices used, are billed by providers. This in turn ensures they are taken into account in rate setting, because CMS uses providers’ billed charges as a proxy for cost in setting future rates. Click the link above for more information and an in-depth analysis.
CMS issues certain quarterly updates relating to hospital outpatient services.These updates are primarily issued in the form of two recurring update notification transmittals (RUN).The first of these is a quarterly update to the IOCE Specifications. The second is a quarterly update to the Outpatient Prospective Payment System (OPPS). Because the most significant outpatient hospital changes become effective as of the beginning of each calendar year, the January updates are particularly important.Click the link above for more information and an in-depth analysis.
Medical Records Briefing (MRB) recently asked HIM, clinical documentation improvement (CDI), and coding professionals about their ICD-10 implementation efforts for our first quarterly benchmarking survey of the year.
As we listen to the tick-tock of the clock, and we approach a pivotal year in healthcare that is sure to be full of impactful changes, I’ve put together a top 10 list of tasks to which you can devote that precious work time.
