In October, CMS will start including hospital scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey in its calculations for the valude-based incentive programs, which is part of the Value-Based Purchasing Programs. Is your organization ready?
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.
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.
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.
Betty B. Bibbins has a message for any healthcare professional-including HIM managers and directors-who struggles to get physicians to document with enough specificity to produce compliant coding and billing: It's your job to tell them how to do it better.
