When outpatient hospitals and physicians switch to ICD-10-CM diagnosis codes October 1, they will still continue to use CPT® codes to report procedures. But some facilities are planning to use the new procedure code set, ICD-10-PCS, as well.
The role of the utilization review (UR) committee has changed as facilities transition from reporting condition code 44 for concurrent reviews to condition code W2 for post-discharge reviews.
Since January, providers have been struggling to reconcile conflicts between CMS' rules and regulations and those published by the CPT® Manual and other AMA publications.
When OCR resumes its HIPAA audits sometime this year, healthcare organizations can expect members of the audit team to focus on key issues identified by the federal agency.
