Coder accuracy in ICD-10 may suffer if the focus is on productivity—and poor accuracy will hit hospitals’ revenue streams hard under value-based purchasing programs, experts at AHIMA’s 2016 convention agreed.
This week’s Medicare updates include CMS’ Quality Payment Program; updates to the interest rate for Medicare overpayments and underpayments; a new initiative to increase clinician engagement; and more!
In the outpatient setting, we have a different set of rules to follow in regard to the ICD-10-CM Official Guidelines for Coding and Reporting compared to those that follow the guidelines for inpatient care. The ICD-10-CM guidelines for outpatient coding are used by hospitals and providers for coding and reporting hospital-based outpatient services and provider-based office visits.
This week’s Medicare updates include the release of the October 2016 Medicare Quarterly Provider Compliance Newsletter; OIG reports on Medicare payments for clinical diagnostic laboratory tests; Reform of Requirements for Long-Term Care Facilities; and more!
The Cooperating Parties made revisions for 2017 to explain how bilateral conditions should be reported when the two sides are treated during separate encounters, as well as what codes would be appropriate once one side has been treated.
