The 2020 IPPS final rule introduced several MS-DRG changes within Major Diagnostic Category 8, effective October 1, which could affect reimbursement for certain orthopedic infections, neuromuscular scoliosis, secondary scoliosis and kyphosis.
A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.
As Medicare Advantage makes strides to becoming the new norm, organizations need to establish new processes, educate staff, and advocate for patients. Learn how your organization can keep pace with change before it’s too late to catch up.
A retrospective study based on ICD-10-CM data from 16,884 emergency department (ED) visits found that individuals who received emergency medical care due to cannabis poisoning were substantially more likely than other patients to experience mental health disorders.
Q: Is there a recommended practice for how modifiers should be included in the chargemaster? Is it preferred to add them as a separate field or included in the HCPCS field?
Approximately 25% of the $3.8 trillion spent annually in the U.S. on healthcare can be characterized as waste, according to an analysis recently published in the Journal of the American Medical Association.
Managers should not assume that they can review every guideline, every item in Coding Clinic, or every coding-related issue targeted by the OIG or Recovery Auditors. However, those issues that have been identified as the result of denials, external coding audits, or quality initiatives should surface to the top of the audit list for the coding manager.
CMS recently announced that it is accepting comments until November 29 on a proposal to collect acquisition cost data from hospitals participating in the 340B drug discount program.
