There are 16 new discharge status codes which went into effect 10/1/13. At this time, they apply only to MS-DRGs 280 (Acute Myocardial Infarction, Discharged Alive with MCC), 281 (Acute Myocardial Infarction, Discharged Alive with CC), 282 (Acute Myocardial Infarction, Discharged Alive without CC/MCC) and 789 (Neonates, Died or Transferred to Another Acute Care Facility). … [Read More]
Meaningful Use Audits
CMS Meaningful Use audits are on the rise. Ensuring that a facility qualified for bonus payments may be an uphill battle if there is no proof of documentation supporting the Meaningful Use and clinical quality measure data submitted during attestation. CMS initiated Meaningful Use audits in July 2012, now consisting of both pre- and post- … [Read More]
2014 CPT / OPPS Update Webinar – Part 1
This webinar covers the E/M through Surgical Cardiology sections of CPT. (Duration 1 hour) Register below to view recorded webinar Part 1: https://www1.gotomeeting.com/register/245974288 Download handouts/presentation PDF: 2014 CPT OPPS Update Part I Handouts_3up 2014 CPT OPPS Update Part I Handouts_2up 2014 CPT OPPS Update Part I 2014 CPT / OPPS Update Webinar – Part 2 … [Read More]
Rules, Rules, Rules
How is your facility going to get this right? Today as healthcare providers, clinical staff and coders we are up against many challenges. With ICD-10-CM/PCS implementation just less than a year away there is urgency to get ready now to avoid lost reimbursement later. 5010 Testing is still continuing for many facilities and payers. Statistics … [Read More]
CMS Implements CARC and RARC Updates
The Centers for Medicare and Medicaid Services (CMS) implemented updates to Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) lists on October 7, 2013. Per Medicare policy, CARCs and RARCs that provide either supplemental explanation for a payment adjustment or policy information that generally applies to the payment adjustment are required in … [Read More]
