Coding

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On October 25, 2012, CMS is hosting a national provider call on Preparing Physicians for ICD-10 Implementation. The call will cover, among other topics: practical pointers for providers on transitioning to ICD-10 (currently set for October 1, 2014); an overview of ICD-10 implementation requirements; plans for local coverage determination (LCD) and national coverage determination (NCD)…

On September 5, 2012, the HHS published a final rule that establishes new requirements for administrative transactions that are intended to improve the utility of the existing HIPAA transactions and reduce administrative burden and costs. Specifically, the rule adopts the standard for a national unique health plan identifier (HPID) and establishes requirements for the implementation…

CMS is holding meetings July 16 and 17, 2012 to receive public input on the appropriate basis for establishing payment amounts for new or substantially revised HCPCS codes being considered for payment under the Medicare clinical laboratory fee schedule for 2013. The deadline for registration of presenters and submission of presentations is July 6,

On April 17, 2012, HHS published a proposed rule that would to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition (ICD-10) diagnosis and procedure codes from October 1, 2013 to October 1, 2014. HHS notes that many provider groups have expressed concerns about their…

CMS has announced the following schedule of public meetings to discuss preliminary coding and payment determinations for new Healthcare Common Procedure Coding System (HCPCS) applications:

  • May 8, 2012: Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents
  • May 9, 2012: Supplies and Other
  • June 5, 2012: Orthotics and Prosthetics and Durable Medical Equipment and Accessories

Registration is required.  CMS’s preliminary…

On February 16, 2012, CMS is hosting a Special National Provider Education Call regarding Medicare fee-for-service (FFS) implementation of HIPAA Version 5010 and D.0 transaction standards. The call will focus on addressing recommendations made by the industry as well as outstanding fixes impacting the Part A and Part B Version 5010 transition.  Registration is required.

CMS has compiled resources for the health care industry as they prepare for the transitions to Version 5010 HIPAA electronic health transactions standards on January 1, 2012 and the ICD-10 for medical diagnosis and inpatient procedure coding on October 1, 2013. Most recently, CMS has released a series of “Implementation Handbooks” to assist small and medium …

CMS has issued instructions on the CY 2012 update to the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule. Among other things, the transmittal provides for a 2.4% increase to the DMEPOS fee schedule; updates the gap-filling methodology for pricing of new DMEPOS; and provides instructions related to codes and modifiers, DMEPOS…

CMS is hosting a National Provider Call on “ICD-10 Implementation Strategies and Planning” on November 17, 2011. The call will include presentations by representatives from CMS, the American Hospital Association, the American Health Information Management Association, and the Centers for Disease Control and Prevention. The session will address, among other things: general ICD-10 requirements and…

On November 3, 2011, CMS is hosting a National Provider Call on “Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Minimum Data Set (MDS) 3.0 and Resource Utilization Group-Version 4 (RUG-IV) Policies and Clarifications.” CMS will provide a brief overview of the policies, along with clarifications on FY 2012 SNF PPS policies related to the…

CMS has announced a July 18, 2011 public meeting to receive comments and recommendations from the public on the appropriate basis for establishing 2012 Medicare payment amounts for a specified list of new CPT codes for clinical laboratory tests.  Registration is required.  Background information will be posted on the CMS website prior to the…

CMS is seeking comments on proposed revisions to the Healthcare Common Procedure Coding System (HCPCS) code application for the 2013 update. Among other things, CMS is proposing to collect more detailed information on how “durable” items withstand repeated use, along with information on device warranties for items that are the subject of a coding application. …

CMS is hosting a national provider teleconference on “CMS ICD-10 Conversion Activities” on May 18, 2011. In addition to providing a general overview, the call will review the CMS Coverage and Analysis Group’s transition to ICD-10 for lab national coverage determinations, home health conversion, OASIS and procedure code reporting, and an update on claims spanning…