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Comments on the proposals set forth in Part I and Part II of the advance notice must be submitted by March 6, 2020. The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare Advantage (MA, or Part C) and the Medicare prescription drug benefit…
The American Hospital Association has filed a lawsuit to block the rule. On Nov. 15, 2019, the Trump Administration proposed a new healthcare price transparency rule that would basically require hospitals to explain how much a medical service would cost before a patient receives treatment. This rule is due to…
It is important for coders and all healthcare professionals to know the difference, and why it matters. Intravenous therapy (IV) is quite common, administered by healthcare professionals on a very regular basis. As common as it may be, however, it's linked to an unusually high risk of potential harm to…
Cigna does sepsis right. EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesdays. The following is an edited transcript of her reporting. As usual, Dr. Ronald Hirsch clued me into today’s Talk Ten Tuesdays topic. Several weeks ago, he told me to check…
Nostalgia, solastalgia, and climate change. In our inaugural article in this exclusive series on the impact of climate change on mental healthcare, we listed the numerous climate-related conditions that seem to be emerging. The most intriguing one of all may be solastalgia. Even the name itself may pique your interest.…
Quality of care cannot be achieved without good data. 2020 has brought us many looming changes in healthcare. Unfortunately, we have already seen increased reporting criteria, more administrative burden, and many payment cuts. As we address all of these, not only this year but also in future years, we need…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a four-part series on healthcare data for ICD10monitor. This is the first installment in his exclusive series. The healthcare industry has spent an extraordinary amount of time, money, and effort to gather…
Understanding the ICD-10-CM Z codes is essential. On Feb. 6, RACmonitor posted an article by Ellen Fink-Samnick, a frequent contributor to ICD10monitor and Talk Ten Tuesdays. It was titled “Underutilization of ICD-10-CM Z Codes for Medicare Beneficiaries.” She reminded us that it’s been two years since we were given dispensation…