Latest information comes in the wake of the coronavirus pandemic. The Centers for Medicare & Medicaid Services (CMS) has published Medicare Severity Diagnosis Related Group (MS-DRG) information related to COVID-19, effective April 1, 2020. The diagnosis will be a Major Complication Comorbidity (MCC), and grouping will be dependent on the…
Defining Medicare’s chronic care management services. CCM services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient. These services are for patients who qualify for ongoing management and surveillance…
March 23, 2020---The Centers for Medicare & Medicaid Services  (CMS) has clarified its position on the use of swing beds, saying that swing beds can accept patients without a three-day inpatient stay. In a question and answer response to the issue, CMS stated the following: Q. Does waiving the requirement…
The two-day meeting is being held as a webcast event. The coronavirus pandemic has impacted the Centers for Medicare & Medicaid Services (CMS) Coordination and Maintenance Committee (C&M) meeting, which is scheduled for Tuesday and Wednesday this week.   The two-day meeting will now be held as a webcast- only event.…
The rule does not set requirements for the privacy and security of the apps and the data they contain.  The Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS) final interoperability rules were released last week, about a year after the…
Request is to invoke emergency powers to issue an 1135 disaster and emergency waiver of certain regulations. As updates on the COVID-19 pandemic change day by day, and the number of cases in the U.S. climbs, hospitals are starting to see the effects. In Seattle, it has been reported that…
More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the 2020 Physician Final Rule.  The good news is that the Centers for Medicare & Medicaid Services (CMS) gave us all…
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…
Coronavirus continues to dominate the news. EDITOR’S NOTE: This is a developing story and ICD10monitor will continue to update you on the latest development on this global health crisis. In the wake of the deadly coronavirus (nCoV), U.S. hospitals are preparing for an emergency response nationally by using the four “Ss”…
EDITOR’S NOTE:  Dr. Erica Remer reported this story live during the January 14 edition of Talk Ten Tuesday. The following is an edited transcript of her reporting. When I do my Case Western Reserve University documentation course, I sometimes joke about the future, when we won’t need to document because the…