DEVELOPING STORY The Centers for Medicare & Medicaid Services issued new guidance late Monday in an effort to clarify the agency’s joint statement issued on July 6 regarding an agreement reached with the American Medical Association.
A recent announcement from the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) was certainly a welcome surprise to most of us. There were actually three items involved: the announcement, the additional guidance document, and a letter to Medicare providers.  Everyone I’ve talked to has…
Last week the Centers for Medicare & Medicaid Services (CMS) announced, in cooperation with the American Medical Association, an agreement not to audit and penalize practices for incorrect ICD-10 coding as long as a valid code in the correct category is reported for one year after ICD-10 goes live on…
It looks like ICD-10 will indeed keep on trucking, with the American Medical Association (AMA) now on board and the Centers for Medicare & Medicaid Services (CMS) recently having made an announcement regarding a transition period. Not only was this important to reassure folks that there would be no turning back…
A joint announcement issued on July 6, 2015, by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) tackled a number of ICD-10 issues in an effort in ease the burden for physician practices transitioning to ICD-10. While this effort addressed several important issues, at…
Project managers (PMs) understand that the key elements of the ICD-10 project—making a plan, training your clinical staff, updating internal processes, communicating with vendors and payers, testing internal systems, and testing externally are all table stakes: Doing well in these areas is no guarantee of success, regardless of the facility…
When something needs fine-tuning, it’s either near the end of preparation (“Hey, let’s fine-tune the presentation before tomorrow’s meeting”) or in pretty good shape overall (“Fortunately, that squeak is no big deal; your car just needs fine-tuning”). For most providers, both scenarios are likely an accurate reflection of their ICD-10…
“Lately it occurs to me what a long, strange trip it's been.” No sooner had custodians cleaned up the remaining debris from the three-night “Fare Thee Well” concert by the Grateful Dead at Chicago’s Soldier Field last week than the Centers for Medicare & Medicaid Services (CMS) announced last Monday…
Cooperative Exchange (CE), the National Clearinghouse Association recently surveyed its members regarding its recent ICD-10 testing experiences. The CE received informative and helpful feedback on members testing with different types of payers: Medicare; Medicaid; commercial health plans; Tricare; Property and Casualty (P&C); and group health payers. As you can imagine,…
Regardless of size, many physician practices are struggling with ICD-10 implementation. Over the last couple of months, much of the industry focus has been on smaller practices. This makes sense, given the financial and operational limitations of these practices. However, large practices (i.e., those with 25 or more physicians, as…