“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…
On the heels of H.R. 2126, a bill introduced by U.S. Rep. Ted Poe (R-Texas) “to prohibit the Secretary of Health and Human Services (HHS) from replacing ICD-9 with ICD-10 in implementing the HIPAA code set standards,” comes H.R. 2247.
Sure as shootin’, U.S. Rep. Ted Poe (R-Texas) couldn’t resist the temptation of coming back to the table for a second time with his latest distraction, H.R. 2126: a proposed bill “to prohibit the Secretary of Health and Human Services from replacing ICD-9 with ICD-10 in implementing the HIPAA code…
Here we go again. Just as we have previously reported here in the ICD10monitor e-news about the industry’s half-hearted approach to 5010 adoption, new questions continue to be raised and concerns expressed about just how compliant the nation’s hospitals are. The current issue focuses on the inability of some providers…
The recent Workgroup for Electronic Data Interchange (WEDI) survey results confirm what everyone watching this race to ICD-10 already knows. The proactive and mostly larger groups, facilities, and practices are proceeding full steam ahead for the Oct. 1, 2015 implementation date. The rest of the world is either taking a…
The ICD-10 Coordination and Maintenance (C&M) Committee is a public forum for the presentation of proposed modifications to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and ICD-10 Procedure Coding System (ICD-10-PCS). The committee is responsible for approving coding changes, developing errata, addenda and other modifications. At the…
July 31 brought good news to the healthcare community with the announcement from the U.S. Department of Health and Human Services (HHS) that Oct. 1, 2015 is the new implementation date for the much-awaited ICD-10 coding set.
One of the most sophisticated reimbursement models in the United States involves hierarchical logic for grouping a coded health record into a designated payment group based upon the Medicare Severity Diagnosis Related Group (MS-DRG). This is the basis of payment used in the Medicare Inpatient Prospective Payment System (IPPS). The…