The week in Medicare updates
APCs Insider, March 20, 2015
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
CMS releases ICD-10 conversion update for NCDs
On March 6, CMS released the second maintenance update change request of ICD-10 conversions and ICD-9 coding updates specific to national coverage determinations (NCDs).
Effective date: April 6, 2015, for designated ICD-9 updates and all local system edits (ICD-9 and ICD-10); July 1, 2015, for all ICD-9 shared system edits; October 1, 2015, for all ICD-10 shared system edits (or whenever ICD-10 is implemented)
Implementation date: April 6, 2015, for designated ICD-9 updates and all local system edits; July 6, 2015, for ICD-9 and ICD-10 shared system edits
View Transmittal R1478OTN.
CMS removes multiple NCDs using expedited process
On March 6, CMS released a change request to remove certain NCDs from the Medicare National Coverage Determinations Manual.
Effective date: December 18, 2014
Implementation date: April 6, 2015
View Transmittal R180NCD.
View the NCD website pages regarding these retired and removed items:
OIG completes Medicare compliance review of Mercy Hospital in Saint Louis for 2011 and 2012
On March 6, the Office of Inspector General posted a report stating Mercy Hospital in Saint Louis complied with Medicare billing requirements for 151 of the 205 inpatient and outpatient claims reviewed. However, it did not fully comply with Medicare billing requirements for the remaining 54 claims, resulting in overpayments of $329,000 for calendar years 2011 and 2012 (48 claims) and 2010 and 2013 (six claims).
View the report.
CMS releases change request regarding screening for hepatitis C virus in adults
On March 11, CMS released a change request regarding screening adults for hepatitis C virus. Transmittal 3127, dated November 19, 2014, is being rescinded and replaced by Transmittal 3215.
Effective date: June 2, 2014
Implementation date: January 5, 2015, for non-shared MAC edits and CWF analysis; April 6, 2015, for remaining shared systems edits
View Transmittal R3215CP.Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
-
Briefings on APCs
Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...
-
HIM Briefings
Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...
-
Briefings on Coding Compliance Strategies
Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...
-
Briefings on HIPAA
How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...
-
APCs Insider
This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Code diagnoses and outpatient treatment for PTSD
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- What to include on the incident report
- Differentiate between types of wound debridement
- Complications from immobility by body system
- Know guidelines and subtle differences in code descriptions for laceration repairs
- E-mailed
-
- New workplace violence training program focuses on healthcare settings
- Q&A: Resection or excision in ICD-10
- Can we charge for insertion of a PICC line when a certified nurse performs it?
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Answer appropriate questions before billing for IV antibiotics and dressing change
- HIPAA Q&A: You've got questions. We've got answers!
- Fracture coding in ICD-10-CM requires greater specificity
- Don't forget the three checks in medication administration
- Dig into the details of wound care documentation
- Correctly code for obstetric/maternity services provided during various stages of delivery
- Searched
