The week in Medicare updates
HIM-HIPAA Insider, November 25, 2013
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!
Improve your patients’ health with the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)
On November 14, CMS issued an article for healthcare providers on the IPPE and the AWV.
View Special Edition article SE1338.
Use of claim adjustment reason (CARC) code 23
On November 14, CMS issued a transmittal instructing the Shared System Maintainers on how to use CARC 23 to report prior payer adjudication in case of a secondary claim.
Implementation date: April 7, 2014–Full implementation for FISS and MCS. Analysis & Design for VMS; July 7, 2014–Full implementation for VMS
Update to Medicare deductible, coinsurance and premium rates for calendar year (CY) 2014
On November 15, CMS issued a transmittal instructing Medicare Contractors on how to update the claims processing system with the new CY 2014 Medicare rates.
Implementation date: January 6, 2014
Bariatric surgery for treatment of co-morbid conditions related to morbid obesity
On November 15, CMS issued a transmittal stating that, effective for dates of service on and after September 24, 2013, facility certification shall no longer be required for coverage of covered bariatric surgery procedures.
Effective date: September 24, 2013
Implementation date: December 17, 2013
Updates to the Medicare Claims Processing Internet-Only Manual
On November 15, CMS issued a transmittal to make various updates to chapters of the Medicare Claims Processing Internet-Only Manual.
Implementation date: March 18, 2014
Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA 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
-
- CMS seeks comment on quality measures
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Q&A: Primary, principal, and secondary diagnoses
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Complications from immobility by body system
- Coding Clinic reiterates guidelines for provider documentation
- Prevent dehydration with nursing interventions
- E-mailed
-
- Capturing start and stop times for infusions
- Q&A: Sepsis as a primary diagnosis
- Note from the instructor: Billing Outpatient Laboratory Services - TOB 131 vs. TOB 141
- Learn how to read an OP report
- Inpatient-only procedures: Accuracy helps avoid denials, ensure compliance
- Don't forget the three checks in medication administration
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Coding Clinic reiterates guidelines for provider documentation
- Clinical Corner: Revisiting respiratory failure
- Clear up confusion surrounding observation services
- Searched
