AMA announced that the CPT codes for the third doses of the Moderna and Pfizer COVID-19 vaccines are finalized and ready for the upcoming booster shot administrations. The American Medical Association (AMA) announced that the Current Procedural Terminology (CPT) codes for the third doses of the Moderna and Pfizer COVID-19 vaccines are effective for immediate […]
While much attention has been focused on the release of the IPPS Final Rule, other final rules might have gone unnoticed. The Centers for Medicare & Medicaid Services (CMS) were very busy the first week of August, with the release of final rules for skilled nursing facilities (SNFs), hospices, inpatient rehabilitation facilities (IRFs), and inpatient […]
It is critical to submit comments on proposed rule on critical care. As I said last week, the Physician Fee Schedule Proposed Rule for the 2022 calendar year (CY) came out July 23, and the Centers for Medicare & Medicaid Services (CMS) is soliciting comments by Sept. 13 I’m going to review the proposed changes […]
Providers seeking to get ahead of the curve before the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Final Rule for the 2022 fiscal year (FY) takes effect this Oct. 1 will find everything they need packaged in a dynamic three-day webcast being presented by ICD10monitor, starting today. The 2022 […]
The effects of COVID-19 are still being felt in the states and influencing the Centers for Medicare & Medicaid Services’ (CMS’) decisions for policy changes, as evident in the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule. Released mid-July, the proposed rule focuses on righting various shortcomings in healthcare that were highlighted during the ordeal […]
Deciding which code to use starts with determining each payer’s policy. The Healthcare Common Procedure Coding System (HCPCS) has two principal subsystems, referred to as Level I and Level II. Knowing when to use HCPCS Level I codes versus HCPCS Level II codes can be confusing, mainly because many services are described by both code […]
Medicare payment policies and rates are set to be adjusted for the 2022 fiscal year as a result of the moves. The Centers for Medicare & Medicaid Services (CMS) brought a four-pack of final rules to the backyard barbecue as the dog days of summer continue. The federal agency unveiled the plans on Thursday, noting […]
Released earlier than usual, the fiscal year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting became available online Monday, July 12, and include instructions for assigning novel code U09.9 Post COVID-19 condition (found under Section I.C.1.g.1). Familiarize yourself with the following new and revised guidance, effective October 1, to ensure proper diagnosis coding and […]
Medical practices are leaving money on the table by under-coding. Are one or more of your physicians under-coding? Missing revenue? Or relying too much on COVID-related funding? These are valid questions, as medical practices are getting back to pre-pandemic levels of care and encounters. Under-coding in particular has been a topic of concern lately. As […]
The Centers for Disease Control and Prevention (CDC) released the ICD-10-CM Official Coding and Reporting Guidelines for the 2022 fiscal year (FY) on July 12th. The latest edition comprises 115 pages, which marks an 11-page reduction compared to the FY 2021 version. These updated guidelines will come into effect for discharges and visits from October […]