Ready for PDPM?

Published: Fri, 08/10/18

Ready for PDPM?

It's been an open secret that the federal government has, for years, wanted to change long-term care's payment system from one rewarding volume of services to one that pays for quality outcomes instead. The new Patient-Driven Payment Model (PDPM) may be just the ticket to reaching the goal. Providers and various analysts have...

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CMS Proposed E&M Changes Would Eliminate 1995 and 1997 Guidelines

Major E&M changes on the horizon. Probably the biggest change in healthcare in two decades is the Centers for Medicare & Medicaid Services (CMS) proposal to redefine the documentation requirements for evaluation and management (E&M) coding in 2019. The agency is proposing to...

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Preview of New ICD-11 Codes Revealed

There is a lot of buzz in the industry about the possibility of ICD-11. We are so many years from that becoming a possibility, though, with our clinical modifications and political culture. And we still have a lot of work to make ICD-10-CM all that we need it to be. It would be disappointing to...

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2019 Official Guidelines for Coding & Reporting: Contain Significant Changes

The 2019 Official Guidelines for Coding and Reporting of ICD-10-CM have been released, and they certainly encompass some notable changes, as always. Changes occur in the “Conventions,” the “General Guidelines,” and several chapter-specific guidelines as well.

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Staying in Step with Contractual and Coding Changes

Change is never-ending for ambulatory surgery centers (ASC's). ASCs need to always stay on top of the seemingly nonstop influx of contractual and coding changes, which can have a direct impact on cash flow. Here are just some of the recent changes facing ASCs:

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