CMS Proposes New Updates to Codes and MS-DRGs

Published: Tue, 04/30/19

The Inpatient Prospective Payment System (IPPS) Proposed Rule for fiscal year (FY) 2020 comes with a great many changes to the ICD-10-CM/PCS classification systems as well as the MS-DRGs. While the IPPS applies to...

5 Tips to Successfully Navigate Diabetes Coding

With the implementation of the Patient-Driven Payment Model (PDPM) fast approaching, now’s the time to prioritize your ICD-10 training, as proper diagnostic coding will become crucial to keeping your skilled nursing facility (SNF) revenue on target.

GAO Scrutinizes Insufficient Documentation as Cause for Improper Medicare and Medicaid Payments

For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste, misuse, and bungle. GAO’s investigations of...

Global Medical Coding Market Is Expected To Reach Around 24.72 Billion By 2025

Zion Market Research Offers an 8-Year Forecast In 110+ Pages Research Report “Medical Coding Market by Classification System (HCPCS and ICD), by Mode and by End-User: Global Industry Perspective, Comprehensive Analysis, and Forecast, 2018–2025” Between Forecasting Years.

The Need for Creating a Culture of Compliance

Compliance is a large part of our duties in healthcare. It is especially true for coding. With so many regulations, the audit atmosphere and payment nightmares, quite simply we are a moving target. For those of us in the...

CMS Mulls Regulating Shared Space in Provider-based Settings

At the American Health Lawyers Association Medicare and Medicaid conference in March, David Wright, acting deputy director for the Center for Clinical Standards and Quality from CMS described forthcoming guidance from...