The Centers for Medicare & Medicaid Services (CMS) is moving quickly on its strategies for outpatient office evaluation and management (E&M) services, targeted for implementation in 2021, and the American Medical Association (AMA) is working hard to try and keep up.

The revision was long pending and will feed the country-level mortality and morbidity data requirements to progress towards achieving sustainable development goals (SDGs) and universal health coverage (UHC).

It seems that every day there are articles or legislation in the state and federal government intended to put a stop to so-called “surprise bills.” Fingers are pointed, blame is placed, and causes are cited to support particular positions. 

The ICD-10-CM is so granular that it has been described as needlessly specific, absurd, and unnecessarily detailed. Some argue that this seemingly excessive detail, in theory, allows for more accurate labeling of diagnoses required both for billing and observational analysis.

The Centers for Medicare & Medicaid Services (CMS) recently made significant changes in its statistical sampling methodology for overpayment estimation. Effective Jan. 2, 2019, CMS radically changed its guidance on the use of extrapolation in audits by...

Valerie Watzlaf, 2019 American Health Information Management Association (AHIMA) President and Chair, was a guest on the most recent Talk Ten Tuesdays broadcast. Here are her remarks from that broadcast.

Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously had no bearing on reimbursements — and leading industry voices say there are multiple paths to getting there.