Category Archives: Industry News

AHA shares new resource on ICD-10-CM coding for social determinants of health

AHA successfully advocated changing the requirement for these codes to be based on information documented by all clinicians involved in the patient’s care instead of physician documentation only. Continue reading

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CMS terminates Kansas hospital’s Medicare billing privileges: 5 things to know

CMS revoked Overland Park, Kan.-based Blue Valley Hospital’s Medicare billing privileges April 11, and the hospital is now suing HHS and CMS over the decision. Continue reading

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MIPS Updates: 2018 Eligibility Tool Now Available; CMS Announces ‘Study on Burdens’ for Quality Reporting

The second year of MIPS reporting – the Quality Payment Program (QPP) Year 2 – was just about to enter its fourth month as health care providers were hitting “submit” to meet the deadline for Year 1 QPP reporting. Continue reading

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CMS axes a Medicare Advantage star rating measure: 5 things to know

CMS is removing a star rating unit for Medicare Advantage plans, according to its 2019 Rate Announcement and Call Letter. Continue reading

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CMS Finalizes Medicare Advantage and Part D Changes for 2019 – Medicare Rights Blog

This week, the Centers for Medicare & Medicaid Services (CMS) released the final Medicare Advantage and Part D 2019 Rate Announcement and Call Letter. This is the finalized annual update to Medicare Advantage and Part D programs, which includes payment up Continue reading

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10 key trends for ASCs and outpatient surgery in the next 10 years

Here are 10 predictions and key trends for outpatient surgery and ASCs, including key specialties and outpatient growth, through 2027. Continue reading

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Letter to CMS: 5 insights on what orthopedic surgeons think about removing TKA from the Medicare Inpatient Only list

5 insights on what orthopedic surgeons think about removing TKA from the Medicare Inpatient Only list Continue reading

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Study: More ‘Collaboration and Consistency’ Needed Between PTs and Surgeons in TKA, THA Measures

More ‘Collaboration and Consistency’ Needed Between PTs and Surgeons in TKA, THA Measures Continue reading

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Proper Documentation is Critical to Our Modern Healthcare System | Journal of AHIMA

Is documentation improvement and proper use of ICD-10-CM critical to the nation’s healthcare debate? I say definitively yes, in every way. Continue reading

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CMS call tomorrow on new ACO model | AHA News

The Center for Medicare & Medicaid Innovation tomorrow will host the first in a series of Open Door Forums on its Next Generation Accountable Care Organization Model. Continue reading

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