On July 29, CMS issued a proposed rule that proposes to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2020. This rule also: Proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis […]
CMS is proposing price transparency requirements that will increase competition among all hospitals by requiring them to make pricing information publicly available. As a result, patients would be able to shop for health care that meets their needs and budgets. The proposals for calendar year (CY) 2020 includes historic changes that would require hospitals to […]
Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]
New OCR Guidance for Health Care Providers and Consumers on the HIPAA Privacy Rule and Communications with a Patient’s Family, Friends, or Others Involved in the Patient’s Care The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has provided two websites containing HIPAA Privacy Rule guidance documents – one for health […]
Gotta Go: Diagnosis Coding for Genitourinary Conditions
Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]
Section 6409 of the Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010. Section 6409(a) of the ACA required the Secretary of the Department of Health and Human Services, in cooperation with the Inspector General of the Department of Health and Human Services, to establish a Medicare self-referral disclosure […]
CMS provides guidance for Ambulance Service Providers on this page. Zip code files are updated regularly. Some of the most requested portions of the guidance include: The BBA of 2018 includes three major Medicare ambulance services provisions pertaining to: Extensions of certain ground ambulance add-on payments, Development of a data collection system for ground ambulance providers […]
This 5-page document from CMS explains the basics of POA Indicator Reporting for IPPS Hospitals POA Fact Sheet CMS coding explanation for POA Available zip files: FY 2020 Present On Admission (POA) Exempt List [ZIP, 1MB] FY 2019 Present On Admission (POA) Exempt List [ZIP, 1MB] FY 2018 Present On Admission (POA) Exempt List [ZIP, […]