July, 2021 - Make Your Revenue Smarter

IRF PPS Final Rule FY2022

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The IRF prospective payment system (IRF PPS) Addenda along with other supporting documents and tables referenced in this final rule are available on the CMS website . Prior to 2020, each rule or notice issued under the IRF PPS has included a detailed reiteration of the various regulatory provisions that have affected the IRF PPS […]

CWTC [Episode 120] Hypercoaguable State, Guillian Barre due to, Recurrent DVT

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Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions… Please log in to view this content.

CMS Inpatient Only List CY2022

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The 2022 List of inpatient only codes is Appendix E of the OPPS Final Rule. Table of contents for the Addenda (PDF) All the Addenda are available in a .zip file from CMS (click here to download)

Stay on the Right Track with HCC Coding

OPPS Proposed Rule FY 2022

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Medicare Program:  Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for […]

Physician Fee Schedule Proposed Rule 2022

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CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access Rule Would Expand Access to Telehealth Services, Enhance Diabetes Prevention Programs The Centers for Medicare & Medicaid Services (CMS) is proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency (PHE) and to expand patient access to […]

CWTC [Episode 119] Sequella for SDH, Coding from the Acute Record in IRF, Routine Observation After Surgery

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Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions… Please log in to view this content.