An archeologist will excavate a site to uncover artifacts and other remains that update what we know about the past. These newly discovered objects help expand our understanding of our past and provide a bigger picture. The yearly updates to the ICD-10 CM code set work in much the same way– new codes and guidelines […]
Unintentional injuries are the fourth most common cause of death in the US amongst all age groups and the number one cause of death in people of all genders and races for ages 1-44. In 2020 a total of 200,955 people died from unintentional injuries. The leading causes of death due to injury in the […]
CMS is releasing a new proposed rule protecting access to emergency care and additional outpatient services for people in rural communities. CMS is establishing the Conditions of Participation (CoPs) for Rural Emergency Hospitals (REHs). The proposed rule will allow small rural hospitals to seek this new health care provider designation and provide continued access to […]
This proposed rule would set forth routine updates to the Medicare home health and home infusion therapy services payment rates for calendar year (CY) 2023 in accordance with existing statutory and regulatory requirements. This proposed rule discusses home health utilization; proposes a methodology for determining the difference between assumed versus actual behavior change on estimated […]
Sepsis, the Conundrum that keeps on giving! Are you experiencing denials or frustrations with payers related to protocols and medical necessity for your sepsis admissions? Listen in as the coder and clinical consultant discuss the recent challenges and solutions related to sepsis reporting. Part 2 will focus on admission protocols, denials and appeals. Our goals […]
The next episode of our audio blog “Coffee with the Coder®” is coming soon. CWTC features expert coders answering interesting (or popular) questions. Designed to take less time than a coffee break, CWTC is the conference call you don’t want to miss. And it’s FREE to listen. (717) 908 1834 access code 772888# or find […]
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 […]
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 […]