ICD-11 Implementation Prompts Request for Information

Published: Thu, 07/06/23

Link to all things medical coding & billing

ICD-11 Implementation Prompts Request for Information

A Request for Information has been published in the Federal Register: National Committee on Vital and Health Statistics; Meeting and Request for Information asking comments on ICD-11 implementation. Among the questions asked include the following:

OIG: Medicare Overpayments Due to Coding Discrepancies Totaled $22.5M

Medicare improperly paid practitioners at a higher non-facility rate for services provided to skilled nursing facility (SNF) or hospital inpatients, leading to over $22 million in over-payments, a report from the HHS Office of Inspector General (OIG) found.

Supreme Court Issues Landmark FCA Ruling

The U.S. Supreme Court ruled on a False Claims Act (FCA) case last week. As you probably know, the FCA makes it illegal for a healthcare provider to submit for reimbursement a false claim. For example, submitting a claim for someone who does not exist – that would be a false claim.

New Changes from CMS for HCCs Reimbursement

HCCs and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the CMS released the related advance-notice final rule in April, and it includes major changes to the HCC reimbursement methodology that go into effect in 2024.

Moving The Needle In Healthcare: From Price Transparency To Automation

The last several years have been tumultuous for the healthcare industry. Providers are continuing to face challenging profit margins, increased costs, staffing shortages and burnout. At the same time, consumers are demanding better experiences and greater transparency.

3 Advances That Could Change Patient Care

Amid the many challenges health care leaders face today, it can be easy to lose sight of some recent advances that could significantly change patient care.

Here’s a look at some breakthrough advances cited by the Association of American Medical Colleges...

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