CMS to Conclude CHOPD Payments: A Response to the Change Healthcare Cyberattack

Published: Mon, 06/24/24

Updated: Mon, 06/24/24

Link to all things medical coding & billing

CMS to Conclude CHOPD Payments: A Response to the Change Healthcare Cyberattack

CMS has announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will conclude on July 12.

These payments, launched in early March, were designed to mitigate cash-flow disruptions faced by Medicare providers and suppliers, including...

New ICD-10-PCS Codes Are Here

The new ICD-10-PCS codes for the 2025 fiscal year (FY) were posted on the Centers for Medicare & Medicaid Services website on June 6. The Version Summary reflects 371 new codes and 61 deleted codes. The table below shows the changes by section...

Simplifying value-based care is paramount to a successful transition

The US health care industry continues a predominant fee-for-service provider reimbursement model, despite trying to shift to a value-based care model for now approaching two decades. Moreover, providers continue to be consumed in a figurative avalanche of paperwork. It is a challenging system for both practitioners and patients, often delivering...

CPT Editorial Panel suspends changes to RPM coding – what's next?

A push to improve reimbursement for remote patient monitoring programs has stalled, and that could prompt health systems and hospitals to think twice about launching or expanding their platforms. The roadblock is coming from the American Medical Association's 21-member CPT Editorial Panel, which hasn't been able to agree on amendments to the...

TEFCA Bringing Big Changes to Healthcare and Health Data Interoperability

I recently saw a notable update on the Trusted exchange Framework and Common Agreement or TEFCA, a federal program intended to improve health data interoperability across the healthcare industry.

It made me think about how quickly healthcare interoperability is advancing. Interoperability touches nearly all stakeholders in the industry, most...

Customizing AI scribes is key to reducing clinician editing time

Excessive clinical documentation is a widespread problem that is causing clinician burnout and even having an impact on patient care – as an American Medical Informatics Association survey recently showed. It revealed the frustration of physicians and nurses about the burden of electronic health record charting and the time and effort needed to complete...

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