Tag Archive | "2018"

Pair These ICD-10 2018 Official Guideline Updates With Their Code Set Counterparts

Friday, August 18, 2017

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The ICD-10-CM 2018 Official Guidelines are out and ready for review. When you check through the new OGs for changes, take special note of these updates that line up with 2018 code set revisions. Look at Level to Choose ‘In Remission’ Code When you start to apply new codes for substance abuse in remission (you’ll […]

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ICD-10 2018: This Is Why Documenting Site Matters for Undescended-Testicle Coding

Tuesday, August 15, 2017

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Our initial overview of ICD-10-CM 2018 looked at specialties with a large number of changes. But there are plenty of important changes coming Oct. 1, 2017, that didn’t fit into that quick analysis. Case in point: Urology has some interesting new codes that will be important for anyone who reports services related to congenital undescended […]

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Ups and Downs, MACRA Modifiers, and E/M DGs in MPFS 2018 Proposed Rule

Tuesday, July 25, 2017

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Part 3 of our proposed rule extravaganza is about the Medicare Physician Fee Schedule (MPFS) 2018 proposed rule. (Part 1 was QPP and Part 2 was OPPS). Let’s get down to business, checking out some highlights explained in recent issues of Medicare Compliance and Reimbursement. Plusses and Minuses The proposed 2018 conversion factor is 35.99, […]

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4 Things to Watch From the OPPS 2018 Proposed Rule

Friday, July 21, 2017

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We’re back for another installment of “what does 2018 (maybe) have in store”? We just covered the QPP proposed rule, and now we’ll take a look at the 2018 hospital outpatient prospective payment system (OPPS) proposed rule. CMS expects an overall 2 percent payment increase in 2018 (except for the changes mentioned in question 3 […]

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Transition and Flexibility Are the Buzzwords for QPP 2018 Proposed Rule

Tuesday, July 18, 2017

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CMS released the proposed 2018 Quality Payment Program (QPP) rule on June 20. To sum up the 1,000+ pages, 2018 will be something of a transition year like 2017 was for QPP, which was established under MACRA. If you read through the various summaries available, you’ll see the term “flexibility” used quite often, with specialty […]

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ICD-10-CM 2018 Posted! Let the Update Games Begin

Friday, June 16, 2017

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ICD-10-CM 2018 files are up on the CMS site! Here’s a quick overview of what’s coming when the new version goes into effect Oct. 1, 2017. (Looking for PCS? Click here.) Check Changes by the Numbers Based on the files posted, it looks like we’ll be dealing with more than 700 updates: 360 additions 142 […]

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Take a Peek at 2018 ICD-10-PCS Updates

Thursday, June 1, 2017

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It’s only June of 2017, but for coders that means it’s time to start watching for 2018 updates. ICD-10-PCS files are already available for review. This inpatient coding system, which changes to the 2018 version on Oct. 1, 2017, will see 3,562 new codes and 646 deletions for a total of 78,705 codes in the […]

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Here’s What’s in Store for Medicare Advantage and Part D in 2018

Tuesday, May 23, 2017

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Check out these bullet points for highlights from the 2018 Medicare Advantage and Part D payment and policy updates posted by CMS. Medicare Advantage Medicare Advantage (MA) plans, sometimes called Medicare Part C, are private plans approved by Medicare for people enrolled in Medicare. Medicare pays a fixed amount to the MA plan company, and […]

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