CPT Code Updates for 2012

The 2012 updates to the CPT code set include 278 new codes, 139 code revisions, and 98 code deletions. This brings the total number of CPT codes to 9,641. All major sections of the CPT code set, as well as the introduction and appendix A, have undergone changes. Beginning with the introduction to the code set, the “Instructions for Use of the CPT Codebook” were revised to include the CPT definition of qualified healthcare...

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New Rules for Funds Transfer, Remittance Advice

The flurry of activity on HIPAA transaction standards continues. The Department of Health and Human Services published an interim final rule for standards on electronic funds transfers (EFTs) and electronic remittance advice (ERA) on January 10. Mandated by the Affordable Care Act, the new standards are intended to simplify a currently complex system used by clearinghouses, providers, and payers to send and receive payment and claims...

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Playing Catch-up on 5010

The last organizations are hurrying to complete their transitions to version 5010 of the HIPAA transaction standards. CMS expects nearly everyone to cross the finish line before enforcement begins March 31, and it does not anticipate extending the deadline further.

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Medicaid Receives First Quality Measures

The Department of Health and Human Services has released the first quality measures for the Medicaid program. The initial set of 26 measures is intended to align with existing quality programs. Reporting will be voluntary and is not schedule to begin until December 2013.

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January 2012

A forest of issues crowds the 2012 HIM landscape. AHIMA practice experts offer a guide for the year ahead.

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