Scrutiny of coding compliance in ambulatory surgery centers (ASCs) from both Medicare and private payers has been on the rise in recent years.
Due to the high volume of new ICD-10 procedure and diagnosis codes released on October 1, 2016, the CMS was unable to update all of the PQRS measures. As a result, CMS will not penalize eligible providers or group practices that fail “to satisfactorily report for CY [calendar year] 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for the 4th quarter of CY 2016.”
As providers gear up to meet reporting requirements under MACRA’s new Quality Payment Program, HIM stands to play a prominent role in the transition to value-based care.
From taking the kids trick or treating to putting together the perfect costume or creating your jack-o-lantern masterpiece, Halloween is many people’s favorite time of year… but sometimes there can be some unexpected hiccups in the festivities.
The Centers for Medicare and Medicaid Services (CMS) released its hotly anticipated 2,400-page Medicare Access and CHIP Reauthorization Act (MACRA) Final Rule on Friday. The rule, now open for comment, finalizes the new payment and healthcare quality reforms for those physicians seeking reimbursement for services by Medicare.
If the 20-year long transition to ICD-10 is any indication of the course of future updates to our basic healthcare data infrastructure, it is important to understand the tactics and motivation behind the policy debate and the campaign to stop ICD-10 implementation—and learn from the hard-won lessons.