Welcome to Coverage of the 2012 Summit

Welcome to the Journal of AHIMA’s coverage of the AHIMA 2012 ICD-10 Summit. The summit takes place April 16–17 in Baltimore, MD, and explores the challenges and opportunities involved in the transition to the ICD-10-CM/PCS coding systems. The Journal’s coverage begins April 11 with session previews and comments from the presenters. Keep up to date on the summit by checking this site daily, subscribing to the RRS feed, and following...

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HHS Settles HIPAA Investigation for $1.5 Million

The Department of Health and Human Services has recorded its first enforcement action resulting from the 2009 breach notification rule, reaching a $1.5 million settlement with Blue Cross Blue Shield of Tennessee over a breach of more than 1 million records contained on stolen hard drives.

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Practicing with PCS: Too Many Brats

It’s October 1, 2013, the first day the ICD-10-CM/PCS codes are required in practice. It is also a landmark day for fictional 45-year-old John Smith. At first Smith thought he’d had one mustard-covered brat too many. But the chest pain he initially brushed off as heart burn worsened, leading Smith to fear it may be the first indication of serious heart problems. Smith raced to the local emergency room, and doctors rushed into action....

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A Second Delay for 5010

The Centers for Medicare and Medicaid Services has again delayed enforcement of the HIPAA 5010 transaction standards, pushing the deadline back three months to June 30, 2012.

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The ABCs of Government Auditors

More than a dozen government audit programs currently inspect Medicare and Medicaid claims. Following are descriptions of the major auditors and their areas of focus. CERT CMS implemented the Comprehensive Error Rate Testing (CERT) program to measure improper payments in the Medicare Fee-for-Service (FFS) program. It was designed to comply with the Improper Payments Elimination and Recovery Act of 2010. All claims for the CERT program...

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