January 2, 2014 – The Department of Health and Human Services (HHS) published a proposed rule today regarding certification (also referred to as attestation) under the Affordable Care Act, which
HCIM President & CEO, Michael Wilson, was recently interviewed for “The Benefits of ICD-10 to Medical Practices” article written by Shelly K. Schwartz and published in Physicians Practice: For all
There’s officially only one year left before the ICD-10 compliance deadline and CMS has no plans to extend the date, so it’s time to get moving! Although the extra year
Do you often need to add a detail line to your claims? If your claims processors are manually performing the following tasks over and over again, it’s time to automate
The Budget Control Act of 2011 required mandatory, across the board reductions in federal spending, which has been more commonly referred to as sequestration. CMS Announces FFS Payment Reductions –
HCIM’s SymKey® Benefit Plan Loader tool for QNXT™ allows you to update your benefit plan data 6-8x faster! Seamlessly integrates with your QNXT™ claim system and extracts your benefit plans
Check CMS’ website for the 2014 General Equivalence Mappings (GEMs) for diagnosis codes and inpatient procedure codes. The GEMs show forward/backward mapping between the 2014 ICD-9-CM codes and the 2014 ICD-10 codes. CMS has announced that they will post the 2014 Reimbursement Mappings in October 2013.
For other recent ICD-10 news and resources, visit the CMS ICD-10 website.
If you’re in the ICD-10 testing phase, you may want to view the updated ICD-10 end-to-end testing checklists that CMS and NGS released last month. Download the Payer ICD-10 Testing Checklist
For more information or for vendor and provider checklists, visit CMS’ ICD-10 webpage.
To all our healthcare payer friends, we thought you’d like to know that WEDI recently released a white paper on the EFT and ERA enrollment process:
WEDI’s EFT and ERA Enrollment Process White Paper >>
HCIM’s ACA Operating Rules Services and Software Solutions >>
On May 17, 2013, CMS released the 2014 ICD-10-PCS Materials, including guidelines, code tables, index, what’s new, a quick reference guide, and more. On October 1, 2014, ICD-10-PCS will replace ICD-9-CM, Volume 3, for coding inpatient procedures. Of course, CPT codes will still be used for outpatient procedures and services.
CMS also clarified that there will be no national requirement for the reporting of ICD-10-CM codes in Chapter 20, External Causes of Morbidity, although providers are encouraged to voluntarily report external cause codes. However, as with ICD-9-CM, providers may still be required to report ICD-10-CM external cause codes by their state or payer(s).
On March 13, 2013, CMS issued an updated ICD-10 Implementation Guide for Payers, which details why we’re transitioning to ICD-10, gives an overview of ICD-10 and its benefits, outlines the
Did you know that if you’re a HIPAA-covered entity, you could be faced with hefty fines if you’re not compliant with Phase I of the ACA Operating Rules by April