Thursday, June 5, 2014

ICD-10 News: Documentation and Coding Concepts Webcast for Orthopedics

News Updates June 3, 2014

ICD-10 Documentation and Coding Concepts Webcast: Orthopedics

The Centers for Medicare & Medicaid Services (CMS) invites you to view a newly released webcast on ICD-10 documentation and coding concepts for orthopedics.
This webcast is the first in the CMS “Road to 10” series designed to help you with ICD-10 clinical documentation specific to your medical specialty.
To view the webcast please visit cms.gov/ICD10 for a link to “Road to 10,” then click on the “Webcast” tab located in the left-hand navigation bar.
An AHIMA-certified coder presents on the webcast, which focuses on unique ICD-10 clinical documentation needs and hot topics for orthopedics:
  • Physician perspective/clinical impact of ICD-10
  • Documentation requirements for certain conditions
  • Documentation changes and new concepts
  • Use of "unspecified" codes in ICD-10
CMS will also offer other webinars in the “Road to 10” series that will follow the same outline and objectives for other specialties, including cardiology, pediatrics, obstetrics and gynecology, and family practice and internal medicine. Stay tuned for updates on when those webcasts are posted!
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
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Tuesday, June 3, 2014

Physician Compare Listserv

Centers for Medicare & Medicaid Services
 


Physician Compare Listserv

Welcome to the Physician Compare listserv. This listserv is dedicated solely to Physician Compare related news, updates, alerts, and announcements. You are receiving this message because you have previously indicated an interest in Medicare.gov and/or Physician Compare. If you no longer wish to receive these messages, you can unsubscribe from this listserv by following the steps outlined in the footer below.
As required by the Affordable Care Act (ACA) of 2010, Physician Compare is a Centers for Medicare & Medicaid Services (CMS) website that helps consumers find and choose physicians and other health care professionals enrolled in Medicare. The website helps Medicare consumers make informed choices about the health care they receive. Physician Compare also looks to create explicit incentives for physicians to maximize performance through the publication of quality measures.

For more information on Physician Compare, we encourage you to visit the Physician Compare Initiative page.
Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

Last Chance to Register - ICD-10 Coding Basics Medicare Fee-For-Service National Provider Call

News Updates June 2, 2014

ICD-10 Coding Basics MLN Connects™ National Provider Call

On Wednesday, June 4, at 1:30-3pm ET, the Medicare Learning Network will be hosting an ICD-10 Coding Basics National Provider Call.
To Register: Visit MLN Connects™ Upcoming Calls. Space may be limited, register early.
HHS expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. Providers would have an extra year to prepare. During this MLN Connects™ National Provider Call, join us for a keynote presentation on more ICD-10 coding basics by Sue Bowman from the American Health Information Management Association (AHIMA), along with updates from CMS. A question and answer session will follow the presentation.
Agenda:
  • CMS updates, including the partial code freeze and 2015 code updates
  • Why ICD-9-CM is being replaced with ICD-10-CM
  • Benefits of ICD-10-CM
  • Similarities and differences from ICD-9-CM
  • Coding: Process of assigning a diagnosis code, 7th character, placeholder "x,” excludes notes, unspecified codes, external cause of injury codes, type of encounter
  • Documentation tips
  • How to obtain answers to coding questions
  • How to request modifications to ICD-10-CM
Target Audience: Medical coders, physicians, physician office staff, nurses and other non-physician practitioners, provider billing staff, health records staff, vendors, educators, system maintainers, laboratories, and all Medicare providers
Continuing education credit may be awarded for participation in certain MLN Connects Calls. Visit the Continuing Education Credit Information web page to learn more.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
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This service is provided to you by the Office of E-Health Standards & Services, ICD-10.
 

ICD-10 News: Successful Results from CMS ICD-10 Acknowledgement Testing Week

News Updates May 30, 2014

ICD-10 News: Successful Results from CMS ICD-10 Acknowledgement Testing Week

Additional testing scheduled for next year
By Niall Brennan, Acting Director, CMS Offices of Enterprise Management
This past March, the Centers for Medicare & Medicaid Services (CMS) conducted a successful ICD-10 testing week. Testers submitted more than 127,000 claims with ICD-10 codes to the Medicare Fee-for-service (FFS) claims systems and received electronic acknowledgements confirming that their claims were accepted.
Approximately 2,600 participating providers, suppliers, billing companies and clearinghouses participated in the testing week, representing about five percent of all submitters. Clearinghouses, which submit claims on behalf of providers, were the largest group of testers, submitting 50 percent of all test claims. Other testers included large and small physician practices, small and large hospitals, labs, ambulatory surgical centers, dialysis facilities, home health providers, and ambulance providers.
Nationally, CMS accepted 89 percent of the test claims, with some regions reporting acceptance rates as high as 99 percent. The normal FFS Medicare claims acceptance rates average 95-98 percent. Testing did not identify any issues with the Medicare FFS claims systems.
This testing week allowed an opportunity for testers and CMS alike to learn valuable lessons about ICD-10 claims processing.  In many cases, testers intentionally included such errors in their claims to make sure that the claim would be rejected, a process often referred to as negative testing. To be processed correctly, all claims must have a valid diagnosis code that matches the date of service and a valid national provider identifier. Additionally, the claims using ICD-10 had to have an ICD-10 companion qualifier code and the claims using ICD-9 had to use the ICD-9 qualifier code.  Claims that did not meet these requirements were rejected.
HHS expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM throughSeptember 30, 2015. Providers, suppliers, billing companies, and clearinghouses are welcome to submit acknowledgement test claims anytime up to the anticipatedOctober 1, 2015 implementation date. Submitters should contact their local Medicare Administrative Contractor (MAC) for more information about acknowledgment testing. However, those who submit claims may want to delay acknowledgement testing until after October 6, 2014, when Medicare updates its systems.
CMS will be conducting end-to-end testing in 2015. Details about this testing will be released soon.
Keep Up to Date on ICD-10
Visit the CMS ICD-10 website for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.
Department of Health and Human ServicesCenters for Medicare & Medicaid Services
Questions?  Contact Us
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This service is provided to you by the Office of E-Health Standards & Services, ICD-10.