The Medicare 2024 Final Inpatient Prospective Payment Rule has been published. Some notable changes for the upcoming year include: 3.1% increase in ...
OIG Work Plan Update Aimed at Medicare Advantage Risk Adjustment Coding
Today, the OIG issued their July Work Plan. The update is heavily focused on risk adjustment coding (Hierarchical Condition Category (HCC) Codin...
CMS Medicare Advantage Final Rule Takes Aim at Risk Adjustment Coding
Yesterday, CMS released the Medicare Advantage (MA) Risk Adjustment Data Validation Final Rule. The Final Rule is intended to strengthen the acc...
CMS Releases the 2023 IPPS Proposed
CMS released the 2023 Proposed Inpatient Prospective Payment Rule. The 1,786 page document includes some major changes for the upcoming year inc...
Increased Enforcement for Risk Adjustment Coding
Risk adjustment coding has the been source of several recent large, false claims act settlements and is also the topic of a recent OIG Work Plan Audit...
2022 ICD-10-CM/PCS CHANGES RAPIDLY APPROACHING
In less than one month, the 2022 edition of ICD-10-CM/PCS will become effective. This edition contains hundreds of ICD-10 code changes that incl...
2022 ICD-10 Coding Update
The 2022 edition of ICD-10 contains over 200 diagnosis coding changes. The CDC has just announced its release of the FY 2022 ICD-10-CM code set ...
OIG Recommends Targeted Audits of MS-DRGs
Last week, the OIG released a report on Part A claims for inpatient hospital stays from FY 2014 through FY 2019. The report indicates that approximate...
2021 ICD-10 Effective October 1
The 2021 edition of ICD-10 contains over 500 diagnosis coding changes. The updates will become effective in just 9 days, on October 1st, 2020.&n...