Healthcare News
The Centers for Medicare & Medicaid Services (CMS) has posted the ICD-10-CM 2024 codes for use by all provider types, including Inpatient and Outpatient. The updates include 395 new codes and 25 deletions in 17 different chapters of ICD-10-CM.
CMS updated the 2024 CMS-HCC risk adjustment model by including reliable predictors of future costs and excluding unreliable ones. In summary, the CY2024 CMS-HCC model classifies the ~74,000 ICD-10-CM diagnoses codes into 266 CMS-HCCs.
CMS released the FY 2024 ICD-10-PCS file in June. With 78 new codes and five deletions, the total number of ICD-10-PCS codes for 2024 is 78,603. There were also 14 code title revisions. All these changes are effective on October 1, 2023.
Mastering DRG assignment is essential for hospitals and healthcare organizations to achieve optimal reimbursements and operational efficiency. Let’s explore examples of DRGs and introduce invaluable resources for selecting the correct DRG, including a DRG list and DRG assignment software.
While every hospital CFO is justifiably concerned about their DNFB, all departments should work together to develop a trending tool as a means of gaining perspective on the long term. Treat your DNFB as a marathon, not a sprint.
Coding backlogs can lead to delayed reimbursements, increased claims denials, and potential revenue loss. This article reviews a recent case study conducted by our Outpatient Coding and Auditing teams, focused on reducing a client’s radiology coding backlog.
In the fast-paced world of health information management, employee turnover can be high. It is imperative to establish a new hire onboarding checklist to facilitate their smooth integration into your organization and optimize their productivity.
The Refresh With YES: CPT E/M Code Structure and Prolonged Services Learning Path discusses Evaluation and Management (E/M) coding guidelines, updates, and conventions, including the new and revised prolonged services CPT codes.
Healthcare organizations must enact steps to manage the revenue cycle process effectively and efficiently. Thankfully, there are revenue cycle management (RCM) systems and coding reimbursement specialists that rely on data analytics to help streamline the process.
In a recent development, the state of Florida has enacted legislation banning the offshore storage of EHR. Beginning July 1, 2023, Florida healthcare providers are prohibited from storing patient records and data outside of the U.S., U.S. territories, or Canada.