Medical Coding Updates
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.
CMS released the 2024 IPPS Proposed Rule on April 10, 2023. The Rule will be published in the Federal Register on May 1, 2023.
Times of frequent medical coding updates have highlighted the necessity of medical coding consultants, or coding subject matter experts (SMEs), to help healthcare providers navigate such changes.
The White House announced that the declaration of national emergency, as well as the COVID-19 public health emergency (PHE) declaration, would both end on May 11, 2023, prompting a guideline change for Z11.52, screening for COVID-19.
Medical coders are expected to maintain their coding knowledge and keep up with the frequent code and guideline changes. We’ve assembled a list of all the CPT coding guidelines and updates from recent years into one informational Resource Center.
Tracking down the latest information on the ICD 10 coding guidelines and updates can be a time-consuming task. To minimize the time spent searching for such valuable information, we’ve compiled all of the ICD-10-CM and ICD-10-PCS changes into one educational Resource Center.
CMS released code files for ICD-10-CM and ICD-10-PCS codes that will take effect on April 1, 2023. The ICD-10 MS-DRG 40.1 Grouper Software and accompanying materials will be available on February 1, 2023.
To successfully navigate the future – and be prepared for anything – healthcare organizations need to craft a strategic plan. A strategic plan is beneficial for everyone: It allows the company owner to identify potentially fruitful goals, and it helps the employees foster that growth.
Developed by AHIMA and ACDIS, the Guidelines for Achieving a Compliant Query Practice brief establishes industry-wide best practices for the clinical documentation query process.