Coding Issues
CMS “ANTI-MARKUP” RULE AFFECTS DIAGNOSTIC TESTS
On January 1, 2009, the Centers for Medicare & Medicaid Services (“CMS”) enacted a new rule, called the anti-markup rule, that applies to certain diagnostic tests ordered and billed by physicians or their group practices. Any physician group that orders and bills for diagnostic tests must comply with the new anti-markup rule. CMS… Read More »
HHS Mandates Replacement of ICD-9 with ICD-10 Code Sets
On January 15, 2009, HHS released final rules that require the replacement of ICD-9-CM code sets with the ICD-10 code sets and implement version 5010 of the HIPAA transaction standards, which facilitate the adoption of electronic health records. The two rules work together. ICD-9 has 17,000 codes and is rapidly running out of new codes…. Read More »
Year End Coding Review
For 2009, there are 291 new codes, 375 revised codes and 95 deleted codes. Consider a year end analysis related to coding. Be sure you are ready for the 2009 changes. Generate lists showing procedures and reimbursement levels. Use the information in contracting. Review coding changes. As a group, review and discuss changes and the impact… Read More »
