News & Analysis as of

ICD Codes

Yep, There’s a Billing Code for That

If you think you’re waiting even longer at your doctor’s office these days, you might be right. And it might be due to the overhaul of the medical billing code system that requires providers to enter an alphanumeric...more

And You Thought Bankers Had it Bad…

by Bryan Cave on

As lawyers regularly representing community banks, we are frequently reminded of the level of regulatory scrutiny and intrusion experienced by the industry, and at times the almost laughable results of strained regulatory...more

CMS Emphasizes Upcoming ICD-10 Transition Date

by King & Spalding on

CMS recently reminded providers that Medicare claims with a date of service on or after October 1, 2015, “will be rejected if they do not contain a valid ICD-10 code.” As CMS explained, “[t]he Medicare claims processing...more

CMS Call: Countdown to ICD-10 (Aug. 27)

by Reed Smith on

On August 27, 2015, CMS is hosting a call to help health care providers prepare for ICD-10 implementation on October 1, 2015. CMS staff will be joined by representatives of the American Health Information Management...more

CMS Announces Efforts to Ease ICD-10 Transition

by Reed Smith on

Today CMS announced steps to help physicians prepare for the switch to ICD-10 coding on October 1, 2015. Most significantly, CMS announced that during the first year after ICD-10 implementation, Medicare contractors will not...more

House Bill Says 23 Years Isn’t Long Enough for Transition to ICD-10

by Faegre Baker Daniels on

All across the country hospitals have been bracing for the scheduled Oct. 1, 2015, transition from ICD-9 coding to ICD-10. It had been scheduled for Oct. 1, 2014, but the Protecting Access to Medicare Act of 2014 delayed it...more

Behavioral Health Billing Alert

by Jaburg Wilk on

Providers of behavioral health services should be aware that the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5), released in May 2013 after more than ten years in...more

GAO Evaluates CMS Activities to Prepare Health Industry for ICD-10 Launch

by Reed Smith on

According to a recent GAO report, CMS has taken numerous steps to prepare industry for the October 1, 2015 transition to ICD-10 codes, such as developing checklists, timelines, and other educational materials and hosting...more

Why Providers Should Think About the Impact of ICD-10 on Managed Care Reimbursement Now

by Epstein Becker & Green on

ICD-10 implementation has been delayed by Medicare until October 2015. Many believe it may be delayed again and are putting off thinking about its impact until it is clear that the updated code set will be implemented by...more

Telehealth and Health IT Policy: Considerations for Stakeholders

In recent months, as the conversation about reforming the health care system has shifted to achieving greater delivery system efficiencies, cost containment, and patient satisfaction, the role of health care...more

Health Care Reform Implementation Update

by Cozen O'Connor on

Congress begins its summer recess this week, but last week legislators were busy holding hearings on management issues regarding, introducing legislation to increase payments to primary care doctors under...more

Most Recent Final Deadline for ICD-10 Implementation is October 1

by Faegre Baker Daniels on

It’s been a while since CMS set a new “final” deadline for implementation of ICD-10—the greatly expanded medical coding system. So last Thursday CMS issued a new final rule setting October 1, 2015, as the final date for...more

CMS Says ICD-10 Will Be Implemented on October 1, 2015

by King & Spalding on

According to CMS, the transition from the ICD-9 to the ICD-10 diagnosis coding system is set to occur on October 1, 2105. The ICD-10 transition was originally scheduled for October 1, 2013, but has been delayed a number of...more

CMS Cancels ICD-10 Testing

by Tucker Arensberg, P.C. on

The MLN Connects™ Provider eNews contains important news, announcements, and updates for health care professionals. ICD-10 Compliance Date - On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA)...more

Preparing for the Conversion to ICD-10

by Foley & Lardner LLP on

With the ICD-10 implementation date delayed once again until October 1, 2015, providers who were previously unprepared for the transition or had only begun their transition planning have an extra year to address the upcoming...more

CMS Outpatient and Physician Payment Rules: Don't Miss the Efficient Quality of Care Reform Forest for the Dollar Trees

by BakerHostetler on

The final physician fee schedule (PFS) and hospital outpatient department payment rules for FY 2014 clearly signal the continued intent by the Centers for Medicare and Medicaid Services (CMS) to transform the healthcare...more

2013 Healthcare Year In Review

by Burr & Forman on

Bob Dylan's quote from 1964 -- "The Times They Are A-Changin" -- could equally apply to the healthcare industry in 2013. This was the year that the Affordable Care Act ("ACA") came into full public view with the start of the...more

Publication of End-Stage Renal Disease Prospective Payment System Final Rule

by King & Spalding on

On December 2, 2013, the Federal Register published CMS’s Final Rule regarding the prospective payment system (PPS) for End-Stage Renal Disease (ESRD). Most provisions are effective on January 1, 2014, with limited exceptions...more

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