ICD-10-CM coding can be challenging for coders in the outpatient setting. It is important to remember that the Official ICD-10-CM Guidelines for Coding and Reporting provide a road map to ensure accurate diagnosis coding.
Four organizations, otherwise known as the Cooperating Parties, are responsible for maintaining the ICD-10-CM code set: the American Hospital Association, American Health Information Management Association, CMS, and the National Center for Health Statistics. Coders must understand that conventions, general guidance, and chapter-specific guidelines should also be utilized when coding for outpatient services and office visits.
Per the terms of the Inflation Reduction Act (IRA) signed into law Aug, 16, the payment for biosimilar drugs under Part B average sales price (ASP) reimbursement ticks up from 106% – the cost of the biosimilar plus a 6% provider reimbursement – to 108% starting this month.
Thomas G. O’Lear, 58, of North Canton, Ohio, was sentenced on Thursday, September 29, 2022, by U.S. District Judge Dan Polster to 15 years in prison and was ordered to pay $1,989,490 in restitution to Medicare, Medicaid and two Medicaid Managed Care Organizations (MCOs).
WEST BURLINGTON — Effective Nov. 1, Great River Health's medical coding will be outsourced to another company, impacting 35 employees between the health system's West Burlington and Fort Madison hospitals.
