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Changes afoot for chargemaster

Ever since "Bitter Pill," Steven Brill's mammoth 24,000-word cover story in TIME magazine this March put the spotlight on this shadowy reference tool - a voluminous file that dictates the cost of the services and medicines and hardware a hospital provides - the public has become aware in a way it hadn't been before that the prices paid by healthcare consumers often have very little logic to them.

RAC Latest News

RAC Enews

RACmonitor.com is an online news and information source to help healthcare providers make informed decisions for their organizations on the activities of Recovery Audit Contractors — the congressionally mandated program under the auspices of the Department of Health and Human Services (HHS) and administered by the Centers for Medicare and Medicaid Services (CMS). RACmonitor.com is not affiliated with any governmental agency but is a source for healthcare providers in all settings.
  • The probe-and-educate phase is in full swing, with hospitals receiving results of their probe audits and Medicare Administrative Contractors (MACs) conducting extensive education, performing both one-on-one sessions with hospitals and conducting general education via webinars and teleconferences. The one-on-one sessions vary among MACs; in some instances the MAC representative presents general...

  • The June 2014 MedPAC report to Congress included information on the commission’s review and recommendations for site-neutral payment when rehabilitation of certain conditions occurs in different post-acute-care facilities. The report specifically addressed cases that were treated in inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs). The commission has taken...

  • As health system leaders continue to react to continuously updated regulations, many have been expressing their concern for the ongoing administrative burden that exists because of expanded Medicare oversight and its Recovery Auditor (RAC) audit program. Their focus, of course, remains on compliance, and ensuring that providers respond to audit requests...

ICD10 Latest News

ICD10 eNews

ICD10monitor, a division of Panacea Healthcare Solutions, Inc., is an online news and information source created to help healthcare providers make informed decisions as they transition to ICD-10, a process mandated by Congress under the auspices of the U.S. Department of Health and Human Services (HHS) and administered by the Centers for Medicare & Medicaid Services (CMS). ICD10monitor .com is not affiliated with any governmental agency but is a reliable source for healthcare providers in all settings. ICD10monitor provides a portal of information and a forum for discussion for educational purposes only. The opinions of contributing editors published by ICD10monitor may not necessarily represent those of our sponsors or other organizations affiliated with ICD10monitor. While every effort is made to ensure accuracy and contextual honesty. ICD10monitor will quickly correct and/or retract any information demonstrated to be erroneous. We welcome opposing viewpoints and will publish responses from our readers, which may be edited for economy and clarity.
  • Sitting in the audience at the June 10 National Committee on Vital Health Statistics (NCVHS) quarterly Subcommittee on Standards meeting, I listened attentively to the wide range of presentations on the effect the ICD-10 delay has had (and will have) on the healthcare industry. As I listened to testimony, I was struck by the opposing opinions. Starting off the discussion was Rhonda Buckholtz, vice president of ICD-10 education and training for the AAPC, speaking on what the delay means for medical coders and billers. Surveying its membership, the AAPC found that 50 percent of respondents decided to slow down their...

  • Whether you were annoyed or relieved by the announcement of another delayed implementation of ICD-10, the benefit of having additional time to ensure a smooth transition can work to your favor. The expertise that is held by your practice management system (PMS) vendor is a key component that can contribute to a smooth transition. Many PMS vendors have integrated ICD-10 within their systems, so these vendors are ready and have the ability to test now. You likely have been getting updates from your vendor, but if not, make sure to communicate with your vendor right away. It is important to...

  • Given the recent extension of the ICD-10 compliance date, many hospitals are stepping back and re-evaluating project plans and timelines to use this time to improve their transition readiness. Attention is being given to additional education and practice (i.e., dual coding) for coding professionals, increased clinical documentation improvement (CDI) efforts so that medical record documentation supports the specificity available in ICD-10, as well as investigating, implementing, and/or fine-tuning computer-assisted coding (CAC) technology. MS-DRG validation is another process to consider that may assist in the goal of achieving accurate inpatient reimbursement under ICD-10. If correct code and MS-DRG assignment isn’t happening...



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