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MSHIMA E-News

AHIMA Submits Comments on ICD-10-CM/PCS Code Proposals


AHIMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) on ICD-10-CM/PCS diagnosis and procedure code proposals presented at the September Coordination and Maintenance (C&M) Committee meeting. AHIMA recommended that the 2017 Addenda be released early in 2016, preferably in January, since this Addenda is anticipated to be more extensive than usual as a result of the partial code freeze that has been in effect for the last few years. You can read AHIMA's comment letters on ICD-10-PCS procedure and ICD-10-CM diagnosis code proposals. You can also access materials on ICD-10-PCS and ICD-10-CM code issues discussed at the September C&M Committee meeting.

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ICD-10 Moves Healthcare One Step Closer to Improved Documentation


Change has become a constant in healthcare. With the introduction of electronic health record (EHR) systems, core measures, the "meaningful use" EHR Incentive Program, value-based purchasing, and the ICD-10-CM/PCS code sets, the healthcare industry has been bombarded by wave after wave in a sea of changes over recent years. Some physicians have even retired early rather than deal with all of this change, while others have dug in their heels and fought against the change every step of the way. Coding professionals and clinical documentation improvement (CDI) specialists have been working with physicians of all types and temperaments, trying to improve their documentation in ICD-9. These efforts have become even more critical with the implementation of ICD-10-CM/PCS.

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Smoking Cessation Claims Editing Incorrectly


A CMS system error caused claims for smoking cessation with dates of service on or after October 1, 2015, to edit incorrectly. Your Medicare Administrative Contractor (MAC) will correct all affected claims. No provider action is required.

Home Health Billing Codes Changing January 1st


Beginning January 1, 2016, HCPCS code G0154 for reporting skilled nursing visits on home health claims will be retired and replaced by two codes:
  • G0299: Services of a registered nurse
  • G0300: Services of licensed practical nurse
Many home health claims will span the January 1 date:
  • Use G0154 for skilled nursing visits through December 31
  • Use G0299 or G0300 for skilled nursing visits on or after January 1
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