Archive for the ‘news’ Category

CMS announces partial code set freeze prior to ICD-10 implementation:

Wednesday, October 27th, 2010

With all of the changes surrounding the changeover from ICD-9 to ICD-10 coding, there is a bit of good news on the Medicare implementation front. The Centers for Medicare & Medicaid Services (CMS) recently announced  a partial freeze on coding updates for ICD-9-CM, ICD-10-CM and ICD-10-PCS codes prior to implementing ICD-10 on Oct. 1, 2013. This is how Medicare will implement the freeze:

1.    The last regular annual update to both ICD-9 and ICD-10 code sets will occur on Oct. 1, 2011

2.    On Limited updates to the ICD-9- CM and ICD- 10 code sets to capture new technology and new diseases will occur on Oct. 1, 2012

3.    No updates to ICD-9 -CM will occur on Oct. 1, 2013, as the system will no longer be a HIPAA standard

4.    Regular updates to ICD-10 will being on Oct. 1, 2014

The ICD-9 Coordination & Maintenance Committee will meet twice per year during this freeze. If there is a need to develop a new diagnosis or procedure code, in order to capture new technology or disease, the public will be allowed to comment and send requests during this time. If requests don’t meet specific criteria, they will be considered for implementation in ICD-10 on or after October 1, 2014.

For practices who are members of MGMA, and are interested in learning more about how to transition their practice to ICD-10 / Version 1510 HIPPA electronic transactions,  MGMA will offer a webinar on November 18, 2010. For more information about this upcoming training event please copy and paste the following link: https://www.mgma.com/Store/ProductDetails.aspx?id=39752&kc=Wac

 

New Bill Delays Medicare Pay Cut Until 2014, Provides Raises in Interim

Thursday, May 27th, 2010

According to Robert Lowes with Medscape Medical News, there is a new outline of a proposed law to be presented by Congressional Democrats that would “delay a 21 % cut in Medicare reimbursement to physicians until 2014 and increase rates for the rest of 2010 as well as 2011.”

Senator Max Baucus (D-MT) and Rep. Sander Levin (D-MI) summarized the proposed law stating “Reimbursement rates would not decrease in 2012 and 2013, and they could increase even more in those years if the growth of Medicare spending on physician services is within reasonable limits.” Primary Care and Preventive Services would see higher reimbursement increases.

However, the review of the bill indicates rates would return to “current law levels” in 2014. This means they would be subject to Medicare’s SGR (sustainable growth rate) formula for setting physician reimbursement. This formula is what triggered the rate cuts set for June 1. The possibility of Medicare reimbursement rates decreasing by more than 30% when the proposed law expires is a looming cloud over the bill.

We Have A New Look!

Monday, May 17th, 2010

Welcome to Bluegrass Credentialing and Consulting, LLC’s new web site! We are very excited about our new look produced by KupermanDNA.com. We have been working very hard to get the site up and running quickly. With the addition of new staff members we are growing and expanding our services. We hope to provide our clients with additional resources and new relating to credentialing. Check back frequently for updates!