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CMS says 10% ICD-10 claims rejected, but only a fraction due to coding issues
Susan Morse, Associate Editor
About 10 percent of claims filed under ICD-10 have been denied since the coding vocabulary became the norm on October 1, the Centers for Medicare and Medicaid Services said on Thursday, though only a small number of those denials were due to coding errors.
Of 4.6 million total claims submitted per day, 2 percent were rejected due to incomplete or invalid information, CMS said.
The Centers for Medicare & Medicaid Services (CMS) has extended the deadlines for physicians and group practices facing two different Medicare penalties in 2016 to request an informal review if they believe the government made a mistake.
The penalties, which whittle down reimbursement, are levied under Medicare's Physician Quality Reporting System (PQRS) and the Value Based Payment Modifier (VBM) program. The original deadline for an informal review of both penalties had been November 9. Now it is November 23.
CMS Extends Deadline to Review 2014 PQRS Performance Score
Online November 6, 2015
The Centers for Medicare & Medicaid Services (CMS) plans to publicly report performance score data for a subset of 2014 Physician Quality Reporting System (PQRS) measures later this year. Group practices and eligible professionals have until November 16 to preview their data as it will appear on CMS’ Physician Compare website
ACS Surgeon Specific Registry Webinars for CMS PQRS 2015 Participation
Online November 6, 2015
CMS Final Rule Increases 2016 Payments for Advance Care Planning
Written by Nancy K. Zeitoun, MD, FHM
On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released the final payment rules for Medicare reimbursement of physicians who consult with their patients on advance care planning. This separate payment system under the 2016 Physician Fee Schedule will impact the almost 55 million Medicare beneficiaries and their healthcare providers.
OIG Work Plan: Fair warning
Written by Chuck Buck
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) 2016 Work Plan comes with a warning: the OIG continues to be relentless in detecting and pursuing waste, fraud, and abuse.