Since 1979, reporting procedures for hospital inpatient services has been done using Volume 3 of ICD-9. However, this system not only is outdated, given our current medical knowledge and available technologies, but IC9 Volume 3 is unable to be expanded further to identify specific levels of detail needed to classify procedure codes. READ MORE
At the recent Indiana State Medical Association Commercial Payer Forum, members expressed continued confusion to representatives from Anthem over their rules for billing “incident to” services, as well as when services should be billed under nurse practitioners or physician assistants directly. READ MORE
What are some of the specific structural differences between ICD-9-CM and ICD-10-CM? Here’s what we found. READ MORE
The Centers for Medicare and Medicaid Services recently published the final rule of the Reform of Hospital and Critical Access Hospital Conditions of Participation outlining the requirements that these entities must meet to participate in Medicare and Medicaid programs. READ MORE
While federal law (HIPAA) mandates that all providers have a single unique NPI number to be used in all administrative and financial transactions by providers and health plans, Medicare providers also need a PTAN. Why both? READ MORE
