ICD-10 Implementation: How We Got Here
As the industry waits, we decided to take a look back to see how we got to this point with ICD-10. READ MORE
A Vision beyond the ICD-10 Implementation Plan
While we are in the middle of this opportunity, it is imperative that we create and communicate a “vision” beyond the implementation of ICD-10 for the future of healthcare. READ MORE
Completing and Submitting Form W-9 for Third Party Payments
Completing and submitting Internal Revenue Service Form W-9 to third party payers is an important part of timely reimbursement in the revenue cycle of medical providers. The W-9 gives insurance companies and other payers the correct Tax Identification Number for providers to report income to the IRS. READ MORE
Inpatient Procedure Coding: Comparing ICD-9 Volume 3 and ICD-10-PCS
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 However, this system not only is outdated, given our current medical knowledge and available technologies, but IC9 Volume 3 is unable to be expanded further to identify specific levels of detail needed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
Clarifying Anthem “Incident to” and Midlevel Reimbursement
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
ICD-9 and ICD-10 – What Are Some of the Differences?
What are some of the specific structural differences between ICD-9-CM and ICD-10-CM? Here’s what we found. READ MORE
Final rule outlines conditions of participation in CMS’s Critical Access Hospital program
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
NPI and PTAN: What’s the Difference?
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
Medicare Revalidation Process Affects Most Providers
Medicare revalidation, a provision of the Affordable Care Act, affects all providers and suppliers who were enrolled with Medicare prior to March 25, 2011. According to the provision, all of these providers and suppliers must revalidate their enrollment using Medicare’s new screening criteria by March 23, 2015. READ MORE
Top 10 Online Resources for ICD-10
CIPROMS wants to be your knowledge source for ICD-10 transition news. You can also get additional information by visiting our top 10 Online Resources for ICD-10 below. READ MORE
