Coding Resource Center
August 2023
After being delayed multiple years and completing five rounds of testing, the Centers for Medicare and Medicaid Services (CMS) will begin deploying validation edits for providers with multiple service locations beginning August 1, 2023. There are an increasing number of hospitals which operate off-campus, outpatient, provider-based departments of the hospital. Since there is the possibility […]
July 2023
On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Physician Fee Schedule (MFPS). These proposed rules cover physician services furnished to beneficiaries on or after January 1, 2024. Highlights are described below: The complete MPFS proposed rule summary can be found on the GORE Coding Resource […]
On July 17, 2023, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgery Center (ASC) Prospective Payment System. These proposed rules cover outpatient hospital and ASC services furnished to beneficiaries on or after January 1, 2024. Highlights are described below. […]
On June 27, 2023, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Program; Transitional Coverage for Emerging Technologies (TCET). CMS is proposing to provide transitional coverage for emerging technologies (TCET) through the national coverage determination (NCD) process. This pathway is intended to provide more transparency, predictability, and expedited […]
On June 26, 2026, The Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2024. These proposed rules cover renal dialysis services furnished to beneficiaries on or after January 1, 2024. Highlights are described below: The complete […]
June 2023
Gore and Associates announced the first U.S. patient has been enrolled in a prospective, non-randomized, multicenter, single-arm, pivotal study to evaluate the VIAFORT vascular stent for the treatment of symptomatic iliofemoral venous obstruction. This device utilizes the Gore expanded polytetrafluoroethylene (ePTFE) technology with a single wire, sinusoidal-wound nitinol frame. The GORE® VIAFORT Vascular Stent Iliofemoral […]
The ICD-10 Procedural Coding System (ICD-10-PCS) codes and updates for fiscal year (FY) 2024 have been released, and are available on the 2024 ICD-10-PCS Home Page of the CMS website. These codes are to be used for discharges occurring from October 1, 2023, through September 30, 2024. The update files include official coding and reporting […]
The FY 2024 ICD-10-CM diagnosis codes have been released by the Centers for Disease Control and Prevention (CDC) and are available on the CMS 2024 ICD-10-CM Page. These codes are to be used for discharges and patient encounters occurring from October 1, 2023, through September 30, 2024. The update files include tabular and alphabetic index addenda, external cause of injuries […]
Providing Relief and Stability for Medicare Patients Act of 2023 was introduced to the House representatives on May 25, 2023. The proposal, if enacted, would increase non-facility practice expense (PE) relative value units (RVUs) for procedures performed in office settings that require high-tech devices or equipment. Three factors that comprise direct PE include clinical labor […]
In a press release by the American Medical Association (AMA), the AMA is now joining forces with Health Level Seven® International (HL7®) to provide technology developers with increased accessibility to AMA-published medical codes and descriptors. HL7® is a American National Standards Institute (ANSI) accredited standards development organization dedicated to providing a comprehensive framework and related […]
