Coding Resource Center
June 2023
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 […]
An audit conducted by the Office of Inspector General (OIG) revealed that Medicare overpaid millions of dollars due to incorrect place of service (POS) code reporting in 2019 and 2020. This audit focused on physician services provided for Medicare beneficiaries that were hospital inpatients or in skilled nursing facilities (SNFs); and included analysis of over […]
May 2023
The Public Health Emergency (PHE) for COVID-19 ended on May 11, 2023, and the Centers for Medicare and Medicaid Services (CMS) continues to provide updates to providers, partners and the public related to the end of the PHE:
CMS released a fact sheet that outlines process updates they are making to increase compliance with the hospital price transparency requirements, which went into effect in January 2021 and enforced in July of 2022. The hospital price transparency regulation was authorized by the Public Health Services Act, which allows patients to know the cost of […]
April 2023
On April 10, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2024. Once these polices become final, they will cover inpatient hospital discharges on or after October 1, 2023. Highlights are described […]
On April 6, 2023, a bipartisan group of physician lawmakers introduced H.R. 2474, “Strengthening Medicare for Patients and Providers Act” in the House of Representatives. This bill links the Medicare Physician Fee Schedule to the Medicare Economic Index (MEI) – a measure of inflation in which physicians are subjected relating to practice costs and wage […]
The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 and form instructions, have been approved by the Office of Management and Budget (OMB) for renewal, and will be mandatory for use on June 30, 2023. This form now has an expiration date of January 31, 2026. The ABN form is issued by providers (including independent […]
