CMS Announces Switch on NGHP Conditional Payment Recovery from BCRC to CRC and Use of ICD-9 and ICD-10 to Determine Payment of Medical Bills

On July 1, 2015, CMS published an announcement on its upcoming transition of Non-Group Health Plan recovery workload from the Benefits Coordination & Recovery Center to the Commercial Repayment Center. As part of the continuing efforts to improve the Coordination of Benefits & Recovery (COB&R) program and claims payment accuracy in Medicare Secondary Payer (MSP) … Read moreCMS Announces Switch on NGHP Conditional Payment Recovery from BCRC to CRC and Use of ICD-9 and ICD-10 to Determine Payment of Medical Bills

CMS Educates the Public about ICD-10 through Instructional Videos; ICD-10 Set to go Live October 1, 2015

CMS has introduced two new videos on ICD-10. The videos can be found here. The videos are exceptional in explaining ICD-10 basic concepts and drives home why ICD-10 will help better communicate diagnoses in the healthcare industry than previously was available with ICD-9. ICD-10 will not only be required by providers when billing for medical … Read moreCMS Educates the Public about ICD-10 through Instructional Videos; ICD-10 Set to go Live October 1, 2015

CMS Announces ICD-10 Delay for MMSEA Section 111 Reporting

We previously notified our subscribers in a blog that Congress passed a Bill (HR 4302) which included a provision that delayed the implementation and transition to ICD-10 coding until October 1, 2015. As expected, CMS has now released an alert which provides that RREs are to postpone reporting ICD-10 codes until October 1, 2015. The alert … Read moreCMS Announces ICD-10 Delay for MMSEA Section 111 Reporting

CMS Releases NGHP Alert on ICD-10-CM Coding

CMS has released a technical alert for NGHPs dated March 25, 2014 that pertains to the reporting of liability insurance, no-fault insurance, and worker’s compensation claims. This alert provides new and clarified guidance around the usage of ICD-10-CM codes as follows: New Excluded ICD-10-CM Diagnosis Codes ICD-10-CM “Z” diagnosis codes are considered invalid for Section 111 reporting … Read moreCMS Releases NGHP Alert on ICD-10-CM Coding

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