The IPPS Proposed Rule Demonstrates the Importance of SDoH

The Centers for Medicare & Medicaid Services (CMS) has issued its 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule, through which it proposes to change the severity designation for several…

Comments Off on The IPPS Proposed Rule Demonstrates the Importance of SDoH

Proposed 2025 IPPS Rule: CMS Targets Readmission Metrics

When it comes to healthcare policy, even seemingly minor adjustments can have significant ripple effects across the industry. The Centers for Medicare & Medicaid Services (CMS) recently unveiled its proposed…

Comments Off on Proposed 2025 IPPS Rule: CMS Targets Readmission Metrics

CMS releases tool to help hospitals with price transparency

CMS recently released a web-based validation tool that assists hospitals with price transparency compliance. The updated V2.0 Online Validator Tool helps hospitals develop machine-readable files to comply with a federal…

Comments Off on CMS releases tool to help hospitals with price transparency

CMS Releases Proposed Rule for IRFs

On March 27, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for Inpatient Rehabilitation Facilities (IRFs) that would update payment policies for the 2025 fiscal year…

Comments Off on CMS Releases Proposed Rule for IRFs

How to Report New Code Category W44

One of the goals of medical coding is documenting encounter notes to the highest degree of specificity. ICD-10-CM had some existing codes for documenting foreign bodies entering through a natural…

Comments Off on How to Report New Code Category W44

CMS extends MIPS deadline to April 15 amid fallout of Change cyberattack

Due to ongoing concerns with the impact the Change Healthcare cybersecurity attack is having on physician practices, the Centers for Medicare and Medicaid Services (CMS) has extended the 2023 MIPS…

Comments Off on CMS extends MIPS deadline to April 15 amid fallout of Change cyberattack