NEW: AHIMA Certification Connection July 2016 Click here to review
NEW: AHIMA E-Alert July 21, 2016 Click here to review
NEW: AHIMA Resources July 2016 Click here to review
NEW: JW Modifier delayed until January 2017. Click here for transmittal. CMS will require modifier -JW on claims for discarded drug or biological amounts not administered to patient and must document this information within the record. Click here to read more
CMS has announced a new 3-year Medicare "pre-claim review" demonstration for home health services in five states - Illinois, Florida, Texas, Michigan, and Massachusetts. Click here to read more
AHIMA Engage - Peer Engagement online community Click here to start interacting with your peers by logging in with your AHIMA credentials
Enacted August 6, 2015, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act) requires hospitals and Critical Access Hospitals (CAH) to provide notification to individuals receiving observation services as outpatients for more than 24 hours. Read more on the CMS webite by clicking here (about half way down the page). Click here for the zip file of a sample Medicare Outpatient Observation Notice (MOON) and the instructions.
The increasing demand for quality coded data submitted on our claims is critical to support the risk adjusted payment models. Under CMS’s new reimbursement model, The Medicare Access and CHIP Reauthorization Act of 2015 (aka MACRA) it will be even more critical. This new “quality payment program” goes into effect in 2019. Think you can wait to get ready? Think again. The performance period begins 01.01.17 and providers will get their first feedback report in July 2017. Click here for the NPRM from CMS for more information.