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Case Mix Rebasing

Affordable Care Act (ACA) Case Mix Rebasing Mandate

The Affordable Care Act of 2010 required Medicare to rebase home health payment rates beginning in 2014. Here is the text of the Case Mix Rebasing mandate:

Brooke Phillips, CWCMS

Medicare Advantage Premiums Remain Stable; Enrollment at All-Time High

Originally published by the Centers for Medicare and Medicaid Services, which announced that Medicare Advantage premiums will remain stable.

Aimee Sharp
Out of Pocket Limits

CMS Moves Forward with Rule on Out of Pocket Limits

Originally published by Modern Healthcare - members within families shouldn't have to pay more than individual consumers.

Chris Moynihan
ICD-10 Code Lookup Tool

CMS ICD-10 Code Lookup Tool

To assist with the transition to ICD-10, the Centers for Medicare & Medicaid Services developed an easy ICD-10 Code Lookup tool. Search by Dx description...

Brooke Phillips, CWCMS
California ICD-10

California Will Not Fully Transition to ICD-10 in October 2015

Medi-Cal is one of four state Medicaid programs that will not fully transition to ICD-10 code sets by the Oct. 1 deadline to do so. Other states include...

Brooke Phillips, CWCMS
ICD-9 to ICD-10 Transition

ICD-9 to ICD-10 Transition: What You Need To Know

 ICD-9 to ICD-10 Transition Changes As of October 1, 2015, CMS is requiring all health care providers to replace ICD-9 diagnosis codes (5 positions) with ICD-10 codes (7 positions). The difference in the format between the coding systems requires major changes for the health care industry. Health care professionals are learning the new coding system and computer… Continue reading ICD-9 to ICD-10 Transition: What You Need To Know

Brooke Phillips, CWCMS
ICD-9 to ICD-10 conversion

ICD-9 to ICD-10 Conversion Guide: 100 Common Dx Codes

The ICD-9 to ICD-10 conversion took effect on October 1, 2015. See these 100 common ICD-9 - ICD-10 Diagnosis Code Conversions for Home Health Agencies:

Brooke Phillips, CWCMS
ICD-10 Frequently Asked Questions

ICD-10 Frequently Asked Questions (FAQs)

As of October 2015, CMS required all healthcare providers to move to the ICD-10 coding system. See these answers to the most frequently asked questions...

Brooke Phillips, CWCMS
Preventing Catheter Infections

Guidelines for Preventing Catheter Infections in ICU Often Ignored: Study

Only 44% of healthcare providers follow CDC guidelines for preventing catheter infections from arterial catheters in ICU patients, a new study finds.

Brooke Phillips, CWCMS

CMS Skips Congressional Hearing Criticizing How Medicaid Demos Are Run

The CMS needs to be more transparent in its evaluation and approval of Medicaid demonstrations, the Government Accountability Office said Wednesday. The GAO asked Congress to step in because billions are being overspent and it blames the CMS for lack of oversight it says endangers the Medicaid program. The CMS didn’t attend the hearing. In… Continue reading CMS Skips Congressional Hearing Criticizing How Medicaid Demos Are Run

Chris Moynihan
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