The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). See this list of ICD-10 resources:

By Virgil Dickson for Modern Healthcare Health plans and state Medicaid directors disagree on how the CMS should fix its problem of underpaying plans with high numbers of dually eligible Medicare and Medicaid beneficiaries. In October, the CMS announced it would modify its risk-adjustment model after an analysis of reimbursement data revealed that some health plans… Continue reading Payers, States at Odds on CMS Plan to Fix Dual-Eligible Underpayment

By now your practice has transitioned to ICD-10. So what's next? See if your claims will be paid, rejected or denied with this ICD-10 Troubleshooting Guide.

This ICD-10 quick start guide from the Centers for Medicare and Medicaid Services outlines 5 steps healthcare professionals can take to prepare for ICD-10.

Originally published by Modern Healthcare - The CMS is working to develop a separate star-rating system for health plans participating in an experiment.

With over 68,000 billing codes that ICD-10 has given the world, chances are that a few of them are going to sound a little strange, a little unusual ...

Advocates have expressed growing concern over a proposed rule that would slash Medicare payments to HHAs by $350mil in 2016 and threaten access to care.

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:

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

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