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ICD-10 and PQRS 2016

The revision of numerous ICD-10 codes on October 1, 2016, created issues for reporting PQRS measures for the final quarter of 2016.  Because PQRS data is gathered for a calendar year, participants expected the...

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RAC Contracts

Recovery Auditor activity has been quiet of late.  CMS’ Contracts with the vendors were extended on a few occasions to cope with technical issues.  The contracts originally had an expiration date of February, 2014. 


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ICD-10 Update and Claims

As previously discussed in various news items on our website and during our ICD-10 webinars, the ICD-10 code changes/updates become effective on October 1, 2016.  Will your clearinghouse and/or your Medicare contractor be prepared...

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New “Projects” by CMS Reviewer

In September 2012, CMS selected StrategicHealthSolutions, LLC as a Supplemental Medical Review Contractor (SMRC).  They support CMS by conducting reviews on specific services in an effort to lower improper payments.  CMS determines the topics...

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