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Medicare Inpatient Hospital Payments: CMS Has Used External Data for New Technologies in Certain Instances and Medicare Remainds Primary Data Source

Author: U.S. Government Accountability Office

Source: Government (U.S.)

Publication Date: September 20, 2007

..CMS Annually Revises DRG Classification s and Payment Weights;DRG.. .. Classification s and Payment Weights for.. ..nal Data to Inform DRG Re Classification an;CMS Has Used External.. ..re Classification request or an addon paym.. ..urposes: to inform DRG re Classification ..

Medicare Recovery Audit Contracting: Weaknesses Remain in Addressing Vulnerabilities to Improper Payments, Although Improvements Made to Contractor Oversight

Author: U.S. Government Accountability Office

Source: Government (U.S.)

Publication Date: March 31, 2010

..improper Coding or other mistakes.24 Med.. ..the proper Coding of the fields needed for.. ..for Coding a claim, or develop a na.. ..ent system relies on the Coding of services, procedures,.. ..errors, CMS consulted Coding experts about how to res.. ..staff or Coding experts conducting the c..

Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services

Author: U.S. Government Accountability Office

Source: Government (U.S.)

Publication Date: September 17, 2004

..lthcare Common Procedure Coding System.. ..lthcare Common Procedure Coding System (HCPCS)11 code, .. ..ambulatory payment Classification (APC) groups and calcula.. ..ospital using Medicare’s Classification of that hospital under O.. ..payment Classification (APC) groups. We used Me..

HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards To Adopt ICD-10-CM and ICD-10-PCS; Final Rule

Author: U.S. Department of Health and Human Services. Office of the Secretary

Source: Government (U.S.)

Publication Date: January 16, 2009

..after ‘‘code sets’’) for Coding .. .. Coding , including the Official .. ..CM Guidelines for Coding and .. .. Coding System (ICD–10–PCS) for .. ..tient hospital procedure Coding , .. ..Guidelines for Coding and Reporting, as .. ..ICD–9–CM Guidelines for Coding and ..

Health Insurance Reform: Modifications to the Health Insurance Portability and Accountability Act Electronic Transaction Standards. Proposed Rule

Author: U.S. Department of Health and Human Services. Office of the Secretary

Source: Government (U.S.)

Publication Date: August 22, 2008

..pharmacies are not Coding for the X12 .. ..10 disease Classification s. This .. .. Classification of the expenditures .. ..[Accounting Statement: Classification of Estimated Expenditure.. ..of collecting Reimbursement from liable .. ..and then seek Reimbursement afterward. ..

Health Insurance Reform: Modifications to the Health Insurance Portability and Accountability Act Electronic Transaction Standards. Final Rule

Author: U.S. Department of Health and Human Services. Office of the Secretary

Source: Government (U.S.)

Publication Date: January 16, 2009

..after ‘‘code sets’’) for Coding .. .. Coding , including the Official .. ..CM Guidelines for Coding and .. .. Coding System (ICD–10–PCS) for .. ..tient hospital procedure Coding , .. ..Guidelines for Coding and Reporting, as .. ..ICD–9–CM Guidelines for Coding and ..

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