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Make sure your staff knows about these. You may use the previous versions through the end of March, but you are required to use the new versions beginning April 1. 

Upcoming Changes for these forms effective April 1, 2020

  • Important Message from Medicare (IM) – Form CMS-10065. If the patient has Medicare Advantage insurance, the hospital will need to complete the contact information of the payer prior to giving to the patient.
  • Detailed Notice of Discharge (DND) – Form CMS-10066. The DND requires additional information to be entered by the hospital.  
  • Medicare Outpatient Observation Notice (MOON) –Form CMS-10611. The MOON form has not changed except for the expiration date.

 

Transitioning to 2021 E/M Guidelines

Start planning now for the upcoming changes to E/M codes. Physicians, office staff, and coders will all need to prepare. A couple of the changes include deleting CPT 99201 (E/M for new patient) and modified criteria for medical decision-making.  See the physician fee schedule on CMS’ website.

 

OIG Work Plan

The work plan is updated with new items including the impact of health risk assessments on risk-adjusted payments in Medicare Advantage and Medicare capital payments to new hospitals.  See the OIG website for more.

 

Privacy Tip

Do you sometimes travel on the plane for work and need to access protected health information (PHI)?  Installing a privacy screen on your laptop will help prevent those sitting nearby from viewing PHI.

 

 

References:

2020 Medicare Physician Fee Schedule Final Rule

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched

 

IM and DND https://www.cms.gov/Medicare/Medicare-General-Information/BNI/HospitalDischargeAppealNotices

 

MOON  https://www.cms.gov/Medicare/Medicare-General-Information/BNI/MOON

 

OIG Work Plan https://oig.hhs.gov/reports-and-publications/workplan/updates.asp

 

Healthcare Coding & Consulting Services

(a.k.a. HCCS)

This blog is an extension of our uncompromising values and dedication to our clients, staff, and the HIM industry as a whole.

 

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Contact HCCS for additional information about coding at info@hccscoding.com.