Author: Caryn Kleckowski On October 1, 2016, ICD-10 code updates will go into effect. This is also the date that there will be an end to the prior flexibility regarding specificity of ICD-10 coding. The first non-essential ICD-10 code update since the code freeze will include 1943 new ICD-10 codes, 422 revised ICD-10 codes, and 305 deleted ICD-10 codes. Effective for 12 months after the October 1, 2015 ICD-10 implementation date, CMS indicated no denial of claims would occur...

By: Harry Purcell The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 continues to steam ahead toward a Merit-based Incentive Payment System (MIPS). This creates a new program focused on Clinical Practice Improvement Activities (CPIA) and combines the Value-Based Payment Modifier (VBPM), Physician Quality Reporting System (PQRS), and Meaningful Use (MU). According to the Medicare proposed rule – physicians, physician assistants, clinical nurse specialists, nurse practitioners and certified registered nurse anesthetists will begin 2017 as the...

WYOMISSING, Pa., Aug. 08, 2016 (GLOBE NEWSWIRE) -- PrecisionBI, a division of Meridian Medical Management, announced today it will unveil its new Accountable Care Organization (ACO) module for Allscripts TouchWorks™ Reporting clients at the Allscripts Client Experience (ACE), August 9-11 in Las Vegas, NV. PrecisionBI is a leading healthcare analytics engine used by over 50,000 physicians at some of the largest healthcare delivery systems and integrated delivery networks (IDNs) in the United States. PrecisionBI has added...

Major Issues Impacting Healthcare By: Harry Purcell The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 continues to steam ahead toward a Merit-based Incentive Payment System (MIPS). This creates a new program focused on Clinical Practice Improvement Activities (CPIA) and combines the Value-Based Payment Modifier (VBPM), Physician Quality Reporting System (PQRS), and Meaningful Use (MU). According to the Medicare proposed rule – physicians, physician assistants, clinical nurse specialists, nurse practitioners and certified registered nurse anesthetists will begin...

John Sicignano has recently joined the Meridian Medical Management team to fill the role of VP of Operations. John will work out of the CT office and will be responsible for leading the Revenue Cycle Management Operation activities of both the CT and MA regions (or Practices and Academics).

Healthcare Coding

ICD-10 Changes go into effect October 1, 2016 The first non-essential ICD-10 code update since the code freeze, will take place on October 1, 2016. Changes will include 1,943 new ICD-10 codes, 422 revised ICD-10 codes, and 305 deleted ICD-10 codes.

Q:   What constitutes an overpayment under CMS guidelines? Since overpayments should be returned within sixty (60) days, when does the 60 day clock start? A:   In the final rule published Feb. 12, 2016, the Centers for Medicare & Medicaid Services provided guidelines on the Patient Protection and Affordable Care Act’s 60-day repayment requirements for self-identified overpayments will be interpreted and applied as follows:

Connecticut Magazine has announced the winners of their TOP DOC Awards for 2016. Meridian Medical Management congratulates those clients who have been added to this respected list of fine physicians. We also extend our wishes to their entire team of colleagues and staff for their continued hard work and dedication to excellence. Keep up the great work! Connecticut Magazine’s annual survey of top doctors in the state features more than 800 peer-recommended physicians in 31 areas...