Keynotes for the Week
of 09/29/2017
ICD-10
The 2018 ICD-10-CM (FY2018) scheduled to take
effect 10/01/2017. The changes will be effective from October
1, 2017 through September 30, 2018 and for patient encounters occurring from October 1,
2017 through September 30, 2018.
There are approximately 363 new codes, 142
deletions, and more than 250 code revisions. Some of the revisions were not in
the proposed changes for 2018 and were added to the release for
2018.
A noteworthy change was made to the codes for substance abuse remission, which will be classified by severity as mild, moderate, or severe. The following are a few of the new codes from Chapter 2, Neoplasms (C00-D49):
A noteworthy change was made to the codes for substance abuse remission, which will be classified by severity as mild, moderate, or severe. The following are a few of the new codes from Chapter 2, Neoplasms (C00-D49):
C96.20 Malignant mast cell neoplasm, unspecified
C96.21 Aggressive systemic mastocytosis
C96.22 Mast cell sarcoma
C96.29 Other malignant mast cell neoplasm
And at the beginning of Chapter 4 Endocrine,
Nutritional, and Metabolic Diseases (E00-E89), you will see these new codes
have been added for 2018:
E11.1 Type 2 diabetes mellitus with ketoacidosis
E11.10 Type 2 diabetes mellitus with ketoacidosis without coma
E11.11 Type 2 diabetes mellitus with ketoacidosis with coma
Also, there are some new codes for myocardial
infarction and heart failure that we will all need to review carefully.
Fraud
and Abuse Update:
The Federal
Government’s law enforcement efforts respecting health care fraud were quite
robust.
Financial
recoveries obtained from the Federal Government’s fraud and abuse program are
used to protect the financial solvency of Medicare. The Health Insurance
Portability and Accountability Act of 1996 (HIPAA) amended the Social Security
Act, Section 1128(c) to create the Health Care Fraud and Abuse Control Program,
which was designed to (and does) combat fraud and abuse in the health care
industry. The Report was issued per statutory requirements, as part of
the Health Care Fraud and Abuse Control Program.
All health care providers engaged in questionable
practices should be concerned about serious risks they face, as the Federal
Government is committed to aggressively combatting healthcare fraud and
abuse. HHS and DOJ employ sophisticated data mining, predictive
analytics, trend evaluation and modeling approaches in their oversight of
Federal programs and related law enforcement activities.
Electronic Health Record
Whether patient health information is on a computer, in an
Electronic Health Record (EHR), on paper, or in other media, providers have
responsibilities for safeguarding the information by meeting the requirements
of the Rules.
The Health Insurance Portability and Accountability Act (HIPAA)
Rules provide federal protections for patient health information held by
Covered Entities (CEs) and Business Associates (BAs) and give patients an array
of rights with respect to that information. This suite of regulations includes
the Privacy Rule, which protects the privacy of individually identifiable
health information; the Security Rule, which sets national standards for the
security of electronic Protected Health Information (ePHI); and the Breach
Notification Rule.
As 2017 comes to end, it is the perfect time to review , evaluate and
make changes to be compliant in FSY 2018.
If you have questions about this blog
post, feel free to contact us for
additional information:
SILBEN Healthcare Services, INC.
Paul G. Silverio-Benet
Phone: 305-975-1171
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