Coding & Reimbursement

  • ICD-10 Coding
    October 1, 2013, the United States will convert all diagnostic coding and inpatient hospital procedural coding to the International Classification of Diseases 10 Revision Clinical Modification (ICD-10 CM). Mandated by Congress, this change requires all medical claims submitted to third party government and private payers to contain ICD-10 for diagnoses and ICD-10 PCS for inpatient procedures (as of the effective date).
  • Medicare Recovery Audit Contractor (RAC) Program
    The GNYHA Recovery Audit Contract (RAC) Database and Tracking Tool was created to help hospital staff improve the tracking of time-sensitive tasks related to the Medicare Recovery Audit Contract (RAC) demonstration project, such as RAC medical record requests and appeals, and to monitor the overall impact of payment errors by using automated worklists and reports.
 
 

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