For services provided on and after October 1, 2015, U.S.-based entities covered under the Health Insurance Portability and Accountability Act (HIPAA) are required to use ICD-10 code sets. ICD-9 codes will no longer be accepted on claims for services provided on or after October 1, 2015. ICD-10 consists of two parts: ICD-10-CM diagnosis coding which...

For services provided on and after October 1, 2015, U.S.-based entities covered under the Health Insurance Portability and Accountability Act (HIPAA) are required to use ICD-10 code sets. ICD-9 codes will no longer be accepted on claims for services provided on or after October 1, 2015. FACT: ICD-10 will have a substantial impact on you and...

General Overview of the Proposed 2016 Physician Fee Schedule The Social Security Act (the Act) requires the Centers for Medicare & Medicaid Services (CMS) to establish payments under the Physician Fee Schedule (PFS) based on national uniform relative value units (RVUs) that account for the relative resources used in providing a service. The Act requires...

On April 1, 2015, Wisconsin Physicians Service Insurance Corporation (WPS Medicare) issued a proposed non-coverage Local Coverage Determination (LCD) for minimally invasive sacroiliac joint fusion (MIS SIJ fusion). WPS Medicare is the Medicare Administrative Contractor (MAC) covering Michigan, Indiana, Iowa, Nebraska, Missouri and Kansas. ISASS drafted a comment letter urging WPS Medicare to...