Question: How do I code for the download and interpretation of smart card/cloud-based data related to PAP usage? Answer: There is no CPT® code that exactly describes the download and interpretation of smart card/cloud-based PAP data. The service is best described by code 99091, [...]

Performance feedback and Merit-based Incentive Payment System (MIPS) scores are now available from the Centers for Medicare and Medicaid Services (CMS) for all individual clinicians and groups that submitted data through the Quality Payment Program (QPP) website for 2017. Advanced Alternative Payment Model (APM) [...]

The Office of Inspector General (OIG) in the U.S. Department of Health and Human Services (HHS) recently conducted a review of a sample of Medicare claims, finding that most Medicare claims for replacement positive airway pressure (PAP) device supplies did not comply with Medicare [...]

Question: If hypopneas are being scored according to Rule D.1.A., is a ≥3% oxygen desaturation required in addition to an associated arousal? Answer: Rule D.1.A. in The AASM Manual for the Scoring of Sleep and Associated Events, Version 2.5, states the following: Score a respiratory event [...]

On June 18, 2018, the World Health Organization (WHO) released an advance preview of version 11 of the International Classification of Diseases (ICD) so countries can review the updates and start planning how to implement the new version when it goes into effect. [...]

On June 18 the World Health Organization (WHO) released the 11th edition of the International Classification of Diseases (ICD-11), which is completely electronic for the first time and now can be well integrated with electronic health applications and information systems. It will be [...]

The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be overhauling the EHR Incentive Programs to improve flexibility, reduce physician burdens and advance health-information exchange and patient access measures. Some of the proposed changes include continuous 90-day electronic health record (EHR) [...]

Two recent developments signify a growing emphasis on value-based care in the U.S. health care system:  establishment of a new flexibility within the Quality Payment Program (QPP) and creation of the Health Care Innovation Caucus. Beginning in performance year 2019, the “All-Payer Combination Option” [...]