The PILOT MS-DRG Grouper is available now in the following MediRegs products: Compliance & Regulation Suite, Audit & Revenue Resource Center and Coding & Revenue Resource Center.  On the left-hand navigation pane, under Lookup and Payment Tools, notice 2 different links; the pilot version is marked "ICD-10", and it should be understood that this logic is for testing and predicting.  Use the original grouper for current year ICD-9 grouping logic.

Click Here to view a replay of 2012 CPT Changes Overview. Viewing this webinar give you a better understanding of 2012 CPT changes, in this program we will cover the following topics:

• Overview of changes in CPT for 2012
• Review of each CPT change by section of CPT to include: Anesthesia, Surgery, Radiology, Pathology/Laboratory, Medicine and Category II & III codes
• Rationale for change

Click Here to view a replay of OPPS Final Rule Review Webinar. This session will prepare hospital staff for compliance with Medicare outpatient billing guidelines in 2012 by reviewing the key provisions of the Medicare Outpatient Prospective Payment System (OPPS) Final Rule. The session will discuss and summarize 2012 Medicare payment policy and billing guideline changes for hospitals.

Click Here to view a replay of the How to Avoid Penalties by Understanding and Reducing Your Hospital Readmission Rates webinar. The CMS readmission penalty is up to 1% of all Medicare IPPS payments in FFY 2013 climbing to 3% in 2015. Hospitals with higher readmission performance as compared to expected readmissions will face millions in lost payments.

Click Here to view a replay of the "Drugs of Abuse: Qualitative Testing - What has the industry learned?" Webinar! This presentation will cover understanding the laboratory issues noted by the OIG. Attendees will learn which qualitative drug testing is at risk and what steps to take to mitigate the risk by:

Because the CMS Manuals are so critical to compliance, coding, reimbursement, and audit, it is important to understand what is going on with the manual format, transmittals links and changes. I hope this mini-tutorial helps.

CMS Publications

Medicare makes available on its website 2 publications: 1 - Transmittals, which are CHANGES to the Pub 100 "Internet Only" Manuals, or IOMs.2 - Copies of the CURRENT versions of the manual, broken down by Chapter, in PDF format.

Click Here to view a replay of the Webinar! Successful coding in ICD-10-PCS is dependent upon solid anatomy knowledge. This program will cover the basics of the ICD-10-PCS coding system and describe how anatomy knowledge can improve your speed, accuracy and understanding in the new system. We’ll discuss how to develop a personalized learning plan for ICD-10-PCS and cover some of the most helpful resources available for coders. We’ll also demonstrate the MediRegs Coding Suite tools for ICD-10-PCS.

What Does ICD-10, Regulatory Audits, and Quality Indicators Have in Common With Your Clinical Document Improvement Program

Compliance & Regulation Suite and Coding Suite users now have access to the ICD-10 Explorer tool.  Go the the Codebooks library and scroll down.

You have probably heard a lot about the enormous differences in the clinical terminology, increased specificity, and complexity of the I-10 generally equivalent maps. The ICD-10 Explorer tool is an excellent way to explore these instantly. Try the following examples to begin your understanding of the capabilities of this tool.

Want to review?