ICD-10 is coming…ICD-10 is coming

Many health insurers (public and private) reimburse doctors based on the patient’s diagnosis. If you treat a patient for a more severe illness during a inpatient stay, Medicare pays you more money. Physicians use procedures to bill insurers for the care they provided. How do insurers know the patient’s diagnosis and the procedures providers perform?…

Does Medicare use CPT codes for payment?

For Part B services, Medicare pays physicians based on the services they provide.  The American Medical Association (AMA) developed Current Procedural Terminology (CPT) codes to create a taxonomy of procedures that physicians perform.  Does the Centers for Medicare and Medicaid Services (CMS) use these codes for payment? The answer is yes and no.  Officially, CMS…