Skip to main content

Announcement of Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates

 

Highlights for me:  Page 65-115

page 163 Timely Follow-up After Acute Exacerbations of Chronic Conditions (Part C)

page 184 HCC categories (aka Disease Coefficients)

page 195 Table VIII-4. 2024 CMS-HCC Model with Disease Hierarchies



https://www.cms.gov/files/document/2024-announcement-pdf.pdf

Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.


Comments

Popular posts from this blog

MEDICARE PREVENTIVE SERVICES FROM MEDICARE LEARNING NETWORK

This is a link to further information on the Medicare Preventive Services. The layout of it reminds me of a bingo card!  Medicare Learning Network is the educational arm of Centers for Medicare and Medicaid Service (CMS). Remember this is further information on different types of screenings available to Medicare beneficiaries. https://www.cms.gov/Medicare/ Prevention/PrevntionGenInfo/ medicare-preventive-services/ MPS-QuickReferenceChart-1. html#AWV Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

Neoplasm / Diseases of the Skin and Subcutaneous Tissue

ICD-9                                                          185 Malignant neoplasm of prostate        ICD-10 C61   Malignant neoplasm of prostate ICD-9 (1code)                                             707.00 Pressure ulcer unspe cified site ICD-10 (6 codes) L89 .90  Pressure ulcer of unspec site,  unspec stage L89 . 91   Pressure ulcer of unspec site,  stage 1 L89 . 92  Pressure ulcer of unspec site,  stage 2 L89 . 93   Pressure ulcer of unspec site,  stage 3 L89 . 94   Pressure ulcer of unspec site,  stage L89 . 95  Pressure ulcer of unspec site,  unstageable           ...

Preliminary ICD-10-CM CMS HCC Mappings

The link below take you to the Preliminary ICD-10-CM Codes, CMS-HCC and RxHCC Models, Includes FY2014 preliminary list of  ICD-10 codes HCC Mappings from CMS. Last modified 9/30/2014.   Preliminary ICD-10-CM Mappings Diagnosis Code Description CMS-HCC PACE/ESRD Model Category V21 CMS-HCC Model Category V22 (clinically revised model implemented in 2014) RxHCC Model Category V04 CMS-HCC PACE/ESRD Model for 2015 Payment Year CMS-HCC Model for 2015 Payment Year RxHCC Model for 2015 Payment Year   #HCC  #ICD10  #CMS  #ICD9  #RiskAdjustment  #MedicalCoding #Mappings     Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to s...