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OVERVIEW:
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CDM FOCUS™ gives providers a
fully automated system to perform an initial charge description master
assessment, to easily uncover areas where data quality, compliance and
reimbursement revisions can be made and to electronically monitor CDM
compliance. The system is web-based and facilitates easy uploading and
downloading of your original and revised chargemasters.
CDM FOCUS™ will identify invalid
or inappropriate CPT/HCPCS codes, missing charges, areas of non-compliance with
CMS regulations and a myriad of other coding and reimbursement issues.
As a CDM FOCUS™ user you can
periodically process your chargemaster to compliance as coding rules and
reimbursement regulations change and as updates are made to your chargemaster.
You will also receive alerts online and via email when coding or reimbursement
rule changes are made.
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HOW
DO I GET STARTED WITH CDM FOCUS™?
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Register
FREE to initiate the CDM Diagnostic Review process now.
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Go to "Upload" and find out how
easy it is to electronically provide us or upload your charge description
master to the cdmfocus.com site. Click here for
the file specifications to use.
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Go to "Reports" and run your
FREE diagnostic review report. The report will identify the number of potential
discrepancies in your chargemaster by each of the following categories:
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Invalid revenue codes
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Duplicate service codes
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Invalid department codes
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Zero volume service codes
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Invalid CPT/HCPCS codes
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Device pass-through omissions
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Omitted linked codes
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And more!
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After printing and reviewing
your diagnostic review report, you have the option of upgrading to obtain full
access to the detailed reporting features and myriad other benefits
available through CDM FOCUS™.
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CONTACT
INFORMATION:
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John Hughes
Sales Engineer
Innovative Health Solutions
Email: jhughes@ihsinfo.com
Phone: 1.866.822.6700
Fax: 1.732.393.4981
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COME VISIT US
HIMSS Annual Conference & Exhibition
February 25 – March 1 | New Orleans, LA | Booth 2663
PRESS RELEASE:
Innovative Health Solutions Enters Into Strategic Alliance With 3M Health Information Systems
Innovative Health Solutions Posts Record Fourth Quarter Sales
Comparative Pricing
UPDATED WITH 2005 DATA:
11/3/06
The CDM Focus Comparative Pricing module has recently been updated with 2005 UB Data, Volume,
HCPCS Codes, and Standard Deviation Schedules. As of 11/3/06 all reports are running against
the OPPS dataset from July 1, 2005 – December 31, 2005.
CDM FOCUS™
UPDATED FOR JAN 1, 2006 CODE CHANGES:
CDM FOCUS Compliance Module has been updated with the CMS Outpatient
Prospective Payment Systems (OPPS) CY 2006 changes as well as the CPT/HCPCS
changes that are effective as of January 1, 2006. New reports have been added
for CDM Focus subscribers to reflect these changes, and existing reports have
been updated with the new information.
In the final rule, CMS has added almost 600 new CPT/HCPCS codes, and deleted
approximately 400 codes. An additional 700 codes have been changed either APC
assignment or Status Indicator. Where appropriate, replacement codes or
alternate codes have been assigned, as have revenue codes and standard
departments. New links have also been added to the C Code Device Dependent
report effective January 1, 2006.
Comparative
Pricing UPDATED WITH 2004 DATA:
11/3/2005
The CDM FOCUS™ Comparative Pricing module has recently been updated with 2004
UB Data, Volume, HCPCS Codes, and Standard Deviation Schedules. As of 11/3/05
all reports are running against the OPPS dataset from July 1, 2004 – December
31, 2004.
CDM FOCUS™
UPDATED FOR OCTOBER 1, 2005 CODE CHANGES:
Effective October 1, 2005, CMS has posted a revised Addendum A and Addendum B
on the hospital outpatient prospective payment system website to reflect
quarterly changes in the OPPS. These changes have been incorporated into CDM
FOCUS™ including:
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New service, Placement of
endorectal intracavity applicator for high intensity brachytherapy, C9725, is
assigned payment of $550, with a minimum adjusted copayment of $110.
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A new code for a separately
payable brachytherapy source under OPPS, C2637 Brachytherapy source,
Ytterbium-169, per source
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Updated codes for drugs were
added, with updated payments from addendum b, based on the Average Sales Price
(ASP).
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Code C9224 Injection, galsulfase
was effective 5/31/05 following FDA approval. CMS will add this code to the
claim processor for October 1. Hospitals may bill for this biological using
HCPCS code C9399, Unclassified Drug or Biological prior to October 1, and then
begin using the new code C9224.
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Codes where status indicators
were changed to B, codes not recognized by OPPS, include:
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J7622 Beclomethasone inhalant
sol
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J7624 Betamethasone inhalation
sol
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J7626 Budesonide inhalation sol
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J7641 Flunisolide, inhalation
sol
CDM FOCUS™
UPDATED FOR JULY 1, 2005 CODE CHANGES:
Effective July 1, 2005, CMS has posted a revised Addendum A and Addendum B on
the hospital outpatient prospective payment system website to reflect quarterly
changes in the OPPS. These changes have been incorporated into CDM FOCUS™
including:
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Payment for drugs based on the
Average Sales Price (ASP) has been updated, and correction has been made for
payment of Adalimumab.
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Codes for newly approved drugs
have been added.
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A national Coverage
Determination (NCD) on January 28, 2005 approved coverage of off-label used of
specific anti-cancer drugs furnished during clinical trials. The drugs include
oxaliplatin (Eloxatin), irinotecan (Camptosar), cetuximab (Erbitux), or
bevacizumaab (Avastin), and are represented with codes J9035, J9055, J9206,
J9263, J8520, J8521, J9201 and J9190.
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A new modifier, QR must be added
to identify "non-routine" costs of these 9 clinical trials, including the
administration costs of the items/services/drugs provided in the clinical
trials that are not generally covered.
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The device dependent CPT/HCPCS
procedure codes have been updated with the tables for the October, 2005 edits.
CDM FOCUS™
UPDATED FOR APRIL 1, 2005 CODE CHANGES:
Effective April 1, 2005, CMS has posted a revised Addendum A and Addendum B on
the hospital outpatient prospective payment system website to reflect quarterly
changes in the OPPS. These changes have been incorporated into CDM FOCUS™
including:
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The codes associated with the
new Status Indicator M, Services not billable to the fiscal intermediary and
not payable under the OPPS, have been identified. A new report has been added
to CDM FOCUS™ to identify services with this new non-reportable payment status.
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Payment for drugs based on the
Average Sales Price (ASP) has been updated, and corrections have been made to
some misclassified drugs.
Existing codes for PET scans are being deleted effective April 1, 2005. The
Level I replacement codes were effective January 30, 2005.
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