MRA Alerts and Updates

What is Pulmonary Hypertension? Pulmonary hypertension, defined as a mean pulmonary arterial pressure greater than 25 mm Hg at...

Are you using the most current ABN? A new Fee-for-Service Advanced Beneficiary Notification of Non-coverage (ABN) form is now effective, ...

CMS has released the initial ICD-10 Mappings and Software for 2021.   – The V24 (HCC) Model includes 9,757 ICD-10 Co...

Centers for Medicare & Medicaid Services (CMS) has  announced  flexibilities and adjustments for current and future alternative paymen...

QUESTION: What are the HHS-HCC categories for 2021 and where can I find the risk adjustment factors?  What ICD-10 codes map to ...

QUESTION:  What are the CMS documentation guidelines for who may elicit and document the patient’s history, including ROS, HPI and...

QUESTION:  Can a diagnosis of  secondary hypercoagulable state, (D68.69) be assigned for an uncontrolled diabetic patient who is t...

Question: If a patient has multiple diabetic complications, will coding all of them have an impact on the risk score? Answer: ...

Question: When the BMI is below 40, but morbid obesity is documented by the anesthesiologist (no other documentation regarding th...

Question: Medical record documentation indicates the patient is taking opioids prescribed by their physician for treatment of chro...

Question: Should recreational marijuana use be coded when documented by the patient’s provider? Answer: No, a code for the mari...

Question:  When does CMS run the risk score model to calculate risk scores for Medicare Advantage? What is the deadline for su...

QUESTION:  How is hyperaldosteronism coded in ICD-10? Does the etiology impact code choice? ANSWER:  Hyperaldosteronism occu...

Question: How is orthostatic hypotension coded in ICD-10? Does the pathophysiology or severity of OH impact the code ch...