Medical Necessity CMS Limitations Guides for medical necessity under ICD-10 are now available. For more information, please visit the CMS website. Unacceptable Principal Diagnosis Codes Situation Currently we are receiving denials for primary diagnosis codes that were previously allowed to be listed as the primary/principal diagnosis code. Family history of codes (Z90.0-Z84.89) Long-term use of codes (Z79.02-Z79.84) Background Center for Medicare and Medicaid Services (CMS) publishes quarterly updates to their list of Unacceptable Principal Diagnosis codes. These quarterly changes have caused

ICD-10 Resource Center Health care providers across the United States underwent a transformational change in the way a patient’s clinical details are summarized in the medical record on October 1, 2015. ICD-10 replaced the 30-year-old ICD-9 system, expanding ICD-9's system of 14,300 diagnosis codes and 3,800 procedure codes to more than 69,000 diagnosis codes and 72,000 procedure codes. Munson Healthcare partnered with Trinity Health to prepare for this transition. and develop strategies, work plans, time lines, and tools to ensure a successful transition. Please continue to watch this page

PAMA Resource Center PAMA Resource Center On January 1, 2020, CMS implemented a new mandate – section 218 of Protecting Access to Medicare Act (PAMA) – that changed the prior authorization process for ordering certain advanced diagnostic imaging studies. The education and testing period for PAMA has now been extended until January 1, 2023. When ordering an advanced diagnostic imaging service for a Medicare beneficiary, a provider is now required to consult a qualified Clinical Decision Support Mechanism (CDSM). CDSMs are electronic portals through which appropriate use criteria (AUC) is

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Support Cancer Patients in Need Today A cancer diagnosis impacts more than a person’s physical health. Cancer can also impact relationships with loved ones, an individual’s emotional health, and even their financial stability. While health insurance often helps to subsidize the cost of treatment, routine expenses quickly add up and can become overwhelming. This is especially true during times of missed work for appointments, procedures, and recovery. Your gift to the Cancer Patient Needs Fund provides non-medical financial assistance to Munson Healthcare patients in need of a helping hand

Patient Portal MyHealthInfo Patient Portal Minor Patient Portal Proxy Access Additional Educational Resources: Patient Portal FAQ for Providers | Munson Healthcare Patient Portals I Munson Healthcare I northern Michigan

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Walk-in Wednesdays Job-Matching Events Are you in the market for a new job? Find “the one” at Munson! If you’re ready to commit to a more fulfilling career in a positive environment that values teamwork, creativity, flexibility, and opportunities for growth, let’s meet and see if there’s chemistry. Match with a great role on the spot No experience necessary for entry-level jobs – earn as you learn! Learn about our great pay and benefits, like up to 19 days of paid time off, flexible scheduling, and career advancement with our growing healthcare team July Dates July 3, 10 am – 1 pm | All Roles

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