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  • The Centers for Medicare and Medicaid Services (“CMS”) just released the new quality reporting codes, categorized as “G-Codes.” All ASCs are required to include these codes in all Medicare claim forms starting on October 1, 2012. The codes denote whether the patient suffered a burn, fall, other wrong including a wrong site, side, patient, procedure or implant event. Other items are included as well.

    Failure to include the G-Code in claim form will subject an ASC to reduction in Medicare reimbursements.

    More information and an explanation of the quality reporting codes from CMS can be found on the CMS website, which also includes the specific G-Codes: https://www.cms.gov/PQRS/15_MeasuresCodes.asp

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    by Richard E. Haskin, Esq

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