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E849.4 Place of occurrence at Recreation/Sport; E849.5 Place of occurrence at Street and Highway; E849.6 Place of occurrence at Public building; E849.7 Place of occurrence at Residential institution; E849.8 Place of occurrence at Other specified places; E849.9 Place of occurrence at Unspecified place; E849.0 Place of occurrence at home [2]
Level III codes, also called local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions.
Under the proposal, the ICD-9-CM code sets would be replaced with the ICD-10-CM code sets, effective October 1, 2013. On April 17, 2012, the Department of Health and Human Services (HHS) published a proposed rule that would delay the compliance date for the ICD-10-CM and PCS by 12 months-from October 1, 2013, to October 1, 2014. [ 4 ]
The IPO list details the Healthcare Common Procedure Coding System (HCPCS) codes for the procedures that Medicare will only cover on an inpatient basis. Medicare Part A covers inpatient treatments.
An adaptation of the Centers for Medicare & Medicaid Services payment policy causes poor-performing hospitals to lose up to 3% of their inpatient revenues, whereas hospitals that are able to decrease hospital-acquired infections can earn up to 3% in rewards.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.