2015 GEMs and Reimbursement Mappings for ICD-10 Now Available

2015 GEMs and Reimbursement Mappings for ICD-10 Now Available
|Legal News, Medicare News, Medicare Secondary Payer – Information and Services for RREs/Primary Payers, Medicare Secondary Payer- Information and Services for Plaintiffs’ Counsel & Beneficiaries

The 2015 General Equivalence Mappings (GEMs) and Reimbursement Mappings are now available on the 2015 ICD-10-CM and GEMs web page and 2015 ICD-10-PCS and GEMs web page. These mappings can be used to convert policies from ICD-9-CM to ICD-10 codes. The GEMs provide both forward (ICD-9-CM to ICD-10) and backward (ICD-10 to ICD-9-CM) mappings. For detailed information on these mappings, see the accompanying Guides that are posted with the files.

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More information: http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html

About the author

Seana B. Thomas

Founder and Principal Attorney, Seana Thomas is a recognized authority on Medicare Secondary Payer law (MSP) and procedure, and has been a civil litigator in California for over 25 years. Since 2008, Ms. Thomas has been involved in the analysis and understanding of issues relating to the existing Medicare Secondary Payer reimbursement system, current and anticipated revisions in MSP law and procedure in the liability context, and the effect they have on the rights and obligations of "primary payers" (RREs), beneficiaries and their counsel in liability claims or lawsuits asserted by a Medicare beneficiary.

In the summer of 2008 she was co-author, with Roy Franco, J.D. and David Rosenbaum, Esq., of a detailed analysis of the Medicare statutory reimbursement system and issues it presents for RREs and beneficiaries in the liability context in response to a Request for Comment regarding proposed changes to the MSP. This 100-plus page analysis was entered into the United States Congressional Record. Since then, MSP law and procedure has been a significant focus of Ms. Thomas's practice. Ms. Thomas continues an active civil litigation practice through trial and appeal for defense entities and plaintiffs. References are available upon request.

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