Tag Archives | healthcare

Moving Your Practice Past Industry Benchmarks

I often get the question, “What should my monthly numbers be?” My first response is, taking into account collections among other things affecting their practice, “What are your minimum requirements, annual goals, and what amount of time and energy are you willing to put in, in order to reach those results?” This is not the […]

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Feds Crack Down on Upcoding

By the time the late President Lyndon B. Johnson signed the law establishing Medicare and Medicaid in 1965, the health care community was already figuring out how to maximize its returns from these new programs designed to insure the elderly, poor, and disabled. Those proceeds, however, have been generated over the years in ways that […]

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Healthcare Hotbed for Fraud Cases

While it might surprise some folks that five Modesto doctors are among those facing fraud charges in a $40 million medical billing and kickback case based in Southern California, it shouldn’t surprise anyone that there was yet another medical fraud case. Wherever there is money, you’ll find people or institutions are that ripe for defrauding, […]

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Surprise Medical Bills: Why They Occur And What To Do

Imagine going on Amazon, buying an Electronic Spin the Bottle Game for its listed price of $32.92, receiving the product (sparing the arduous effort required to spin the bottle) and then several weeks later receiving an additional bill for $600. As indicated in a recent study, that’s basically what’s happening in heathcare…quite frequently. Not spin-the-bottle, […]

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Healthy Job Growth for Medical Coders

On Oct. 1, a big change is coming to the health care industry.

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3 ICD-10 Changes Include Specificity, Expansion, Combination

ICD-10 is almost here, with only 43 days remaining. Of paramount significance come October 1 when ICD-10 implementation swings into full gear is a keen and clear understanding of what will be different this time around. The following is a narrowed list of selected highlights regarding key differences between ICD-9 and ICD-10 worth paying attention […]

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Lawmakers Propose ICD-10 Two-Year ‘Grace Period’

U.S. lawmakers are making their third attempt in just over a month to tweak ICD-10 with new legislation. This time around, rather than attempting to kill or delay ICD-10 altogether, members of Congress have introduced a bill that would provide a two-year grace period for docs submitting claims.

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ICD-10 is the Pathway to Big Data in Healthcare

If big data in healthcare is the future for medicine, then ICD-10 is the way to get there. Over the past year, most of the news surrounding ICD-10 has been either bureaucratic or comical in nature.

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Examining the Basics of the Health Care Revenue Cycle

The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.

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ICD-10: Stay the Course

It has been a very bumpy ride since early April, when ICD-10 was delayed once again. Ironically, I was in the U.S. Virgin Islands when I received the news, training physician groups in St. Croix and St. Thomas.

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Worrisome lack of coding accuracy in ICD-10 National Pilot

Medical coders certainly have their work cut out for them ahead of the ICD-10 transition if the results of the ICD-10 National Pilot Program hold true across the majority of healthcare organizations. 

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Switching To New ICD-10 Codes

University of Illinois at Chicago researchers have developed a website that walks healthcare providers through the challenging transition from the current International Classification of Diseases — ICD-9 — to the new ICD-10.

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ICD-10 Best Practices

When Centers for Medicare & Medicaid Services (CMS) first proposed the one-year delay of the compliance date for the transition to the International Classification of Diseases, 10th Revision (ICD-10), it estimated savings of billions to the healthcare industry.

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