Tag Archives | ICD-10

ICD-10 Pre-Bill Auditing a Growing Area of Concern

Given the massive number of new ICD-10 codes and the Oct. 1, 2016 compliance date, HRS and ICD10monitor are producing a special-edition Internet broadcast that will focus on the imperative of pre-bill auditing. The free broadcast will air live at 1:00 p.m. on Thursday, Aug. 4. The 60-minute live event is being sponsored by HRS. […]

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Reducing Your Risk and Staying the Course

One thing always remains the same in healthcare: change. With the implementation of ICD-10 we found out how disruptive some of these changes can actually be, and it appears that this was only a precursor to even more change in healthcare, with the implementation of new quality payment initiatives. During the ICD-10 implementation, we began […]

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Good News, Bad News: The Saga Continues

The long-awaited update to the CT lung screening national coverage determination (NCD) was finally released this month. As you may recall, current smokers who were otherwise eligible were omitted from the NCD-covered codes released last year. That is the really good news. The really bad news is that at least one Medicare Administrative Contractor (MAC) […]

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CDC Releases 2017 ICD-10-CM Codes

Since the release of the 2017 ICD-10-PCS codes, the healthcare vendor community has been waiting with bated breath for the 2017 ICD-10-CM codes. Now they’re here. Those codes were just released on June 24, 2016 with the Index and Tabular files. There are 1,974 additions, 311 deletions, and 425 revisions. The resulting total for diagnosis […]

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The State of ICD-10 Implementation: Calm, and Qualms

Now at almost the 9-month mark, the implementation of the new ICD-10 (International Statistical Classification of Diseases and Related Health Problems, 10th Revision) diagnostic codes by physician practices resembles a calm, glassy stretch of ocean broken by a solitary shark fin. Yes, there is calm. By almost all accounts, the switch from the old ICD-9 […]

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CMS Issues Alert on ICD-9 and ICD-10 Exclusions

The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that there are newly excluded ICD diagnosis codes that will no longer be accepted by CMS beginning on January 7, 2017. The exclusion includes codes from […]

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ICD-10 QUICK TIPS: OB/GYN Episodes of Care and Complications

As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10. We are sharing these insights with the broader HIM Community through our bi-weekly blog series “ICD-10 Quick Tips.”

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8 Key Concerns For Physicians in 2016

Physicians often say they feel like the rules, standards and policies regarding the way they practice medicine change all too frequently.

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ICD-10: Good For Starters But Much Work Ahead

As it was billed and touted, ICD-10-CM/PCS gives medical personnel vastly expanded powers of specificity when diagnosing diseases and other health issues. Yet that greatly enhanced specificity comes with a price tag—a transition period that some observers believed could be messy and disruptive.

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ICD-10 Impact On Reimbursement, Payers, And Providers

Z23. That’s the ICD-10 billing code for an immunization encounter. It’s also the only code that stumped the team at Arlington, Virginia-based Privia Health, a national medical group.

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ICD-10 Two Months In: Consultants Give an Inside Look at How the Transition Has Impacted the Industry

Poor documentation, decrease in productivity among main ICD-10 challenges thus far.

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HIMSS Launches Interactive ICD-10 Transition Guide

HIMSS has launched the ICD-10 Transition Step-by-Step Guide, an interactive tool aimed at assisting healthcare providers who have not completed the transition to the ICD-10 code set for submitting claims to the Centers for Medicare and Medicaid Services (CMS) and other payers.

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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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Is CMS Really Ready for ICD-10? Be Very Afraid

Imagine that a federal agency called the Centers for Medicare & Medicaid Services, responsible for insuring about one-third of the nation, tried to build a national health insurance exchange and the rollout was disastrous.

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Physicians Still Smiling Through Healthcare Changes: 6 key points

Physicians report they are still happy in light of healthcare changes, according to Physicians Practice’s 2015 Great American Physician survey. Kareo sponsored the survey. Here are six key points:

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CMS Issues Clarifying Questions and Answers

CMS Issues Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities

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