Tag Archives | medical coding

Patient Safety Jeopardized by EHR Downtime, JAMIA Says

Downtime events in hospitals that shut down the functionality of the electronic health record can result in serious patient safety risks, according to a recently published study in the Journal of the American Medical Informatics Association. In fact, over the three-year analyzation period of a large health system in the Mid-Atlantic, 76 incidents were reported […]

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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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14 Things To Know About Medical Coding

Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are 14 things to know about medical coding. 1. AAPC describes medical coding as “the transformation of healthcare diagnosis, procedures, medical services and equipment into universal […]

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ICD-10 Codes Aren’t Oppressive After All

Alexander Miller, M.D., a dermatologist in Yorba Linda, Calif., has a simple message for colleagues grappling with the new ICD-10 codes: Don’t panic! “It’s just a matter of restructuring one’s thinking,” Dr. Miller tells Dermatology Times. “It was no problem for us to handle these codes,” he says, even in his office that continues to […]

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Top 5 Tips for Combating 2017 Coding Concerns

The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code set’s influence on value-based care. Looking to next year, practices should start being proactive with these coding opportunities now to consider how the following five […]

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5 Findings From Nationwide ICD-10 Coding Contest

Central Learning’s national 2016 ICD-10 coding contest highlighted the converse relationship between coding accuracy and productivity across inpatient, ambulatory and emergency settings. Central Learning is a web-based coding assessment application, belonging to AVIANCE’s suite of health information and revenue cycle management solutions. More than 550 coders registered with Central Learning to code 1,859 cases in […]

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Careful Planning Can Reduce Vaccine Associated Losses

Vaccine administration is an important element of primary care practice, and a critical contribution to preventive care public health. But as vaccine and overhead costs continue to rise—particularly for private practices—physicians can have a difficult time aligning expenses with revenues. A decade-old paper published in Vaccine sought to estimate the expense practices face from administering […]

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How Physicians Can Improve Coding And Increase Revenue

Reimbursement for evaluation and management (EM) services is often the most challenging for primary care physicians and their billing staff. The most common EM codes are based on location, patient status, and level of service. A good understanding of the opportunities, and a review of common errors found in audits, will help your practice obtain […]

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Good, Bad Trends in ICD-10 Coding Accuracy: Early 2016 Data Revealed

A recent data set gathered from 300 coders at 50 health systems was revealing with regard to ICD-10 coding accuracy thus far following the October 2015 implementation.

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Medical Billing and Coding for Small Private Practices in the US

Medical billing and coding companies in the US are gaining popularity with their efficient services.

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Toxicity in the HIM World a Cultural Problem

Allow me to preference this by saying I love coders. Many of my best work relationships are with coders. I am a coder, and have been since 1998. Coding gave me my career path into consulting.

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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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One Vaccine Code Fits All?

Someone recently asked me an interesting question I had not thought about previously – hence the impetus to write this article. The question was “why code immunization to Z23 in ICD-10-CM?”

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Payer Vendor Says ICD-10 Going Well

Payer software vendor and claims clearinghouse TriZetto Provider Solutions has seen a small uptick in insurers rejecting providers’ ICD-10 claims as the new code set enters its third week.

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Payers Take Forgiving Stance in Accepting ICD-10 Claims

How lenient are major health insurers willing to be when it comes to accepting providers’ ICD-10 claims? Humana and UnitedHealthcare are giving latitude in the specificity of the new codes, at least for now.

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RheumNow: ABCs of the New ICD-10 Codes

The ABC’s of the New ICD-10 Codes

Unless you’ve been living in a cave, you are probably aware that come Oct. 1, 2015, the old ICD-9 coding system will be completely replaced with a “newer version”: ICD-10. The purpose of this newer system is to modernize coding — recognizing that since the last update in 1979, the number and precision of diagnoses […]

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