On July 27, in response to questions from healthcare providers, the Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) released clarifications on their ICD-10 guidance for…
Remember those friends and family cell phone plans where you didn’t use minutes if you called people in your circle? You had to pick who you wanted in your group…
Investigation into the top 10 procedure codes, based on total allowed amount, experienced by the auto casualty insurance marketplace provides valuable insight for claims organizations, investigators and legislators. With thousands…
At Greensboro, NC-based Cone Health—a six-hospital, not-for-profit health system with 1,242 beds and gross annual revenue of $2 billion—a number of revenue pressures are making it tougher than ever to…
The Texas Medical Association has been granted its wish, sort of: ICD-10 will be implemented with “flexibility,” meaning physicians will have to implement the new coding system on Oct. 1,…
One of the more notable things about the Centers for Medicare & Medicaid Services' revisions to its ICD-10 policy on Monday is the fact that the suggestions come straight from…
The CMS has made a concession in the transition from ICD-9 to ICD-10. For one year past the Oct. 1, 2015 deadline, the CMS will reimburse for wrongly coded claims…
Communication was the theme at the Code It Right conference last week as medical coders prepare for a massive transition to a new medical coding system known as ICD-10. “I…
The country’s four largest state medical societies—California, Florida, New York, and Texas—have warned the Centers for Medicare and Medicaid Services that the Oct. 1 ICD-10 implementation deadline is a “looming…
You may think you know HIPAA inside and out, but experts say many practices and physicians are making mistakes regarding protected health information (PHI) that could get them into big…
In October 2013, the University of Mississippi Medical Center (UMMC) launched its clinical go-live of ICD-10 with a focus on data-driven priority setting and physician engagement. An external audit of…
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,…
According to today's announcement from the Centers for Medicare & Medicaid Services (CMS), ICD-10 implementation success is here. Between Monday, April 27 and Friday, May 1, Medicare Fee-For-Service (FFS) healthcare…
The “Increasing Clarity for Doctors by Transitioning Effectively Now Act” is an attempt to create a 'safe harbor' for medical claim reimbursements for physician practices struggling to get ICD-10 coding…
Thomas Selva, MD, is chief medical information officer at the University of Missouri Healthcare. Last week we spoke about the last-minute attempt by the American Medical Association to once again…
There's more to communicating with healthcare payers than handing them a medical claim and saying, "Pay me." Creating better relationships with your payers before Oct. 1, in fact, enables providers…