Risk Managers and workers’ compensation claim managers normally know the purpose of medical bill review is to reduce medical bills to the state fee schedule or to the previously agreed…
The number of Recovery Audit Contraction (RAC) requests for medical claims reviews has increased “dramatically” since 2012, according to the American Hospital Association’s (AHA) newest RACTrac survey. More than 1200…
Follow these basic tips to ease the training for ICD-10 The world Health Organization had implemented the ICD-10 diagnostic coding system a long time back to replace ICD-9. The primary…
We all hope the question won’t be necessary, but the industry-wide climate of fear and dread that has surrounded ICD-10 demands an answer. What will you do if you or…
Gov. Pat McCrory signed legislation into law Wednesday that he said will help North Carolina consumers make better health care decisions and aid his administration in running state government more…
ICD-10 testing will be more complicated than sending medical claims to healthcare payers and asking, "How's that?" There are some best practices that can make or break your ICD-10 transition:…
In case you haven’t heard, the clock is ticking down to ICD-10, and as far as CMS is concerned, there won’t be a last minute cutting of the wires to…
Medical bill errors can quickly become a nightmare for both caregivers and their loved ones. The longer an error goes uncorrected, the less likely it is that you will be…
Expert Leesa A. Israel will take this 60 minute audio session on Tuesday, August 20, 2013, to help you comprehend the meaning of modifiers and when to use them in…
Legend has it that there once was a boy who, on his way to school, noticed a small leak in a dike and, knowing he would be late for school,…
"Medical assistants who can work in doctors' offices are like gold right now," said Diana Johnson, AA, CMA, and director of the medical assistant program at the San Jacinto College…
The ICD-10 compliance date is creeping closer and closer, and providers are still finding it challenging to plan and complete their transition preparations. EHRintelligence spoke to Jim Daley, Director of…
On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. This opens a door full of questions…
Second Sight Medical Products Inc.’s retinal prosthesis system has been approved by the Centers for Medicare and Medicaid Services (CMS) for both inpatient and outpatient settings of care payments beginning…
Healthcare is an enormously complex endeavor and it has gotten more complex than ever imagined with the advent of the Patient Protection and Affordable Care Act (PPACA). PPACA has put…