There’s nothing more frustrating than rendering a service and not being paid. Nuanced coding rules are difficult to understand, and physicians aren’t taught this information in medical school. Still, health…
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. “It’s a…
Reimbursement for procedures is an ASC's bread and butter. Here are eight things to know about surgery center reimbursement. 1. Surgery center reimbursement comes from several sources, according to the…
Say goodbye to the server, the future of health technology lies in the cloud. Thanks to advances in security and reliability, affordable web-based technology is more popular with physicians than…
In the wake of the Oct. 1 transition to ICD-10, very few issues have surfaced. However, providers and billers have experienced difficulty with coding for medical necessity, receiving denials due…
Poor documentation, decrease in productivity among main ICD-10 challenges thus far. Leading up to the healthcare industry’s transition to the ICD-10 coding set on Oct. 1, 2015, there seemed to…
The U.S. health care system began using the International Classification of Diseases 10th edition on Oct. 1. ICD-10 replaces the decades-old 9th edition, and it represents the largest change in…
The advice from those who have already tried coding with ICD-10? Hire a certified coder if you don’t have one on staff already. “If a physician office doesn’t have a…
In just a few short weeks, the landmark ICD-10 transition that has been anticipated and delayed countless times will arrive on Oct. 1, 2015. With it comes the pressure to…
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…
CMS Issues Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities In response to questions from the health care community, CMS…
Not since Jan. 1, 2000, have so many industry professionals had their eyes on a deadline as they do on Oct. 1, 2015. Questions abound regarding the financial repercussions of…
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…
Recent survey results from the Workgroup for Electronic Data Interchange (WEDI) seem dire for physician practices, but the numbers may not tell the whole story. The WEDI survey, released amid…
Hospitals did not get any ICD-10 relief as part of CMS' accord with the AMA regarding a specificity grace period. However, they might not need much help, according to the latest Workgroup…
The ICD-10 Compliance date is looming and it is imperative that healthcare providers be prepared to make the transition. It affects everything from claims processing, physicians’ workflow, and patients’ access…