A year after the much-hyped switch to the ICD-10 diagnostic coding library, healthcare providers now face pressures to assign codes with the right degree of specificity or risk claim denials.…
Since the update from ICD-9 to ICD-10, has your business successfully made the transition to the new coding system, or are you still struggling to keep up? If it’s the…
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…
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…
Physicians often say they feel like the rules, standards and policies regarding the way they practice medicine change all too frequently. In 2016, there are several key issues physicians should…
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…
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…
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…
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…
On Oct. 1, a big change is coming to the health care industry. That’s the deadline for all health care companies – doctors, hospitals, clinics, insurance provider – to upgrade…
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…
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: 1.…
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…
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…
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…
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…