EDITOR’S NOTE: Five Looking at Ten is a month-long series on ICD10monitor and Talk Ten Tuesdays that examines lessons learned since the nation’s healthcare system adopted ICD-10 transition – many of which are expected to come into play with the...
More InfoImproving clinical documentation quality, leveraging technology, and educating providers are key ways hospitals improve coding compliance in a value-based world. Medical coders are typically behind the scenes of patient care, analyzing records...
More InfoA “bold proposal” to reduce the documentation burden on physicians was released as part of CMS’s 2019 proposed Medicare Physician Fee Schedule (PFS). This seemed to have begun as an effort to listen to stakeholders and address the problems of...
More Info86% of medical group practices in an MGMA report said regulatory burden rose in the last year, with prior authorizations and the Quality Payment Program adding to that burden. A vast majority of medical group practices experienced growing...
More InfoAmong the many examples of Artificial Intelligence, AI in healthcare is clearly one of the leaders. AI is already reshaping medicine in many ways, and its influence will only increase in the years ahead. To shed light on this major shift, I spoke...
More InfoAfter a series of zigzags, Utah is about to expand Medicaid under the Affordable Care Act. At least 10 red states have done the same, but Utah’s experience may be a bellwether showing how far the Trump administration will let states go in...
More InfoAs per new update in medical coding, their will again some new ICD 10 codes in FY 2020. Also, their will some deletion and revision of ICD 10 codes. Their are around 273 new codes, 21 deleted codes, and 30 code title revisions for Year 2020. The...
More InfoAs soon as your medical practice sends a claim to the payer, you will only be counting down the days until you receive the actual payment. Of course, it is a must to ensure that you receive the payment as soon as possible since delays will...
More InfoHow many times has a provider asked you, “What do I need to document to get a 99215?” All too often, medical coders feel they should help their providers understand what elements of documentation are needed to warrant the higher level evaluation...
More InfoA comprehensive hospital claim validation strategy that prevents denials and improves efficiencies hinges on the right blend of retrospective and pre-bill reviews. The time to strengthen hospital compliance programs through claim validation is...
More InfoPresident Donald J. Trump pushed back against his democratic rivals October 3 by signing an executive order aimed at taking the wind out of the sails of their Medicare for all propositions. The executive order says that the proposals calling for...
More InfoOctober is Breast Cancer Awareness Month. Make sure your practice’s medical coding mammograms for preventive screening mammograms is up to date with current guidelines. Coding Mammograms for Medicare The Centers for Medicare & Medicaid...
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