If you haven’t become familiar – OR – have not re-familiarized with CMS’s website lately, (Center for Medicaid & Medicare Services) – AND – if you participate in any of their programs, CMS has done a pretty decent job of posting ICD-10 Transition information in a “Quick Link” format. We have provided several for you below. Diagnosis Coding: 115 Page PDF Document CMS documentation and coding basics for clinicians by Specialty: Family Practice 31 Page PDF Document Internal Medicine 32 Page PDF Document Pediatrics 28 Page PDF Document OB/GYN 19 Page PDF Document Cardiology 29 Page PDF Document Orthopedics 36 Page PDF Document
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Interstate Licensing Bill for Telemedicine Gathers Support
Twenty-one organizations have signed onto the Telemedicine for Medicare (TELE-MED) Act of 2015, which was recently introduced in both US House of Representatives and the US Senate. READ MORE
Money and time needed to bring more doctors to VA patients
The effort to recruit and train physicians to tend to the specific and often very locally focused needs of VA patients is slow-going despite its fast-track implementation, according to the Veterans Affairs Department. READ MORE
Feds pushing EHR vendors toward modular software
A proposed federal regulation favoring modular electronic health-record systems is changing the way vendors certify and market their software to providers striving to meet the requirements of the government’s EHR incentive program. READ MORE
ICD-10 Claim Submission Testing
As of October 1, 2015, ICD-10 medical diagnosis coding will forever replace ICD-9. Any ICD-9 codes submitted after the last day of September will be, in most cases, rejected. If your healthcare practice is not prepared for the transition, your cash flow may come to a screeching halt. Your rejection and exclusion reports could increase from 1 out of 10 claims, to as high as 8 in10. Claim formatting from 4010 to 5010 will accommodate the additional character/field requirements as further diagnostic code specificity is required (more digits) beyond the decimal point. To avoid catastrophe with the conversion to ICD-10,…
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$5.5M Settlement – Dr. Bonuses Included “value of referrals”
Physician alleged that clinic doctors received extra money based on a formula that improperly took into account the value of physicians’ referrals. The lawsuit alleged those actions violated the Stark law, which governs financial relationships between physicians and other providers. That, in turn, led to tainted Medicare claims. Whistle-blowers in successful False Claims Act lawsuits are entitled to a share of whatever amount of money is recovered. Moore will $825,000. (Access to full article and information regarding the settlement) (Modern Healthcare-Daily Finance: By Lisa Schencker | August 14, 2015)
Physicians Can’t Get No EHR Satisfaction?
Just 34% of physicians said they were satisfied or very satisfied with their EHR system in 2014, down from 62% in 2010, according to a new survey from AmericanEHR Partners, an online resource for buying and using the technology, and the American Medical Association (AMA). Meanwhile, the percentage of physicians unhappy with their system stood at 54% in 2014. The survey of 940 physicians pinpointed sources of EHR unease: 72% said EHRs made it difficult or very difficult to decrease their workload; 54% complained about higher operating costs; 43% had not yet returned to their pre-EHR level of productivity. (Access to…
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Provider Pay Models: FFS (Fee-For-Service) vs. QOC ?
Healthcare: an economic paradox. On one hand, it is our nation’s fastest-growing employer, projected to add 15.6 million jobs by 2022.
Is Your Data Safe?
Don’t Let ‘Hacktivists’ Steal Your Data (Medscape Business of Medicine: 8.4.15) The frequency and magnitude of cyber security breaches only seem to be increasing every month. The essential reality isn’t whether there will be a breach of your system but, increasingly likely, when?
Healthcare RCM Outsourcing Market in the US 2015-2019
Healthcare service providers have long since deployed automated systems to address RCM processes. Legacy IT applications have outdated technology platforms that lack the advanced functionality needed to address new models for reimbursement or RCM. The complex processes of medical billing and collections resulted in gaps and inefficiencies that have led to loss in revenue. Considering the issues pertaining to revenue cycle processes and workflows, hospitals and health systems considered the outsourcing option for RCM service. The outsourcing of RCM services ensures maximum collections in the face of growing challenges and also reduces the potential revenue leakage for different RCM processes….
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