6 Strategies for Physicians to Successfully Navigate MIPS
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CMS' Medicare Access & CHIP Reauthorization Act of 2015 replaced the current Meaningful Use, Physician Quality Reporting System and Value-Based Payment Modifier this year.
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Toxicity in the HIM World a Cultural Problem
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We have all heard of the familiar telltale red flags of a toxic and ineffective work culture. “That is not my job.” “That is the way we have always done it.” “We can’t question.” “We can’t assume.” “Our hands are tied.” “We don’t see the value in this.” These are all the battle cries that hail resistance to change, the impeding of progress, and a greater likelihood of leaning toward mediocrity
based on outdated work models
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Four Strategies to Stay Afloat During Wave of ICD-10 Denials
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Much to our surprise, the transition to ICD-10 continues to go relatively smoothly. Our organization has had minimal denials and delays in cash flow. Is our experience unique, or is this what you've seen nationwide as well?
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Visualizing New ICD-10 Codes for Ophthalmology
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There are 123 pending changes to coding for ophthalmology for this coming October due to additions, deletions, and revisions of the ICD-10 coding set. The coding for conditions related to the eye in ICD-10-CM has become much more in-depth and requires the coder to have a greater understanding of...
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Orthopedic Group Pays Big Fine for HIPAA Violation
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Raleigh Orthopaedic Clinic of North Carolina has agreed to pay $750,000 to settle charges that it might have violated the HIPAA Privacy Rule by disclosing protected health information (PHI) for about 17,300 patients to a potential business partner without first executing a business associate agreement (BAA), according to the Department of Health and Human
Services.
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Four Ways To Get The Wrong ICD-10 Codes
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Medical practices and hospitals are finding out that mappings and electronic health records (EHRs) are always getting the correct ICD-10 codes. Medical coders need to work through the documentation to get the right diagnoses and procedures.
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An Auditor’s Observations on ICD-10 Audits and Compliance
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We are nearly six months into ICD-10 and more coding reviews and audits are underway, which is a good thing. There are close to 30 times more procedure codes and five times more diagnosis codes in ICD-10-CM/PCS, compared to ICD-9-CM. In addition, thousands of new and revised codes will continue to emerge
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