Preventing Medical Necessity Denials |
Given the added specificity inherent in ICD-10, it’s no surprise that medical necessity denials for physician practices and medical groups are expected to increase throughout 2016. In addition to greater levels of code granularity, three key industry drivers are expected to impact ICD-10 coding compliance among physician practices in the year
ahead. Click Here to Read More
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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. Click Here to Read More
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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based on outdated work models Click Here to Read More
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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? Click Here to Read More
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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... Click Here to Read More
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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. Click Here to Read More
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