CMS Issues Alert on ICD-9 and ICD-10 Exclusions
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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 there are newly excluded ICD diagnosis codes that will no longer be accepted by CMS beginning... Click Here to Read More
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Medical Billing Complaints Escalate
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The KVUE Defenders uncovered more concerns involving medical billing transparency following a nation-wide investigation. This time, complaints involve hospitals and other health care providers not providing reasonable cost estimates upfront or explaining the bill afterwards. Bill Preston said it happened to him last
year.
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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based on outdated work models Click Here to Read More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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