The State of ICD-10 Implementation: Calm, and Qualms
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Now at almost the 9-month mark, the implementation of the new ICD-10 International Statistical Classification of Diseases and Related Health Problems, 10th Revision diagnostic codes by physician practices resembles a calm, glassy stretch of ocean broken by a solitary shark fin.
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CMS's Final Rule on Medicaid Managed Care
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On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued final regulations that revise and significantly strengthen existing Medicaid managed care rules. Here is a summary of the changes...
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Texas Lawmakers Study Regulations on Surprise Medical Bills
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Even though they may have health insurance, growing numbers of Texas consumers are getting unexpected bills from doctors not in the consumers’ health care network.
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2017 IPPS: Coding Changes Ahead
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The proposed Inpatient Prospective Payment System (IPPS) rule changes proposed for the 2017 fiscal year were released on April 18. In reviewing the changes outlined in the 1,585-page rule, it became clear that there were a few practice areas that will be particularly impacted
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How To Bill And Code Transitional Care Management The Right Way
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Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing the codes when all of the other criteria are met?
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