Is Cyber-Security Insurance Right for Your Practice?
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2015 was a notorious year for cyber attacks in the healthcare industry, with more than 100 million health care records compromised in a single year. So far 2016 looks like it might be as bad or worse, once the Department of Health and Human Services' (HHS) Office of Civil Rights (OCR) gets all the breaches
posted.
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Downgrading DRGs: A New York Epidemic Out of Control
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Do you find that your facility’s DRGs are being downgraded by third-party payers that are re-diagnosing patients? Are they also discounting the coding of suspected and possible diagnoses? You’re probably not alone. Sonya Manuel, a senior health information management (HIM) consultant and DRG coordinator for Jzanus Consulting in New York, tells RACmonitor that the battle with
third-party auditors has been going on for years.
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Guideline Changes: Taking a Step Backward? |
The recent buzz surrounding changes to the ICD-10-CM guidelines have many wondering why we appear to be taking a step backward from quality instead of elevating standards with language indicating that physicians don’t need to document to meet clinical indicators or support conditions with their
documentation.
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The End of Relaxed ICD-10 Rules: What it Means for Private Practices
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Physician practices have had nearly a year to acclimate themselves to the ICD-10 coding that took effect in October 2015. Thanks to a grace period known as ICD-10 “relaxed rules,” which were established jointly by the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA), the use of ICD-10 codes that did not meet the highest level of specificity
requirements was allowed to continue without the risk of punitive action.
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CMS ICD-10 Coding Grace Period Comes to a Halt October 1, 2016 |
Since the update from ICD-9 to ICD-10, has your business successfully made the transition to the new coding system, or are you still struggling to keep up? If it’s the latter, very little time remains! According to CMS, October 1, 2016, will be the cutoff date for the use of...
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