ICD and DSM Coding Compliance Will Be Important In 2020 and Beyond
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On October 1, the grace period for allowing providers to submit “less-than specific” codes ran out. If you recall, when ICD-10-CM went live in 2015, the federal government gave providers a transitional year to adjust to the shiny new code set, get educated and hone their skills at making specific diagnoses. All is well, right?
Not quite.
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What’s the Key to Better ICD-10 Coding? |
Nearly a quarter of all U.S. hospitals now outsource some or all coding functions. Ninety percent of hospitals over 150 beds currently outsourcing their CDI processes reported in Q3 to have realized significant (over $1.5M minimally) in appropriate revenue and proper reimbursements following the implementation of clinical documentation
improvement programs in this past year following ICD-10 transition, according to the latest Black Book survey of 907 health leaders.
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Stopping Healthcare Fraud Before It Can Start |
In response to a reporter’s question, notorious bank robber Willie Sutton was quoted as saying thieves rob banks “because that’s where the money is”. Today, the money is in a wide variety of areas beyond banks, including the enormous – and growing – healthcare business. As a result, the amount of theft in the healthcare industry is enough to
give any honest person a headache. The FBI estimates that healthcare fraud is an $80 billion annual challenge....
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90% Report Clinical Documentation Improvement Boosted Revenue
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Most hospitals gained at least $1.5 million in healthcare revenue after clinical documentation improvement implementation, a Black Book survey found. Nearly 90 percent of hospitals with 150 or more beds and outsourced clinical documentation functions realized at least $1.5 million in appropriate healthcare revenue and claims
reimbursement following...
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Experts Say ICD-10 Codes Don't Go Far Enough
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When CMS switched from ICD-9 to ICD-10 last year, the new diagnosis classification list allowed coders to translate additional elements of doctors’ language to billers’ language. In a sense, ICD-10 added “adjectives” to coders’ vocabularies: oncology coders now have the ability to describe additional aspects of a tumor, such as whether it resides
in the upper left or lower right quadrant of a patient’s lung. Some coders would like to see that vocabulary expand further ...
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