ICD-10 Gets Down to Specifics, and Attention to Detail Directly Affects Finances
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This year, getting reimbursed is all about making sure the codes reflects the actual care given. For ICD-10 changes this year, the devil's in the details. When ICD-10 was first implemented on Oct. 1, 2015, it was a nail-biting flip of the switch and then a sigh of relief when denials didn't mount up as some feared. This last October, providers dealt with a monumental amount of changes
to the ICD-10 coding system. This year, there's less than 400 new codes...
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Study Guides On Sale For Only $39.99 (Reg $52.99)
Conditions That Risk-Adjust for Inpatients Not Always the Same for Outpatients
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Last week Tracy Boldt contacted me to ask a question about outpatient clinical documentation integrity (CDI), and we are lucky to have her on the Talk-Ten-Tuesdays broadcast today, detailing Essentia Health’s successful outpatient CDI program. She also mentioned that she had been awaiting the third installment of my three-part series on outpatient CDI. I was embarrassed to discover that it
had never been published, so we posted it last week. Click Here to Read More
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Elimination of LCDs Proposed
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This is the year of many Centers for Medicare & Medicaid Services (CMS) regulatory requirement changes. This includes the Merit-Based Incentive Program (MIPS), the next steps toward mandatory Authorized Use Criteria (AUC) implementation for advanced imaging, defining more explicitly what is and what is not “quality” care,
etc.
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CMS Cancels Two Mandatory Pay Models and Scales Back a Third
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The CMS on Tuesday said it will toss two bundled-payment models and cut down the number of providers required to participate in a third, citing providers' requests to have more input in the models' designs.
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Learning ICD-10: Documenting Type 2 Myocardial Infarction
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The reasons we should be documenting and coding conditions is for communicating with other clinicians, recognizing clinical significance and prognostication, and receiving appropriate compensation for utilization of resources. The implication that a Type 2 MI is different than a Type 1 MI and the new guidelines reflect
this.
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Study Guides On Sale For Only $39.99 (Reg $52.99)
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