Navigating ICD-10: Tips For Hospitals and Coders
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More than one year after the ICD-10 go-live on Oct. 1, 2015, CMS has ended the ICD-10 claims auditing and quality reporting leniency period. Guidelines now require providers to code to reflect clinical documentation in as much specificity as possible. Therefore, hospital and health system leaders must ensure both new and
experienced coders are prepared to keep up with the coding requirements...
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Everything Doctors Should Know About ICD-10 Glitch
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CMS has announced a glitch in the quality reporting measures brought upon by the changes in the ICD-CM (Clinical Modification) and ICD-PCS (Procedural Coding System) updates that went into affect Oct. 1. While CMS is a bit unclear as to exactly what the problem is, there are a few things we
know...
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How to Successfully Communicate Your Clinical Validation Concerns |
In many cases, both the coder and auditor know the case may be denied due to missing clinical indicators, but find themselves with limited ability to correct the physician's documentation. This scenario is particularly troublesome for known RAC denial
targets.
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ICD-10 Glitch Causes CMS To Relax Payment Penalties
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Massive ICD-10 code update is responsible for clogging system and leading to reporting problems. ICD-10 has hit yet another snag after massive code updates resulted in a clogged system and reporting problems for the Physical Quality Reporting system. As a result, CMS has decided to waive the
penalties.
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Top 5 Tips for Combating 2017 Coding Concerns
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The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code set’s influence on value-based care. Looking to next
year...
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