Healthcare Reform Can Create Confusion Over Compliance for Providers |
In 2016, the federal government recovered more than $3.3 billion in healthcare fraud judgments and settlements. On Monday, TeamHealth agreed to pay $60 million to settle allegations
that...
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You had better be savvy with your coding |
With the change in payment focusing on quality medicine instead of the old-fashioned fee for service, providers better be savvy with their coding or they will lose out on the money needed to run their practices. As individual and groups of physicians align with other groups to provide excellence in care while cutting costs, it
is essential that the providers learn to code properly...
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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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