Category Archives: Medical Coding

WEDI Reports Industry ICD-10 Readiness

WEDI Reports Industry ICD-10 Readiness – Small Practices Lag Behind

While vendors and health plans continue to make progress the Workgroup for Electronic Data Interchange (WEDI) reports that providers are not progressing past where they were before the ICD-10 delay. The switch to the ICD-10 code set was originally scheduled to launch in October of 2014 but has been delayed until October of 2015.  The…

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Losing Money on ICD-10

Why You Can’t Afford to Ignore ICD10

Here is a nice follow-up to my ICD-10 Primer article on the impact of ICD-10 from Alok Prasad.  Alok accentuates that when it comes to ICD-10 coding it is essentially an all-or-nothing situation when it comes to revenue cycle management and reimbursement.  Enjoy. You Can’t Afford to Ignore ICD-10 By Alok Prasad, www.revenuexl.com All medical…

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Black Book Rankings

Black Book Award Winners Showcase Revenue Cycle Cycle & Coding Solutions at 86th AHIMA

The number of outsourced coding and revenue cycle management initiatives have doubled over a years’ time as the number of hospitals confront the challenges of implementing suitable solutions before the 2015 ICD-10 deadline, according to the recently published Black Book™ surveys of hospital technology and physician leaders. This week many of those leaders will gather…

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ICD10

A Primer on How ICD10 Impacts Revenue Cycle

Procedure billing has been much more effective since the introduction of the Current Procedural Terminology (CPT) coding system.  The CPT system was created by the American Medical Association (AMA) and intended to standardize and facilitate medical billing.  CPT consists of a collection of alpha-numerical codes which describe the services and treatments medical groups perform.  They…

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ICD10 Help

Help From CMS for ICD10 for Small Practices

The Centers for Medicare & Medicaid Services (CMS) has announced the availability of its webcast series “Road to 10″ to support small practices in their transition to ICD10.  The first installment is now available on-demand on the CMS website. The federal agency has announced the on-demand availability of its first webcast in an ongoing series…

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ICD10

CMS announces ICD-10 testing dates

ICD10 testing dates announced by CMS. There will be three different testing weeks. Check and plan. There will be three different testing weeks leading up to the implementation date for ICD-10, the Centers for Medicare & Medicaid Services recently announced. CMS lists the testing weeks as follows: First testing week: Nov. 17-21, 2014 Second testing…

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ICD-10 training: Complications of pregnancy

ICD-10 training: Complications of pregnancy

ICD10 training tips from Medical Economics in very digestible form. As physicians and coders transition to the International Classification of Diseases—10th Revision—Clinical Management (ICD-10-CM), several coding and documentation issues will need to be addressed related to complications of pregnancy. Codes for reporting complications of pregnancy, childbirth, and the puerperium are located in chapter 15 of…

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Physician Assistants and Provider Identification Numbers

Tips on PAs and PINs from Medical Economics. Q: Is it a requirement that PA have their own provider identification number (PIN) for the physician to bill incident-to if all the guidelines are met? A: I understand that not credentialing a PA might be easier for your office; however, a PA should be credentialed along…

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Incident-to billing tip

Incident-to billing tips from Medical Economics. Q: Can a new patient be seen initially for history taking, measurements and vitals before the physician sees the patient and still be considered “incident-to”? Or does the physician have to conduct the information gathering? A: In an incident-to situation, the physician must conduct the initial visit and establish…

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ICD10 Testing

How to get started with ICD-10 testing

An important part of preparing for ICD10 is testing.  Last year before ICD10 was bumped to October 2015 only a small number of organizations had tested for ICD10.  Are you ready for ICD10 yet?  Here’s how to get started with testing. It may seem a bit too early to start testing your systems for ICD-10…

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