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As a result of the upcoming ICD-10 transition, many chief financial officers (CFOs) aren’t sleeping so well as they ponder the single biggest “what if” scenario: cash flow. Speaking during the Sept. 17 broadcast of “Talk-Ten-Tuesday,” former hospital CFO and former Healthcare Financial Management Association (HFMA) chair Greg Adams—now president…
Hindsight, of course, is always 20-20 . . . Before continuing, I need to define “pauser,” the rather odd word in the headline. A “pauser” is, to my knowledge, a made-up term I’ll define as: “An organization that took the potential for, and actual, one-year delay in the ICD-10 implementation…
It’s no secret that ICD-10-CM offers more codes and increased granularity of data for the coding of orthopedic diagnosis and procedures. And it’s also no secret that orthopedic dollars are critical to a hospital’s bottom line—including revenue from treating fractures. Therefore, shoring up orthopedic documentation and coding is a critical…
Popular culture is rife with doomsday scenarios for the end of the world, ranging from televangelist Pat Robertson, who predicted the end of the world in the 1980s, to the Heaven’s Gate cult followers in San Diego, who predicted of demise of the world when the Hale-Bopp comet appeared and…
April 10, 2014, is the “no-later-than” date by which all Medicare contractors must publish on the Medicare coverage database (MCD) their ICD-10 local coverage determinations (LCDs) and associated ICD-10 articles. That’s the official word from the Centers for Medicare & Medicaid Services (CMS) in transmittal and MM8348 (issued on Sept.…
Conditions classified in Chapter 18 of ICD-10-CM include symptoms, signs, and abnormal clinical and laboratory findings that do not have a classifiable diagnosis listed elsewhere in the medical record. However, not all sign and symptom codes are classified in Chapter 18. Some signs and symptoms are classified in the body…
According to the Office of the Inspector General (OIG), which is like the police force for government programs, doctors of chiropractic (DCs) have a less-than-stellar track record when it comes to documentation. The OIG issued a report in 2005 regarding Medicare’s payment for chiropractic services. Based on data from 2001,…
Most of us associate boot camps with a military training program. Just about everyone is familiar with the concept of repetitive drills that are rigorous, intensive and challenging, thus quickly preparing young men and women for military service. Military boot camps, also known as basic training, give our service members…
In the 1996 film Jerry Maguire, an anxious NFL player yells and screams to the titular agent, “Show me the money!” Rod Tidwell’s famous line was his last-ditch effort to motivate Jerry and secure a new contract. In a similar way, today’s hospital CFOs are asking health information management (HIM)…
Many organizations have a plan associated with their commitment to perform dual coding to achieve the widely publicized benefits outlined below. Although there is not an official dual-coding survey that examines the frequency, duration, scope, methodology and outcomes associated with the overall provider plans and experiences, it is clear from…
As many of us have started delving into ICD-10-CM diagnosis coding, we have realized there are many lessons to be learned from the coding of these same disorders currently used in ICD-9-CM. We soon realize the ICD-10-CM coding system has expanded significantly in the specificity of codes and changes made…
The healthcare community has expressed concern about the cost of training and the potential loss of coding productivity due to the implementation of ICD-10-CM and ICD-10-PCS. Some experts have predicted a loss of productivity between 10 and 50 percent. Many facilities are concerned about recruiting and retaining qualified coding professionals…
At this point in the healthcare industry’s push to implement ICD-10, we are inundated with articles that focus on the usual suspects – critical education needs, physician cooperation, systems and documentation assessments, and the elusive end-to-end testing. Any healthcare professional with five minutes and an Internet connection can saturate himself…
Once upon a time, even though Medicare was still the most reliable payer for health services at acute-care hospitals, assignment of ICD-9 codes was not considered to be of any great importance there.
Transitioning from ICD-9 to ICD-10 will involve many hurdles for healthcare organizations, with issues including:     Interruption of the hospital revenue stream Lack of clarity across ICD-10 project portfolios Cost overruns Schedule slippage Inadequate resources Cash flow Increased operating costs The current time period, combined with the Centers for…
Recognizing the need for focused education on PCS — especially education directed toward ancillary service staff, and not mainly for coding professionals and physicians — ICD10monitor will launch an 11-week series of webcasts starting tomorrow.
The Centers for Medicare & Medicaid Services (CMS), through its Medicare Learn Network (MLN), recently provided a presentation titled “ICD-10 Basics.” This was a great review for those of us entrenched in Wonderland, with stars in our eyes as we wish upon the implementation of ICD-10 to soon be over…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
Nearly every speaker at the recent HIMSS ICD-10 Forum touted the rewards of dual coding with ICD-10. Examples of rationale and anticipated advantages were flying. But something was lacking in each of the conference’s sessions. No one explained the finer nuances of dual coding. Some attendees no doubt walked away…
As hospitals begin to incorporate ICD-10-PCS into their daily operations, a number of issues have become increasingly prevalent. Many complex surgical procedures actually are fairly simple to code in ICD-10, while other simple procedures present a number of coding issues. On the physician side, we are now at an early…
EDITOR’S NOTE: This is the sixth in a series of articles on fast-tracking ICD-10 implementation. I have been traveling the past month, presenting ICD-10 awareness information to various groups, including hospital boards of directors, hospital executives, and physician groups.  I find it interesting that many still don’t understand how ICD-10…
It’s easy to forget now that there was a time not too long ago when people around the world were working feverishly against a ticking clock as “Y2K” approached. We dealt with many of the same issues other types of companies dealt with: resource depletion, software vendors, lack of product…
Good Samaritan Hospital is located in Los Angeles. It was founded in 1885 and is a nonprofit hospital with more than 400 beds. Annually, it has almost 16,000 inpatient discharges, 86,000 ambulatory outpatient visits, and more than 25,000 ER visits. It has 52 residents/fellows and a medical staff of approximately…
As the national focus on the importance of clinical documentation integrity (CDI) relative to coding, billing, quality initiatives, risk management, utilization, medical necessity, etc., has intensified, many healthcare organizations across the continuum of care are initiating efforts to improve documentation. This CDI emphasis can and should be used to refocus…
Approaching the fourth quarter of 2013, which coincidently is the quarter that marked the original ICD-10 implementation date, it might be wise to take a moment to look down the road toward 2014. In thinking and reading about ICD-10, we continually hear about the need for specificity within documentation in…
Many have been keeping up to date on the pulse of ICD-10’s pending rollout with broadcasts such as Talk-Ten-Tuesday and other informative industry insider resources, many of which can be found at ICD10monitor.com. All these offerings provide clarity among the ICD-10 implementation fog. With so many other healthcare changes happening…
Panacea Healthcare Solutions, Inc., publisher of industry-leading ICD10monitor, announces its newest ICD-10 training tool, Webcast Wednesdays, Featuring ICD-10-PCS Solutions with Lolita M. Jones. This 11-week training series is designed to provide hospitals with the necessary knowledge and tools necessary to conduct end-to-end testing of their coding billing systems under ICD-10.…
The Lott QA Group is pleased to announce the launch of the ICD-10 National Testing Program in support of the healthcare industry. ICD-10 is the biggest healthcare change ever to impact the healthcare since the implementation of ICD-9 in 1979. Healthcare entities are now busy preparing their organizations to convert…
Precyse University announces the availability of numerous ICD-10 smartphone apps designed to prepare coders, physicians, nurses, case managers, administrative staff and other populations for the transition to ICD-10. “Recent surveys show healthcare professionals are using smartphone and mobile devices more and more in their daily roles and functions,” explained Precyse…
ICD10The ICD-10-CM codes and instructions are published for free by the government and are also available in a myriad of print and electronic publications, but proper understanding of ICD-10 coding requires a much deeper set of resources than just “the code book.” It is important for providers and payers to…
Some healthcare providers believe that ICD-10 is only about hospital reimbursement. To the contrary, ICD-10 will affect every aspect of a physician’s practice, including patient encounters, clinical and financial workflow, and, depending on circumstances, compensation and reimbursement, as well as future career opportunities. All physician groups will be touched by…
Panacea Healthcare Solutions, Inc. ,a leading provider of consulting, software and publications for the hospital industry, is pleased to announce that it has entered into an agreement with Adventist Health to perform comprehensive ICD-10 Documentation & Coding Audits across 19 facilities for inpatient, outpatient and physician services. Panacea provides a…
How does our industry reach all the critical actors in its healthcare ecosystem, starting with the consumer? We know that communication will be the lynchpin for ICD-10 transition success in October 2014, as IS integration, testing, training, business process redesign, and change management are interdependent, and without a two-way line…
Physician offices are inching slowly toward ICD-10—very slowly. A recent survey of 1,200 practices conducted by MGMA reveals that loss of physician productivity, staff efficiency, and changes to clinical documentation are still major concerns.i While MGMA and the physician community at large are reluctant to implement ICD-10 (and have raised…
The ICD-10-PCS code set scheduled to be implemented in the United States in October 2014 is missing features necessary to denote certain operative procedures performed on children with congenital heart defects or anomalies, according to a letter prepared by DCBA, Inc.’s founder and CEO Dr. Robert Gold. The letter was…
On December 21, 2012, some say, the Mayan Calendar predicted the end of the world. Something similar happened a decade ago because of Y2K. People all over the world decided to throw parties during their last moments on Earth. Perhaps September 30 is a good day for coders and clinicians…
As most of us have learned by now, the root-operation character in ICD-10-PCS defines the objective of the procedure. There are 31 root operations in the Medical and Surgical Section of ICD-10-PCS, and two of these are discussed below. Fluids and Gases vs. Solid Material Drainage is the process of…
In 1969, psychiatrist Elisabeth Kübler-Ross created a model, typically referred to as the “five stages of grief,” which identifies a pattern of emotional stages followed by people faced with impending death or another extreme or awful fate. I became aware of her work in one of my favorite movies (All…
With the healthcare industry’s current focus mainly locked on ICD-10-CM, there is growing concern that too little attention is being given to the more complex construction of ICD-10-PCS, the procedure coding system.
ST. PAUL, MN--(Marketwired - Jul 29, 2013) - Panacea Healthcare Solutions, Inc., a leading provider of consulting, software and publications for the hospital industry, is pleased to announce that it has entered into an agreement with Adventist Health to perform comprehensive ICD-10 Documentation & Coding Audits across 19 facilities for…
“Mind the gap” is a common phrase I encountered on a recent trip to England, specifically referring to the London Underground, perhaps better known as “the Tube” subway system. However, this also applies to a strategy that can be deployed to facilitate training, testing, coding and documentation integrity checks and…
If leaders from the Centers for Medicare & Medicaid Services (CMS) have said it once, they’ve said it a hundred times: The October 1, 2014, implementation date for ICD-10 will not change, and the healthcare industry must be ready or face the consequences. In fact, CMS’s attorneys have advised the…
EDITOR’S NOTE: This is the fifth in a series of articles on fast-tracking ICD-10 implementation. It time to get geared up for ICD-10 by building an action plan. We just finished developing a budget for a large hospital system and found that the bulk of the budget will go to…
As the healthcare industry continues to progress toward ICD-10, organizations are delivering education to coding professionals to provide them with the knowledge required to work with the new coding set. There is no question that the documentation specificity required for ICD-10 is significantly greater than the clinical documentation requirements for…
So I have a question: what is it our Congress doesn’t get? How many years has the United States healthcare industry been trying to implement the ICD‐10 coding system for the simple reason that ICD‐9 is outdated? After all, we already are well on our way in the implementation phases…
So I have a question: what is it our Congress doesn’t get? How many years has the United States healthcare industry been trying to implement the ICD‐10 coding system for the simple reason that ICD‐9 is outdated? After all, we already are well on our way in the implementation phases…
EDITOR’S NOTE: The following is a transcription of a recent segment by Denny Flint on Talk-Ten-Tuesday. From audience after audience, in survey after survey, we keep hearing that 40-50 percent of physician offices haven’t even started ICD-10 implementation efforts yet. Out of the WEDI meetings, we heard that payers may…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
Citing a research study conducted by the American Hospital Association (AHA) reporting that nearly 95 percent of surveyed hospitals are on track to implement ICD-10 by the mandatory compliance date of October 2014, the AHA and Blue Cross and Blue Shield told Congress in a joint letter that they oppose…
Citing a research study conducted by the American Hospital Association (AHA) reporting that nearly 95 percent of surveyed hospitals are on track to implement ICD-10 by the mandatory compliance date of October 2014, the AHA and Blue Cross and Blue Shield told Congress in a joint letter that they oppose…
What follows is a continuation of some thoughts I shared in a previous article titled “Dispelling Some Myths About ICD-10.” As a reminder, here are my first three myths: Myth No. 1: The increase in documentation required by ICD-10 will involve a huge amount of content added to the medical…
Once upon a time, not too long ago, and actually in this galaxy, there lived two children, brother and sister, named Issy and Carla Dover (or “ICD” for short). They were both 9, as it happens. Issy and Carla loved walking in the woods with their dogs, Moribund and Algernon.…
Transient cerebral ischemia is defined as a temporary loss of blood flow to an area in the brain. In ICD-9-CM, codes for transient cerebral ischemia are classified under circulatory system diseases and are found in Chapter 7, Diseases of the Circulatory System. Conditions classified as transient cerebral ischemia are listed…
ICD-10 testing has been a major topic of conversation recently, and understandably so. As a matter of timeline, all healthcare providers should be well into their implementation plans by now, but some areas of the industry may be experiencing more difficulties than others. Senior Policy Advisor for Government Affairs of…
ICD-10 testing has been a major topic of conversation recently, and understandably so. As a matter of timeline, all healthcare providers should be well into their implementation plans by now, but some areas of the industry may be experiencing more difficulties than others. Senior Policy Advisor for Government Affairs of…
Has someone at your facility or practice performed the data analytics needed for the ICD-10 transition? “Yes” is the answer that providers should be giving at this point in the ICD-10 transition, but the poll conducted on ICD-10 Monitor’s July 5 Talk Ten Tuesday broadcast revealed that 50 percent of…
In the near future, inexperienced practice managers who don’t have much formal coding training may be exposed to ICD-10-CM for the first time. They tend to ask the questions: “Why is this such a big deal? Isn’t this just a new diagnosis code set?” But one might as well ask:…
We in the healthcare industry who are working to meet the requirements and demands of interoperability (especially MU 2), plus the need to ensure we are able to receive actionable data from other sources, understand the need for clinical integration and clinical integrity. We understand that healthcare data needs to…
“The whole issue of end-to-end testing is a relatively large, time-consuming, and expensive investment for all parties,” stated Dennis Winkler, technical program director of program management at Michigan Blue Cross/Blue Shield of Michigan. “Historically, it usually ends up being used by larger providers, institutions and payers.” John Wollman, executive vice…
The appropriate focus of most hospital ICD-10 implementation teams is to ensure the proper education of staff, particularly coders and clinical documentation specialists. This is done to assess the many and varied information system ramifications, to schedule and coordinate the implementation of necessary components such as clinical documentation improvement (CDI)…
What is the true value of computer-assisted coding (CAC) in the conversion to ICD-10? The consensus answer seems to be the productivity gains associated with the use of this technology. Understandably, disrupted cash flow resulting from discharged patients whose bills have not been finalized is a valid concern as organizations…
When it comes to preparing for, and implementing, ICD-10, the benefits of, and information from, The HIMSS/WEDI ICD-10 National Pilot Program, which continues through July 31, are “vast,” said Mark Lott, principal with the Lott QA Group, which is involved in the pilot program’s “scope/testing methodologies and processes,” according to…
EDITOR’S NOTE: This is the second in a two-part series on ICD-10 testing by John Wollman. Multiple recent ICD-10monitor articles have focused on testing, and in particular scenario-based testing. This concept was described in one prior article titled “Payers Start to Get Testy.” This follow-up article provides a case study…
EDITOR’S NOTE: This is the second in a two-part series on ICD-10 testing by John Wollman. Multiple recent ICD-10monitor articles have focused on testing, and in particular scenario-based testing. This concept was described in one prior article titled “Payers Start to Get Testy.” This follow-up article provides a case study…
Beyond ensuring mere awareness of ICD-10, currently all healthcare entities should be on the pathway to transitional preparedness in anticipation of the ICD-10-CM/PCS implementation date of Oct. 1, 2014. Health information management (HIM) coding professionals certainly should be in the process of skill set enhancement regarding the new diagnoses and…
“OMG” is about the best way to sum up my first thoughts as I started reflecting on the breaking news from the HIMSS ICD-10 Leadership Forum in Fort Washington, Md. this week. Definitely the biggest takeaway was the announcement from the Centers for Medicare & Medicaid Services (CMS) that it…
Much of the healthcare industry only discovered through announcements made during the HIMSS ICD-10 Leadership Forum this week that the Centers for Medicare & Medicaid Services (CMS) does not plan to engage in end-to-end testing – but Mark Lott, CEO of the Lott QA Group and testing director of the…
A migraine is a common neurological disorder that often manifests as a serious headache. Usually unilateral and pulsating in nature, the headache results from abnormal brain activity along nerve pathways and brain chemical (neurotransmitter) changes. These affect blood flow in the brain and surrounding tissue and may trigger an "aura"…
The looming transition from ICD-9 to ICD-10 in October 2014 goes hand in hand with the goal of healthcare reform, which is intended to improve quality and decrease the cost of care. With more than 171,000 codes (compared to just 17,849 in ICD-9), ICD-10 will provide a much more accurate…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
When it comes to ICD-10 implementation, the message coming out of the American Health Information Management Association (AHIMA) is clear: Steady as she goes—in spite of recent congressional efforts to knock the industry off course. In case you haven’t heard, during the last two months or so, two members of…
WASHINGTON ---The second day of the ongoing HIMSS ICD-10 Forum began with Farad Mostashari, MD, ScM, the U.S. Department of Health and Human Services (HHS) national coordinator of health information technology, staking his claim and making a stand. No more delays. No more postponements. The compliance date for ICD-10 is…
Questions, questions, and more questions about the state of the healthcare industry continue to surface during recent months. It seems that everyone wants to know how the industry is doing in its preparations for ICD-10 implementation. ICD10monitor conducts its very own “Talk Ten Tuesday” poll of its audience every week…
EDITOR’S NOTE: This is the fourth in a series of articles on fast-tracking ICD-10 implementation. Over the years there have been many studies seeking to identify the cost to move to ICD-10. However, putting together a “real” ICD-10 budget can be a challenge. We have been working with our hospitals…
The widespread lament about physicians’ lack of enthusiasm and failure to embrace and actively participate in the preparation for ICD-10 is well-documented. In addition, it is well-known that a significant percentage of current physician documentation cannot be coded to the most specific ICD-9 codes. That lack of specificity will be…
A Q&A with Donald M. Berwick, MD, former administrator of the Centers for Medicare & Medicaid Services and keynote speaker at the upcoming 2013 HFMA National Institute, recently caught my attention. As hospitals look for new approaches to ensuring quality patient care and the financial integrity of their institutions, they’re…
Two groups of professionals took the field at roughly the same time last month in Baltimore: the Orioles faced off against the Toronto Blue Jays while the American Health Information Management Association (AHIMA) “Crusaders” tackled a few ICD-10/CDI curveballs. As in baseball, statistics were analyzed, key players were reviewed, and…
Apparently it’s not too early for the Centers for Medicare & Medicaid Services (CMS) to begin addressing coding rules for the new ICD-10 system because it did just that in its May 16, 2013, Medicare FFS Provider e-News. It addressed the following in the ICD-10-CM diagnosis system: external-cause codes; reporting…
Trust, as defined by Merriam-Webster, is “the assured reliance on the character, ability, strength or truth of someone or something, and one in which confidence is placed.” It is among the most basic of all human connections, and it’s a necessary element for organizational effectiveness. With regard to ICD-10, some…
Providers are scrambling to meet the ICD-10 compliance date of Oct. 1, 2014 as the healthcare industry moves forward at a faster pace in its preparations. Many providers across the continuum of care are struggling to meet all the many regulatory challenges simultaneously. The major payers are in the process…
With fewer than 17 months to go before the ICD-10 go-live date, we have lots to accomplish and much to get in place. Individual practices, healthcare vendors, providers and health plans all are busy with readiness activities. Many professional associations also are helping with the preparing of the healthcare industry…
Greetings, fellow ICD-10 travelers. This is your old pal Denny here in Week 3 of an eight-week road tour. Last week was marked by a journey to the Tennessee Medical Association’s annual Road Show, and it was a doozy. Every venue was sold out, which tells me that ICD-10 urgency…
In June 2012, the American Medical Association (AMA) proposed that we, as a country, ought to consider skipping ICD-10 and make the jump right to ICD-11 instead. After all, the World Health Organization (WHO) has indicated that ICD-11 will be ready by 2015. It builds upon the structure of ICD-10…
Greetings from the world of ICD-10 testing. I wanted to share some testing insights and best practices for ICD-10 implementation, based on the methodology behind the two largest ICD-10 testing pilots currently underway: that of the Healthcare Information and Management Systems Society (HIMSS) and Workgroup for Electronic Data Interchange (WEDI),…
Recently a coworker and I were debating the correct spelling of the word “payer/payor.” He said “payor;” I said “payer” (he probably would say “to-mah-to” to my “to-may-to,” too.) Then, just this week I used “payer” in a design specification and was corrected by several people who said our “standard”…
With nearly 500 days and counting until the ICD-10 implementation date of Oct. 1, 2014, it is apparent after attending the American Health Information Management Association (AHIMA) ICD-10/CAC Summit that the majority of the healthcare industry is continuing to move at a slow pace. This was echoed in numerous polls…
EDITOR’S NOTE: This is the third in a series of articles on fast-tracking ICD-10 implementation. My team and I just completed ICD-10 impact assessments for several large hospital systems with multiple hospitals recently. We interviewed members of every department in each hospital, asking how ICD-9 currently is used and whether…
The recent American Health Information Management Association (AHIMA) ICD-10/CAC Summit provided an outstanding opportunity to share innovative approaches and best-practice strategies for meeting the greatest challenges associated with meeting the requirements of ICD-10 implementation. On Tuesday, April 23, I provided the following 10-step, multi-faceted approach to address the critical success…
A coalition of healthcare associations and vendors is warning congressional leaders that delaying the adoption of ICD-10 further would make it more difficult for the U.S. to track “new and emerging public health threats.” In letters dated May 17 and sent to leaders in both the House of Representatives and…
May 15, 2013

ACDIS 2013

By
Listen to the Broadcasts Tuesday, March 21, 2013TTT - Panel from ACDIS Conference - Session 1 {audio}TTT-052113_ACDIS 1.mp3{/audio} Tuesday, March 21, 2013Key Note/General Session Speakers - Live from ACDIS Session 2 {audio}TTT-052113_ACDIS 2.mp3{/audio} Tuesday, March 21, 2013Coding Updates: I-9 and I-10 - Live from ACDIS Session 3 {audio}TTT-052113_ACDIS 3.mp3{/audio} Tuesday,…
Competing priorities and strained resources are just two of the many reasons some physicians are reporting delays in their efforts to prepare for the advent of ICD-10, First Class Solutions Chief Operating Officer Rose Dunn told a national audience on the most recent edition of Talk-Ten-Tuesday. The former president of…
Osteomyelitis is an inflammation of the bone that typically is further differentiated as acute, sub-acute, or chronic. In ICD-9-CM, documentation of the general site of the inflammation/infection (such as shoulder region, forearm, or ankle), along with identification of the inflammation/infection as a current acute/sub-acute infection or a chronic condition, is…
Perhaps the most intellectually challenging aspect of ICD-10 implementation is trying to determine how, when, what, and with whom to test. Most ICD-10 teams spend a lot of time identifying test strategies and arduously planning various aspects of testing. Testing is critical because it is quite apparent that ICD-10 could…
Perhaps the most intellectually challenging aspect of ICD-10 implementation is trying to determine how, when, what, and with whom to test. Most ICD-10 teams spend a lot of time identifying test strategies and arduously planning various aspects of testing. Testing is critical because it is quite apparent that ICD-10 could…
“We don’t want to say this, but you may have to identify a contingency plan,” said Robert Tennant, senior policy advisor for the Medical Group Management Association (MGMA), on ICD-10-Monitor’s Talk Ten Tuesday broadcast last week. He told physician practices exactly the way it is, saying: “Practices experienced rejected claims…
MONTREAL – Whether medical records are paper, electronic, or a hybrid, your coding policy should be reviewed and updated at least annually by way of a “high-integrity” coding compliance policy that’s part of a larger information governance program, according to Bonnie S. Cassidy (MPA, RHIA, FAHIMA, FHIMSS), who recently spoke…
EDITOR’S NOTE: This is the first in an occasional series of articles written by healthcare students attending The College of Saint Scholastica in Duluth, MN. “If you change the way you look at things, the things you look at change.” –Wayne Dyer As the headlines indicate, ICD-10 is struggling to…
According to the Centers for Medicare & Medicaid Services (CMS), the ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014 – and on that date medical practices and their billing service companies, clearinghouses, and all covered entities and payers will need to use ICD-10 codes. There are…
Two-thirds of hospitals recently surveyed have a clinical documentation improvement (CDI) program already in place.[i] That’s the good news. The bad news is that existing CDI programs are only 70 percent effective, according to survey respondents, with an average effectiveness rating of 3.25 out of a possible 5 points. With…