I have told you about some of my pet peeves before, and below is another. How many of you reading this article hate Convention A.11 when it comes to PCS guidelines? Come on and admit it: you are silently chuckling about it now! What is A.11?
America’s healthcare system has been submitting ICD-10 claims at the rate of 4.6 million daily since the conversion to the new coding set took effect Oct. 1, according to the Centers for Medicare & Medicaid Services (CMS). The rate of claim denials is 10.1 percent of all claims being processed,…
Some sectors of the healthcare industry are experiencing more success than others in adjusting to the Oct. 1 implementation of ICD-10, but home health agencies and hospice facilities are enjoying a relatively seamless transition thus far, an industry sector leader reported this week.
The implementation of ICD-10 for auto casualty has been dependent on what happens with the Centers for Medicare & Medicaid Services (CMS) and the rest of the healthcare industry.  The only states that have a dependency are states such as Pennsylvania and Florida, which use the Medicare rates for payment…
EDITOR’S NOTE: The following is a rough transcript of comments made by Jill Finn during the Oct. 12, 2015 broadcast of Talk Ten Tuesdays. The HATA (Healthcare Administrative Technology Association) practice management members as well as our members from organizations like the AMA (American Medical Association) and UnitedHealthcare have been…
EDITOR’S NOTE: Dr. Anon is a U.S. physician based overseas who wishes to remain anonymous. Following implementation of ICD-10, what has happened in the coding world as it pertains to outsourcing? The answer is simple: chaos. For those of you old enough to remember, I am not describing a Get…
Astute coders comparing this year’s ICD-10-CM guidelines with those in their 2015 books might be surprised by several changes.  Unmarked and made with no fanfare, the changes are worth noting.   A recent line-by-line comparison by AAPC ICD-10 education staff verified changes mostly in Section I. They include the addition…
The topic of medical necessity surfaced in the form of National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) during yesterday's ICD10monitor.com broadcast, "ICD-10: Five Days in Ten." The first to report on the issue was Laurie Johnson, MS, RHIA, FAHIMA, who made the discovery Monday, saying that her "eyes…
The Centers for Medicare & Medicaid Services (CMS) is monitoring the progress America’s healthcare industry is making with the implementation of ICD-10 – but it’s also standing by with a series of contingency plans should there be any significant disruption.
Tony Broyles Tripp Cox In the recent ICD10monitor article ICD-10 is Risky Business, Holly Louie states that “the best way to fix claim errors is to not make them in the first place.” Since the Oct. 1 implementation of ICD-10 has passed, how will your organization know when and where…