Revenue Cycle - ICD10monitor

Providers nationwide have been scratching their heads for some time now over how to combat the increasingly problematic issue of clinical downgrading of diagnosis-related groups (DRGs) by auditors.Mount Sinai Health System in New York City might not have the solution – but it sure does have a game plan.The System’s…
In February, the Healthcare Billing and Management Association (HBMA) surveyed its members seeking information on current claims statuses as well as their experiences with ICD-10 implementation. Many responses were as predicted, some were consistent with other industry reporting, some confirmed what we already knew, and there were some surprises. This…
The organization representing the healthcare clearinghouse industry has declared the much-anticipated implementation of ICD-10 a “non-event,” according to a statement issued this week. The assessment was based on the Cooperative Exchange’s view that “good ICD-10 planning, education, testing, and industry collaboration” resulted in a smooth transition for most healthcare providers…
On Oct. 1, 2015, health systems across the country bid farewell to ICD-9 as they transitioned to the International Classification of Diseases’ 10th Revision – ICD-10.
ICD-10 has been a non-event for clearinghouses, which are continuing to report little impact on their day-to-day business operations. Availity, one such entity, has encountered a few minor issues over the past month, primarily related to data not being submitted correctly by providers or payers having slightly different interpretations of…
Sherry Wilson Tina Greene As part of our efforts to track and help the industry respond to worker’s compensation challenges associated with the transition from ICD-9 to ICD-10, we will be penning a two-part series on the topic. This article is focused on the front end of post-implementation findings and…
Now that ICD-10 is a reality in U.S. healthcare, providers are finding that Oct. 1, 2015 didn’t bring with it the doomsday scenario they thought it might – but they also know that ICD-10-related challenges that aren’t apparent now may manifest themselves in the coming months.  The latest data from…
Efforts to fix what has been identified as the first significant issue to emerge under ICD-10 — medical necessity — appear to be underway with Medicare Administrative Contractor (MAC) NGS reporting that it will update its local coverage determination (LCD). The LCD issue surfaced earlier this week, when Laurie Johnson,…
Early reports from the first full day of ICD-10 indicate that some of the nation's practice management system (PMS) vendors are giving a thumbs up to implementation of the new coding set — although, of course, they're still waiting for the ultimate verdict: adjudication of claims.  "Our experience is positive…
I cannot believe it is finally here. After much debate and two delays ICD-10 is about to become a reality. Many of us are meeting this challenge with excitement and a bit of apprehension. I must admit the fear of the unknown right now is causing me a bit of…
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