Two recent cases, one settled and one just filed, are illustrative of the effects of class actions, which are filed in relation to an underlying data breach involving PHI.
It's Not (Quite) Too Late To Get Ready for ICD-10
Oct. 1 will be here before you know it. If you aren't ready for ICD-10, it's time to narrow your focus.
Applying Modifier 52 and Modifier 53
When choosing between modifier 52 and modifier 53, ask yourself, "Why did the provider not complete the procedure or service?"
It’s Too Late to Ignore ICD-10
Practices that are not ready for ICD-10 will have to deal with significant issues, so it’s time for them to seek guidance from payers and others.
ICD-10: Key Changes for Primary Care
Here are some diagnoses primary-care physicians should pay attention to in order to code correctly and get properly reimbursed.
Adjusting Your EHR to an ICD-10 Environment
When ICD-10 hits on Oct. 1, coding habits aren’t the only thing that will require adjustment. Here are five EHR-specific tips for the transition.
Are Practices More Ready for ICD-10 Than They Realize?
WEDI's ICD-10 readiness survey paints an ugly picture for physician practice readiness. However, one expert said the situation may not be that bad.
Test Your Medical Claims Knowledge
Take a quiz on CPT codes, denials, CARCs, and other medical claims information, using data from the first quarter of 2015 provided by RemitDATA.
How Helpful Are CMS’ New Training Tools for ICD-10 Prep?
CMS recently offered new tools for the ICD-10 transition. But some providers are still floundering.
For Many, ICD-10 Readiness Testing is on the Back Burner
With less than two months to go before the ICD-10 goes live, most physician practices haven't done readiness testing. Why not?
Same-Day Patient Visit and Procedure Can Be Reimbursed
Insurers typically do not reimburse an E&M service and procedure performed on the same date of service. But, careful documentation can change that.
ICD-10: Do Patients Even Need To Know?
Your patients probably don't care about ICD-10, but there may be situations in which you might want or need to tell them.
Approaching an ICD-10 Implementation with Confidence
Here are 11 tips to ensure your practice will be on track for a successful ICD-10 transition come Oct. 1, 2015 and beyond.
Latest ICD-10 Developments and What Physicians Should Know
Find out what the recent agreement between the AMA and CMS means for physicians going forward.
Preparing the Nonclinical, Non-Coder for ICD-10
Establish appropriate staff training for ICD-10 at your medical practice with a keen eye on your revenue cycle management.
Low-Level MDM; Teaching Doc Requirements; Referral Confusion
Our coding expert discusses coding for low-level MDM; teaching physician requirements; referral confusion, and transitional care management.
CMS Answers Calls for ICD-10 Safeguards
While recent concessions made by CMS on the ICD-10 transition may relieve stress for practices making the transition, some say it’s not enough.
Diagnosis Coding is Vital to Fair Compensation
Medical practices need to focus more attention on the specificity and completeness of their diagnosis coding in order to be compensated fairly.
Low Hanging Fruit: 4 Easy-to-Avoid Coding Mistakes
Medical coding is a challenge, but a dose of caution will help you to avoid many of the most common coding errors. Here are four areas to watch.
The Cost of Insurance Payment Policies on Public Health
A change in coding for behavioral screenings illustrates how payer payment policies negate any big-data promises of ICD-10.
Superbill and Forms Revision for ICD-10
Superbills and other forms at your practice should also be prepared for Oct. 1, 2015. Here's how to get ready.
Problem Focused Exam; Scribe Services
Our coding expert discusses coding for unspecified diagnosis at the time of encounter; a problem-focused exam; and scribe services.
Medical Claim Denials and Remedies: Trends for Spring 2015
Get insight on the most common unexpected denials at practices nationwide, with a special focus on endocrinology, from RemitDATA.
Son's ICD-10 Software Helps Save Dad's Solo Practice
ICD-10 Charts is a free tool to aid the coding transition, but also a gift from a son to his internist father to keep his private medical practice alive.
Get Your Medical Practice Paid: 4 Revenue Tips
Make sure your practice is getting paid what it is owed for the work you perform with these four tips.
Nine Questions for Prospective Medical Billing Partners
Thinking about outsourcing your medical billing? Here are nine questions to ask a prospective outside biller or billing service.
Billing for Chronic Care Management Services
Before deciding to provide and bill for chronic care management, a practice should make sure it has the necessary staff and support structures first.
Physician Education for ICD-10
As Oct. 1 approaches, get your physicians ready by determining how much and what kind of ICD-10 training they'll need.
Benchmarking Resources; 92225 vs. 92226
Answers from our coding expert on questions regarding benchmarking resources; 92225 vs. 92226; procedures in visit notes; and chronic care management.
Coding Pneumococcal Vaccination for Medicare Beneficiaries
Coverage and reporting requirements for pneumococcal vaccine in Medicare beneficiaries has recently changed. Here's what you need to know.
ICD-10 Readiness Testing: What, Who, and When
Reduce the number of unpleasant surprises when the ICD-10 coding system goes live in October by starting tests now.
2 Clarke Drive Cranbury, NJ 08512