Survey of Available Tools for Converting to ICD 10

Posted May 21, 2015

Survey_of_ICD_10_ToolsPhysicians, hospitals and small medical practices are in a race to make sure they are in compliance with ICD-10 codes by October 1st, 2015.  Switching their systems over has proven to be a bit more complex than anticipated.  The reasons are that ICD-9 codes may have multiple mappings to much more specific ICD-10 codes or no mapping at all.  The complexity of each system switch-over is different depending on the medical specialty, the codes normally used to provide services, and the type of office itself.  Many providers are turning to special tools to help them make the switch, but in the end the usage of such tools will have to be customized to their particular practice.

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2016 Updates to Medicare Health and Drug Plans as Proposed by CMS

Posted Apr 28, 2015

ID-100200001There are changes that will be coming in 2016 concerning the way Medicare will pay for medical services.  On February 20, 2015, the Centers for Medicare and Medicaid Services (CMS) asked for public comment on its proposed changes to Medicare Advantage (MA) plans and Part D Prescription Drug Programs.  The goal of the changes is to pay providers based on the quality of services they provide and not the quantity.

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What the New "Doc Fix" Bill Will Mean for Your Practice

Posted Apr 22, 2015

ID-10022490While not the first time Medicare funding has undergone revision, (and likely not the last), the "Doc Fix" bill seeks to fix a long term problem with the system.  This bipartisan effort is focused on establishing more realistic funding and for Medicare, affecting both patient care and physician reimbursement.  This bill is considered a long-term fix, and not the more commonly used patch method to secure funding.

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Converting your Top Ortho ICD9 Codes to ICD10

There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.

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CMS Delays Final Ruling on Medicare Overpayments - What Could It Mean for Your RCM Payment Program?

Posted Apr 9, 2015

ID-10096057In 2012, Centers for Medicare and Medicaid Services (CMS) published a rule that would require providers to report and refund any overpayments within 60 days from the date the overpayment was found.  As an orthopedic provider, you have probably received some of these notices from Medicare.  However, due to the amount of comments and extensive discussion around the issue, CMS has delayed its final ruling on the 60-Day Overpayment policy.  Of particular concern has been the provision that this requirement could include audits going back as much as ten years.  So what does this mean for your office?  Read on.

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What you need to know: CMS to shorten 2015 attestation reporting period

Posted Mar 31, 2015

Reporting_Blog_HISBy now, you and your staff are probably quite familiar with the concepts and regulations of "meaningful use" (MU) of electronic health record (EHR) technology which has to be demonstrated in order for hospitals and eligible providers (EPs) to receive the incentive payments from the Centers for Medicare and Medicaid Services (CMS). You are probably also fully aware that there are specific criteria that has to be met and "attested" to in order to document that "meaningful use" has been achieved.

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