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15

May, 2015

ICD-10 Pre-Bill Auditing a Growing Area of Concern

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Given the massive number of new ICD-10 codes and the Oct. 1, 2016 compliance date, HRS and ICD10monitor are producing a special-edition Internet broadcast that will focus on the imperative of pre-bill auditing. The free broadcast will air live at 1:00 p.m. on Thursday, Aug. 4. The 60-minute live event is being sponsored by HRS. “Given recent news about errors on documentation and coding audits, pre-billing should be a very high priority for providers,” said Chuck Buck, the broadcast’s executive producer and co-host of Talk Ten Tuesdays. “Pre-bill auditing can proactively target […]

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13

May, 2015

4 Medical Billing Issues Affecting Healthcare Revenue Cycle

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Medical billing is the backbone of healthcare revenue cycle management, but many providers experience significant challenges with efficiently and accurately billing patients and payers for services they perform. Top four medical billing challenges impacting healthcare revenue cycle. The medical billing process can be a pain point for some providers because it involves an array of healthcare stakeholders and each step to getting paid relies on the previous interaction. Healthcare organizations must communicate across departments and payers as well as ensure that crucial information is properly captured in each step of […]

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12

May, 2015

What Radiology Practices Need to Know About the New CMS Updates to the ICD-10 Guidelines

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The grace period during which Medicare would not impose penalties for less-than-specific coding under ICD-10-CM* is expiring on October 1, 2016.  The change from ICD-9 to ICD-10 diagnosis coding that took place on October 1, 2015 was a major adjustment for most physicians and their practice staff.  The Centers for Medicare and Medicaid Services (CMS) recognized some of the difficulties that were going to be faced in the transition, and in response they issued a document of guidance describing certain ‘flexibilities’ that would initially be allowed. On August 18, 2016, […]

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13

Apr, 2015

CMS Issues Its Proposed 2017 Medicare Physician Fee Schedule Rule

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The Centers for Medicare and Medicaid Services (CMS) has issued its proposed revisions to the Medicare Physician Fee Schedule (MPFS) for 2017, thus beginning the annual cycle of review, comment, planning and preparation that goes along with this release.  Missing from this year’s proposed rule are provisions related to the Medicare quality reporting programs (PQRS, VM, MU-EHR*) that have been a large part of the rule in recent years.  These programs are being phased out and replaced in 2017 by the Quality Payment Program (QPP) as mandated under MACRA, the Medicare Access […]

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