Complete Revenue Cycle Management for
Medical & Dental Clinics, Practices and Hospitals
Private payers often send notices to physician practices claiming that they have made an overpayment, and that physicians should remit the amount due to them within a certain deadline. Payers may carry out audits and send repayment requests when they think they have...
As per the 2011 ‘Montana Healthcare Workforce Statewide Strategic Plan’ released by the Montana Office of Rural Health, 11 counties had no primary care physicians (PCPs) and another 16 counties had five or fewer PCPs in 2010. We can see no change in this scenario...
On April 1, 2014, President Barack Obama passed the legislation, Protecting Access to Medicare Act of 2014 that enacts a 13-month temporary patch for the sustainable growth rate (SGR) formula and delays the transition from ICD-9 to ICD-10 until October 1, 2015. The...
Medicare doctors have been threatened with pay cuts each year over the past decade. The condition remains the same this year. The American Medical Association (AMA) president recently drew attention to the fact that physician payments under Medicare will drop by...
For the last six months, there was a big push for ICD-10. However, the implementation of ICD-10 has been delayed until October 1, 2015. The news is surely a big relief for many healthcare providers who were not ready to implement the new coding standards. The U.S....
Orthopedic practices face the challenge of inappropriate use of codes labeled 'unspecified' while coding traumatic fractures for ICD-10, since this medical coding system differentiates traumatic fractures from pathological fractures. The American Health Information...
Assigning the ICD-9-CM Diagnosis Code 496 is not as simple as it looks. ICD-09-CM code 496 indicates chronic obstructive pulmonary disease or COPD which is defined as chronic airway obstruction, not elsewhere classified and applies to the following chronic conditions...
Though CMS is encouraging Medicare 'meaningful use' of EHRs by paying over $22.5 billion as incentives, a recent report released by the Office of the Inspector General for the Health and Human Services Department (HSS) says that CMS and its contractors have failed to...
The American Congress of Obstetricians and Gynecologists (ACOG) reports that some Medicare contractors are refusing to provide payment for routine pelvic and breast examinations when they are reported using HCPCS Level II code G0101 (Cervical or vaginal cancer...
The United States Department of Health and Human Services (HHS) had changed the ICD-10 compliance date from October 1, 2013 to October 1, 2014 to provide more time for covered healthcare providers and other entities to prepare and fully test their medical coding...