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...
ICD 10 Implementation Delayed Until 2015
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....
Crucial Documentation Elements for Coding Traumatic Fractures in ICD-10
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...
COPD Coding Precautions
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...
Electronic Health Records Contributing to Upcoding and Medical Billing Fraud, Says HHS Report
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...
ACOG Says Certain Medicare Contractors are Denying G0101 Claims
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...
WEDI Survey Says Health Care Industry Not Yet Prepared for ICD-10 Compliance
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...
Building ICD-10 Compliance in Physician Practices
The U.S. Department of Health and Human Services (HHS) has set October 1, 2014 as the deadline for all HIPAA-covered healthcare providers to convert to ICD-10 codes. Compared to 13,000 diagnostic codes in ICD-9-CM, the ICD-10-CM revision has more than 68,000....
Coding for Neuraxial Labor Analgesia/Anesthesia
Neuraxial Labor Analgesia/Anesthesia is provided to ease a woman’s pain during labor and delivery and is administered by an anesthesiologist and/or CRNA. Anesthesiology medical coding for obstetrical procedures involves the base units, time units and modifying units....
Making Health Plans More Customer-oriented with HEDIS
HEDIS is an important yardstick by which health plans can measure their performance and worth. In fact, this yardstick is being employed by over 90% of health plans in the US. Results that come with HEDIS data collection act as the measure for quality improvement as...