The long awaited ICD-10 Implementation has now arrived. The coding aspect of any practice is usually resource sapping, and that's because there is a significant amount of effort and attention to detail required in assigning the right codes. That is more so when it...
Articles
Physicians Not Yet Ready for the ICD-10 Transition, WEDI Survey Reveals
Last year, we discussed the October 2013 ICD-10 Readiness Survey by the Workgroup for Electronic Data Interchange (WEDI) and found that the healthcare industry was not prepared for ICD-10 compliance. Now, the June 2015 ICD-10 Industry Readiness Survey by WEDI gives us...
CMS Proposed Changes to 2016 Home Health Payment System
This July, the Centers for Medicare and Medicaid Services (CMS) proposed changes to the home health prospective payment system (HHPPS) for the calendar year 2016, which will have a significant impact on home health care billing and for medical billing companies that...
Getting Reimbursement for Unlisted Procedures
Getting proper reimbursement for unlisted procedures is not that easy and you have to follow certain steps to increase the chances of reimbursement. A proper insurance verification is the first step you need to take. If the insurance carrier considers the service you...
Medicare Overpayment and Measures to Avoid Penalties
According to the Centers of Medicare and Medicaid Services (CMS), A Medicare overpayment is defined as a payment received that is in excess of the amount actually payable under Medicare regulations. When Medicare identifies an overpayment, the amount that is overpaid...
How Outpatient Hospitals Can Report S-ICD System Procedures
Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) System procedures are typically performed on patients who are at risk of sudden cardiac death and have not yet experienced a cardiac event. The actual implantation procedure can be performed as an outpatient...
Attention Deficit Hyperactivity Disorder – Diagnostic and Procedural Coding
According to the Anxiety and Depression Association of America (ADAA), around 60 percent of children having attention deficit hyperactivity disorder or ADHD in the United States become adults with ADHD (8 million adults or 4 percent of the adult population). However,...
Changing U.S. Healthcare Trends to Watch for in 2015
The U.S. healthcare industry has been undergoing a total revamp for the past few years. A significant development was the introduction of Affordable Care Act (ACA), which increased the number of insured Americans and healthcare opportunities. Now, the healthcare...
Solutions to Mitigate Rising Dialysis Costs
Kidney disease is a growing concern among the U.S. people. As per the Centers for Disease Control and Prevention, 10% of adults (more than 20 million people) in the United States may have Chronic Kidney Disease (CKD) with varying levels of seriousness. The chances of...
Cardiovascular Disease Still a Major Health Risk
Cardiovascular diseases (CVD) are among the most serious and fatal disorders affecting Americans. CVD disorders affect the heart or blood vessels. Stroke, IHD (ischemic heart disease), RHD (rheumatic heart disease), congenital heart disease, hypertensive heart...