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Coding

Official Date for ICD-10 Implementation Announced

The U.S. Department of Health and Human Services (HHS) issued a rule today finalizing Oct. 1, 2015 as the new compliance date for healthcare providers, health plans, and healthcare clearinghouses to transition to ICD-10, the tenth revision of the Internat... Read More >>

July 31st, 2014

Coding for Biopsy with a Related, More Extensive Procedure “History of” Begins When Active Treatment Ends

Auditing

Take a Medicaid Moment: Use Proper Consent Forms

Know federal and state Medicaid policies for entitlement and their use. You shouldn’t expect your state Medicaid fund to pay or behave the same as other third-party payers, or even Medicare. Medicaid is a federal entitlement program incepted through... Read More >>

January 1st, 2014

KHN: Retooling Hospitals, One Data Point At A Time Never Assume a Diagnosis

Practice Management

Thrive as a Small Clinic

[Cover] Benefit from owning an independent medical practice by adapting to healthcare reform. By Christopher Phillips Changes already underway in the healthcare industry will require practices to dedicate substantial time and attention to adaptation.... Read More >>

July 1st, 2014

Physician Compare Website Aggregates More Data Under Proposed Rule New Mexico Expanding Telehealth Network

Compliance

Warning: Import Text Properly

[On the Cover] Ensure clinical documentation integrity in your electronic health records. By Michael Stearns, MD, CPC, CFPC There are advantages and disadvantages associated with the use of imported text in electronic healthcare records (EHRs). Let... Read More >>

June 1st, 2014

Need to Know: You have 60-days to Refund Governmental Overpayments Treating Complications for Medicare Patients

Billing

Proposed Payment Update Throws Hospices a Few Crumbs

A proposed rule would grant hospices an estimated 1.3 percent increase in their payments for 2015. The update is a net result of a proposed hospice payment update of 2 percent less the wage index budget neutrality adjustment factor of 0.7 percent. With in... Read More >>

May 7th, 2014

CMS Revises Part D Prior Authorization Requirement for Hospice Patients Billing for Ambulance Services in 2014

News

Steer Clear of the Top 5 Reasons for Unexpected Denials

If you are wondering why your practice is receiving an unexpected number of denials for certain codes, you may want to check out a recent study published in Physicians Practice which ranks the top five unexpected denials in various specialties. Data was c... Read More >>

July 28th, 2014

Quick Tips for Claims Follow up Defining “Simple” vs “Complex” Intracranial Aneurysm