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May 15, 2015
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Medicare biller, consultant sentenced to 11 years in jail April 15, 2016 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Authorities say that Nery Cowan, 53, of Miami, directed and authorized kickback payments and bribes to patient brokers for a percentage of reimbursement.
ICD-10 status check: Is another shoe waiting to drop? April 11, 2016 | John Andrews - Contributing Writer
The transition has gone reasonably well thus far. But how smoothly will things go when CMS and payers start demanding greater specificity on Oct. 1, 2016?
As ICD-10 settles down and practices focus less on EHRs, revenue cycle is heating up April 01, 2016 | Bernie Monegain - Editor, Healthcare IT News
Looking into its crystal ball - or perhaps digital spreadsheets - PiperJaffray analysts see big plays in the RCM market. That potential is so large, in fact, that Cerner alone has a $40 billion opportunity, and it ranks fifth in market share.
AHIMA kicks off national patient ID petition drive March 21, 2016 | Bernie Monegain - Editor, Healthcare IT News
AHIMA CEO Lynn Thomas Gordon
Calling the lack of a unique patient ID both costly and dangerous, the association is looking to the White House to help make healthcare safer and more effective.
ICD-10: CMS says 5,500 new codes coming March 16, 2016 | Susan Morse - Associate Editor, Healthcare Finance
The agency said its first update to the classification system will bring approximately 1,900 new diagnosis codes and 3,651 hospital inpatient procedure codes.
ICD-10: Is it helping improve care quality? February 26, 2016 | Diana Manos - Contributing writer
Early evidence suggests that when it comes to quality and performance measurement the new codeset has potential, but an NCQA official said some areas are less covered than we might like.
Nuance to unwrap enhanced speech recognition tool at HIMSS16 February 22, 2016 | Mike Miliard - Contributing Editor
The new iteration of Dragon Medical One will bring analytics functionality that keep tabs on the time spent documenting, helping health organizations track efficiency and productivity.
Top 10 stories of 2015 December 28, 2015 | Tom Sullivan - Executive Editor, HIMSS Media
top 10
EHR frustrations. ICD-10. New and emerging technologies. They're all on the list of your favorite Medical Practice Insider stories from the year that was.
ICD-10: A rude awakening coming? November 30, 2015 | Chris Nerney - Contributing Writer
ICD 10
CMS and private payers granting latitude to providers who weren't prepared for ICD-10 may lull practices into believing they're more up to speed than they really are.
ICD-10: How payers are handling claims now October 19, 2015 | Susan Morse - Associate Editor, Healthcare Finance
icd-10 adjustment disorder
Even though CMS is granting providers a one-year grace period, private insurers are not all playing nice. Here's a look at what they're doing.
ICD-10 debuts, angers doctors already October 02, 2015 | Susan Morse - Associate Editor, Healthcare Finance
doctor's office
"It doesn't help the patient, it doesn't help us," one doctor explained of ICD-10. "This is going to slow us down more. It's a crazy environment."
ICD-10: Learning from an industry's aversion to change October 01, 2015 | Richard Loomis, MD - Senior medical director at Practice Fusion
icd-10 washing machine
Lessons - and a surprising recommendation - gleaned from looking back at the long road to ICD-10.
ICD-10 brings high anxiety about lower revenue September 30, 2015 | Gus Venditto - Vice President of Content, HIMSS Media
stressed doctor
More than ninety percent of professionals who manage healthcare revenue believe they'll see an increase in claims denials.
Time to build ICD-10 command center? September 11, 2015 | Tom Sullivan - Executive Editor, HIMSS Media
command center
Even practices that are ready for the code set conversion would be wise to consider a backup plan. Here's a look at one hospital is doing to prepare for Oct 1, 2015.
Spate of new ICD-10 tools arrive August 31, 2015 | Tom Sullivan - Executive Editor, HIMSS Media
October 2015 calendar
Low cost and sometimes free resources are coming to market while the clock ticks toward the compliance deadline.
ICD-10 hops another hurdle August 10, 2015 | Tom Sullivan - Executive Editor, HIMSS Media
jumping hurdles
Time to take stock. Before the U.S. Senate and House of Representatives return from vacation on September 8 there will not be any legislative action to delay or kill ICD-10. Practices that put the code set conversion on a back burner would be wise to reevaluate that decision now.
10 tips to prepare for ICD-10 with the time that's left July 23, 2015 | Mary Jean Sage - President and founder of The Sage Associates
Doc using laptop
ICD-10 compliance is still achievable but only if practices carefully plan out a route to get there.
3 tips for keeping coders productive come ICD-10 July 16, 2015 | Tom Sullivan - Executive Editor, HIMSS Media
close up of person typing on laptop
The predicted dip in productivity can be "a minor speed bump or a gigantic crater." That all depends on a number of factors and it's not too late to start mitigating them ahead of the deadline.
Medical group launches free ICD-10 conversion tools July 08, 2015 | Medical Practice Insider Staff
student on tablet
Born in a family practice, the new product suite promises to help with converting, organizing, integrating and training for ICD-10.
CMS updates chronic care management payment rule July 07, 2015 | Medical Practice Insider Staff
doctor with patient
New iteration requires that physicians have established relationships with patients during the previous year to qualify for CCM payments, and more.

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Training, testing, tools crucial for ICD-10 transition April 03, 2015 | Arlene F. Baril, MHA, RHIA, CHC - Senior Director of Reimbursement and Advisory Services for Altegra Health
Stethoscope and iPad
Proper preparation will equip your practice for shifting payment models that reimburse for care quality performance and cost control.
ICD-10: Navigating the codes that matter February 02, 2015 | David Henriksen - CEO and president of Nextech
Computer coding
The right approach -- identifying relevant codes with increased complexity -- will set you up for peak performance after the October transition.
How voice dictation can ease ICD-10, meaningful use burdens January 12, 2015 | Marsha Taicher - Vice President and Director of Sales for Speech Processing Solutions North America
Doctor speaking into a voice recorder
The spoken voice is often underutilized in practices of all sizes and specialties. Here's how dictation can be ramped up to help you comply with MU and ICD-10 requirements.
5 essentials of ICD-10 planning December 17, 2014 | Carl Natale - ICD10Watch
Strategic planning at small practices
The conversion planning process must address concerns other than billing and coding. Don't overlook these areas.
8 ways to avoid and outlast ICD-10 reimbursement delays December 09, 2014 | Carl Natale - ICD10Watch
money puzzle
It's a hard pill for practices to swallow, being asked to operate with curtailed revenue for six months following the implementation of ICD-10. That said, reimbursement delays needn't spell out doom for providers — not if they consider these steps.
How to turn ICD-10 into an ROI opportunity November 26, 2014 | Frank Irving - Editor
Strategic planning at small practices
A few basic steps will move your practice into better position to handle the coding transition. If you've been skeptical about moving ahead, consider that you'll be improving your revenue cycle — regardless of what may happen in Washington.
Steps to better claims management October 22, 2014 | Frank Irving - Editor
With one out of every five claims being improperly processed, medical practices can avoid leaving money on the table. Here's a look at some of the tools and techniques for preventing denials in the first place.
How to get going with ICD-10 implementation September 25, 2014 | Carl Natale - ICD10Watch
calendar
You're just one year away from the code set conversion. This plan of action will get your practice started right away.
ICD-10: Will your coders stick around? August 28, 2014 | Carl Natale - ICD10Watch
Today's staff could be lured by competitors desperate for their expertise and, as such, willing to pay more or offer other perks. Why practices should use ICD-10 as a retention strategy.
Checklist: Calculating ICD-10 costs August 22, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
Doctor and dollar signs
Follow these guidelines to figure out how much your practice will have to spend complying with the new code sets.
A look inside CMS' new ICD-10 tools August 20, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
doctor sitting at computer
Medical Practice Insider watched the videos so you don't have to, highlighting the good parts and telling you what to skip -- plenty of both.
Get a leg up on shoddy claims denials August 19, 2014 | Madelyn Kearns - Associate Editor
binary code
As electronic remittance advice transactions gain prominence, providers can use the process to their advantage when bringing up issues with insurer claims responses.
How to win ICD-10 friends and influence physicians August 12, 2014 | Andy Arends - Managing Principal, Health Plan Innovation and Consulting at Dell Services
doctor handshake
The physician-health plan relationship needn't be adversarial. Collaborative preparation will alleviate administrative hassles and lower costs.
3 beliefs about ICD-10 that are more legend than fact July 31, 2014 | Mike Miliard - Contributing Editor
Doctors
AHIMA counters some of most commonly held misunderstandings surrounding the code set transition.
Do's and don'ts of dual coding July 21, 2014 | Carl Natale - ICD10Watch
binary code
The Centers for Medicare and Medicaid Services outline when you should expect to use dual coding and when your practice should steer clear.
Forge ahead with payers on the ICD-10 transition June 23, 2014 | Carl Natale - ICD10Watch
hands together
The compliance deadline may seem like a long way off, but there's no reason to delay certain steps that will strengthen your relationships with payers.
6 ways to benefit from the ICD-10 delay June 06, 2014 | William McElmurry - Senior Vice President and Vertical Practice Leader at SoftServe, Inc.
clocks
After reassessing your implementation and support plans, you may need to add volume to critical tasks such as staff training, financial modeling and tech readiness.
The core basics of ICD-10 planning May 22, 2014 | Carl Natale - ICD10Watch
doctors surrounding tablet and computer
If you haven't done anything yet to prepare for the ICD-10 transition, start with these 3 fundamental steps.
10 takeaways for improved ICD-10 preparation April 21, 2014 | Mike Patel - CEO, Meditab Software
computers with binary code
The delayed ICD-10 deadline creates a golden opportunity to set the groundwork for a successful transition. These tips will get you started.
The good, bad and otherwise of the ICD-10 delay April 15, 2014 | Medical Practice Insider Staff
hands typing on keyboard
Industry experts share perspectives on what ICD-10 being pushed back means for small and midsize physician groups.

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4 ICD-10 mistakes to avoid March 24, 2016 | Carl Natale - ICD10Watch
Six months in and coders are encountering issues. Let's take a quick look.
Update on sequela encounters using ICD-10 March 08, 2016 | Carl Natale - ICD10Watch
It appears that for now one of the most confusing parts about ICD-10 coding is specifying the encounter that the physician has with a patient.
Troubled waters may be in store for the ICD-10 safe harbor February 22, 2016 | Carl Natale - ICD10Watch
CMS grace period and providers using the term "unspecified" when submitting ICD-10 claims may be keeping claims denial rates in check. For now.
Coders: 4 things to know other than ICD-10 December 28, 2015 | Carl Natale - ICD10Watch
medical coding
A 20-year veteran coder offers some hard-earned wisdom. Most of it pertains to those statements and questions that make her cringe.
The weird, warped values of our ICD-10 obsession October 29, 2015 | Richard Loomis, MD - Senior medical director at Practice Fusion
Cow bites, duck strikes and jet engines ... What our fascination with unusual ICD-10 codes reveals about medicine and our healthcare system.
ICD-10: The early days October 08, 2015 | Linda Girgis, MD - Family Physician, South River, N.J.
icd 10
One doctor's experience with ICD-10 has been fraught with disruptive glitches.
3 tips for ICD-10 if your billing software is not ready September 23, 2015 | Carl Natale - ICD10Watch
For small medical groups that still have not ironed out billing systems ahead of the code set conversion, the Centers for Medicare and Medicaid Services offers these temporary fixes.
Has the first ICD-10 problem arisen? September 08, 2015 | Carl Natale - ICD10Watch
It's only temporary but some state's Medicaid units already know they won't be ready to process ICD-10 claims by October 1.
Could CMS be more helpful with ICD-10? August 24, 2015 | Carl Natale - ICD10Watch
The agency offers a number of resources to help practices get started but not everyone views them as particularly worthwhile.
ICD-10: How to cheat August 10, 2015 | Carl Natale - ICD10Watch
A tip to make learning the codes you need a little easier.
ICD-10: Crazy by design July 21, 2015 | Carl Natale - ICD10Watch
Hint: Diagnosis codes are part of a system that can be built by piecing components together.
Appropriate level of caution about CMS ICD-10 concessions July 15, 2015 | Carl Natale - ICD10Watch
Not everyone thinks CMS went far enough in saying that it will not deny ICD-10 claims for one year after the Oct. 1, 2015 compliance deadline.
Carl Natale
The latest on what to know now about the code set conversion.
Carl Natale
The latest on what to know now about the code set conversion.
Carl Natale
The latest on what to know now about the code set conversion.
ICD-10 roundup: Safe harbor, coding fears and protecting revenue June 03, 2015 | Carl Natale - ICD10Watch
Carl Natale
The latest on what to know now about the code set conversion.
Carl Natale
The latest on what to know now about the code set conversion.
Carl Natale
The latest on what to know now about the code set conversion.
ICD-10 roundup: Prophecies, facts and code learning May 08, 2015 | Carl Natale - ICD10Watch
Carl Natale
The latest on what to know now about the code set conversion.
ICD-10 roundup: Old code survival, diagnosis codes and crosswalks April 29, 2015 | Carl Natale - ICD10Watch
Carl Natale
The latest on what to know now about the code set conversion.

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MEGAS and Unicor Medical merge to form unified Alpha II company April 22, 2014 | Medical Practice Insider Staff
Twenty-year partnership between health information technology firms matures into formal corporate merger.
Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, announced today that SummaCare has selected its Health Language applications to aid with the complex transition to ICD-10. As part of its readiness strategies for the approaching deadlines, the health insurance company will leverage LEAP I-10 and Provider Friendly Terminologies to ensure successful compliance.
Package Designed to be Non-Disruptive to Revenue Cycle.
Navicure Reports Record-Breaking Growth in Third Quarter October 17, 2013 | Industry Release
Increase in new bookings attributed to company’s product and service leadership along with ICD-10 preparedness.
Amphion Medical Solutions, a leading provider of advanced transcription and coding solutions and services, makes the transition to ICD-10 more manageable with its innovative, fast-paced webinar series featuring tips and best practices from AHIMA-approved trainers.
Through its partnership with HealthStream, Precyse University, the most innovative, complete and widely adopted on-site, online and mobile ICD-10 education solution, has launched a powerful and unique ICD-10 education program for the physician office/ambulatory market.
Company Committed to Maintain and Improve Higher than 98% Average First-Pass Claims Acceptance Rate Through ICD-10; Robust, Proactive Approach Demonstrates Commitment to Client Base.
Elsevier’s MC Strategies, a leader in providing eLearning solutions to more than 1,300 healthcare organizations, today announced the continued development of its ICD-10 Roadmap with the introduction of new curricula, including a comprehensive clinical documentation curriculum.
Veridex, LLC announced that the Centers for Medicare and Medicaid Services (CMS) will determine payment rates for two new Current Procedural Technology (CPT) codes for circulating tumor cell (CTC) testing. CPT codes are assigned by the American Medical Association (AMA) to medical, surgical, and diagnostic services to communicate uniform information about medical services and procedures among physicians, patients, payers and others for administrative, financial, and analytical purposes.
Alpha II, a leader in healthcare coding, compliance and reimbursement, announced today that iMed Software of Lafayette, La. has selected Alpha II’s CodeWizard software to ensure accurate coding and compliance. Alpha II’s technology has been integrated with iMedEMR to generate evaluation and management (E&M) codes to deliver a more decisive calculation based on history, exam and medical decision making information obtained from medical records.
Health Language, Inc. (HLI), the global leader in healthcare terminology management, today announced that MDeverywhere, a provider of physician revenue cycle management services, has selected its Language Engine (LE) and provider friendly terminology (PFT). MDeverywhere will integrate the HLI software with its Web-based charge capture software to make it easier for clinicians to record diagnoses and problems, while supporting standardized terminologies such as SNOMED CT and ICD-10.
In order to receive reimbursement for patient claims, U.S. healthcare providers must begin using a revised global system for classifying medical diagnoses and inpatient procedures by Oct. 1, 2014.  While more than two years sounds like plenty of time to implement a new system, the number of possible diagnostic codes will increase dramatically from 14,000 to 68,000, while the number of inpatient codes will increase from 4,000 to 87,000. Crowe Horwath LLP, one of the largest public accounting and consulting firms in the U.S., suggests steps that providers can implement ahead of the conversion deadline for a smoother transition.
A new ICD-10 financial impact analysis tool and comprehensive ICD-10 financial impact consulting services are the latest additions to the full suite of ICD-10 transition planning solutions offered by 3M Health Information Systems. The new software and services are designed to help healthcare organizations analyze the reimbursement impact of ICD-10 in order to identify and target critical revenue and operational impact areas for improvement.
DataMetrix, a medical auditing and data mining company founded by one of the original authors of today’s Certified Medical Audit Specialist exam, recently introduced an ICD-10 training seminar created exclusively for health plan clinical review staff. The first of several scheduled sessions, the DataMetrix course received high marks from participants according to Chief Executive Officer Mary Jane LaBelle.
A substantial part of physicians' office overhead is related to providing codes for insurance claims. And a major part of the revenue of the American Medical Association (AMA) is derived from its exclusive copyright on the Current Procedural Terminology (CPT) codes required on Medicare claims.
Health Language, Inc. (HLI), the global leader in healthcare terminology management, today announced its partnership with Siemens Healthcare, Malvern, Pa., to offer enterprise-wide ICD-10 remediation services. Through this collaboration, Siemens customers will be able to meet ICD-10 compliance more efficiently by using HLI’s LEAP I-10 tool.
AAPC (www.aapc.com), a leader in enabling the business side of medicine, announced the CPPM™ (Certified Physician Practice Manager) credential. This advanced certification is designed for practice managers wanting to validate their expertise, and for those with strong coding/billing experience who are ready to advance their careers in practice management.
MedAptus®, the market leader for charge capture technologies, today announced that it has selected Intelligent Medical Objects' IMO® Problem (IT)™ search engine for integration in its Professional Charge Capture solution. This advanced search capability will provide clinical end-users of MedAptus with a rapid diagnosis search experience along with a higher degree of search accuracy when completing charge documentation using the ICD-10 code set.

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