stressed doctor
September 4, 2014
The conversion lingers in "the back recesses of physicians' minds," which means as the clock ticks toward compliance more medical groups are likely to turn to outsourcing options for relief.
Get the Medical Practice Insider weekly email newsletter. Subscribe today!

Coding

  • News
  • Best Practices
  • Resources
  • Blogs
  • Press Releases
Narrow by Topic:
ICD-10: Which IT systems concern you the most? September 19, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
This list of technologies ICD-10 will touch is comprehensive, as is the number of tasks that healthcare organizations anticipate being harder post-compliance.
ICD-10: Stress, anguish and outsourcing September 04, 2014 | John Andrews - Contributing Writer
stressed doctor
The conversion lingers in "the back recesses of physicians' minds," which means as the clock ticks toward compliance more medical groups are likely to turn to outsourcing options for relief.
ICD-10's leadership crisis: Can CMS step up to the plate? August 21, 2014 | Madelyn Kearns - Associate Editor
Joshua Berman
The current rift in readiness, and the looming threat that Congress could pull another House of Cards delay, has at least one expert concerned that the atmosphere of deferring ICD-10 work will persist well into 2015. And that could be problematic on compliance day.
New codes coming for advanced diagnostics August 13, 2014 | Anthony Brino - Contributing Writer
gavel and book
Provision in the Protecting Access to Medicare law should speed up the development of new diagnostic tests while improving reimbursement rate-setting.
HHS chisels ICD-10 compliance date in stone August 01, 2014 | Mike Miliard - Contributing Editor
keyboard
Final rule sets the countdown to 14 months for physician practices, payers and clearinghouses to be fully prepared for the codeset transition on Oct. 1, 2015.
The truth about EHR upcoding July 10, 2014 | Madelyn Kearns - Associate Editor
hands typing on keyboard
Prominent researchers examined Medicare billing patterns among adopters and non-adopters of EHR technology. What they found could render fears surrounding widespread upcoding almost obsolete.
Expedited, expanded testing paramount to ICD-10 progress June 05, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
road
WEDI's newly released recommendations to HHS also call for more transparency in how the mandate will be enforced.
Would incentives speed up ICD-10 readiness? June 02, 2014 | Carl Natale - ICD10Watch
illustration of dollar bill
Emerging revenue models pose more of a threat to medical practice viability than the new coding standard, some argue. Others say financial assistance would make a difference, as it has with EHR meaningful use.
3 reasons to document for ICD-10 now May 05, 2014 | Elizabeth Morgenroth, CPC - Revenue Cycle Business Analyst at T-System, Inc.
hands typing on keyboard
Even though the implementation deadline has been pushed back to October 2015, here's why you should find the right technology and upgrade without delay.
Will ICD-10 put your practice out of business? May 01, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
dollar sign
Industry experts agree that some organizations are not going to be ready due to factors beyond medical groups' control, notably IT vendors.
ipad app
Native iPad application adapts to specialty provider's style of practice to produces notes, code exams and procedures, e-prescribes, order labs, print pathology requisitions and more.
Will doctors put off ICD-10 to the last minute ... again? April 15, 2014 | Madelyn Kearns - Associate Editor
stopwatch
While small practices breathed a sigh of relief with the delay to ICD-10 compliance, a culture of procrastination could be taking hold.
Coalition for ICD-10 to HHS: Name the new deadline April 15, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
calendar with pocket watch
Saying the delay will be costly and disruptive, a group of associations and vendors leans on Health and Human Services to ease the uncertainty.
ICD-10: How best to proceed now April 07, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
computer coding
It may be tempting to shift the massive project to the back of your mind but, instead, these tactics for identifying and mitigating threats to your revenue can be done well ahead of the compliance deadline and pay off once it comes.
The inevitabilities of ICD-10 still hard to outrun March 31, 2014 | Madelyn Kearns - Associate Editor
The inevitabilities of ICD-10 still hard to outrun
Even with ICD-10 getting pushed back to 2015, doctors will be tasked with many of the same burdens ... and then some.
Tip sheets for keeping ICD-10 on track March 28, 2014 | Madelyn Kearns - Associate Editor
Tip sheets for keeping ICD-10 on track
From embarking on the project all the way through to preventing cash flow disruptions post-compliance, practices can employ these guides to make the transition easier.
What will Congress do next in SGR fix saga? March 28, 2014 | Carl Natale - ICD10Watch
What will Congress do next in SGR fix saga?
If ICD-10 implementation is delayed one more year, it will be because of nothing that has anything to do with ICD-10 codes.
ICD-10 testing with or without CMS March 10, 2014 | Madelyn Kearns - Associate Editor
Time for ICD-10 testing with or without CMS
CMS kicked off its ICD-10 testing last week and it has more plans ahead. But even practices that don’t get into that game can pick up other testing on their own. Here are some of those options.
Don't expect ICD-9 codes to vanish come October March 05, 2014 | Erik Newlin - Director of National Standards Consulting at Xerox State Healthcare, LLC
Don't expect ICD-9 codes to vanish come October
The business continuity of your practice will depend on being able to live with ICD-9 and ICD-10 codes even after the compliance deadline.
CMS resource helps small practices pave the way for ICD-10 February 25, 2014 | Madelyn Kearns - Associate Editor
CMS resource helps small practices pave the way for ICD-10
As a means to help small and medium-sized practices get back on track with ICD-10, CMS has developed 'Road to 10' -- a free, five-step online resource that includes clinical scenarios and common codes for an array of specialties including primary care and orthopedics.

Pages

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.
Strategies for a successful ICD-10 transition April 08, 2014 | Joel Young - CEO, Regional Urology
Strategies for a successful ICD-10 transition
Here's how a 17-provider practice plans to keep the momentum going despite the delayed compliance deadline.
ICD-10 preparations to help you avoid financial hardship later March 25, 2014 | Carl Natale - ICD10Watch
ICD-10 preparations to help you avoid financial hardship later
You may not have cash reserves or a credit line to tap after Oct. 1. Here's what you can do now to survive claims payment disruption after the code set transition.
CMS seeks volunteers for ICD-10 end-to-end testing March 14, 2014 | Frank Irving - Editor
CMS seeks volunteers for ICD-10 end-to-end testing
500 submitters will make up a nationwide sample aimed at uncovering pre-implementation issues. You have until March 24 to submit an application.
ICD-10: What to test today March 13, 2014 | Carl Natale - ICD10Watch
What you should learn from ICD-10 testing
Assembling real-world testing cases now can validate that payers will be able to process your claims when the new code set kicks in. Here's how.
What to ask your ICD-10 trading partners today February 14, 2014 | Carl Natale - ICD10Watch
What to ask your ICD-10 trading partners today
Open communications will go a long way toward keeping business on track. Directing these questions to payers, clearinghouses and existing vendors can start that discussion.
Training roadblocks to ICD-10 February 11, 2014 | Madelyn Kearns - Associate Editor
3 training roadblocks to ICD-10
Planning how to navigate these areas now will save medical practices effort, and potentially expense, down the road.
10 things to know now about ICD-10 January 30, 2014 | Frank Irving - Editor
10 things to know now about ICD-10
Use this list as a starting point to branch off into more detailed research and preparation for the coming code set transition.
How to ensure your EHR is ICD-10-ready January 28, 2014 | Jonathan Conley - Product Manager at Emdeon
5 tips to ensure your EHR is ICD-10-ready
Look closely at the "touch points" between clinical and coding systems. But also examine your ability to participate in emerging reimbursement models.

Pages

What if the federal government funded ICD-10? September 18, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
tom sullivan
Surprisingly enough, readers are split as to whether or not incentives would ease the compliance burden. What's your take?
Why zany ICD-10 codes are not as absurd as they look September 02, 2014 | Carl Natale - ICD10Watch
Carl Natale
Get those laughs in while you can because the jokes might not last beyond compliance day.
It's not too early to start ICD-10 testing August 21, 2014 | Carl Natale - ICD10Watch
Carl Natale
Begin now to get potential problems resolved before vendor resources are depleted.
How to pick an outsourcing vendor for ICD-10 August 08, 2014 | Carl Natale - ICD10Watch
Answering these questions will help guide medical practices to selecting the best vendor for getting to ICD-10 on time and, with proper planning, in a manner that improves both business operations and clinical care.
CMS issues ICD-10 testing plans August 05, 2014 | Carl Natale - ICD10Watch
Carl Natale
Somewhat overshadowed by HHS finalizing the compliance date was CMS laying out its schedule for acknowledgement and end-to-end testing for Medicare providers.
ICD-10 to-do list for small practices July 03, 2014 | Nina Keller
Nina Keller
Working on these five tasks now will help medical groups maximize the extra time and ultimately improve the business to generate more revenue.
ICD-10 worth the work but won't be a magical improvement June 04, 2014 | Carl Natale - ICD10Watch
Carl Natale
ICD-9 data is already being collected and analyzed so there's reason to think ICD-10, with its greater granularity, will improve healthcare.
Should the feds incentivize ICD-10 implementation? May 28, 2014 | Carl Natale - ICD10Watch
Carl Natale
Would mirroring the meaningful use program's reimbursement for healthcare entities that adopt ICD-10-compliant technologies ease the burden enough to make the AMA and others willing to convert to the new codes?
Will the delayed ICD-10 deadline lead to the same result? May 12, 2014 | Carl Natale - ICD10Watch
Carl Natale
While the Centers for Medicare and Medicaid Services wants the new ICD-10 implementation deadline to be Oct. 1, 2015, many healthcare professionals are wondering if it really will happen.
CMS sheds some light on ICD-10 deadline May 02, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
Tom Sullivan
Interim final rule setting new compliance date expected "in the near future."
No clues yet on new ICD-10 deadline April 25, 2014 | Carl Natale - ICD10Watch
Carl Natale
CMS remains understandably tight-lipped, but indicates that regulatory language is being drafted and will be released soon.
How to prevent another ICD-10 delay April 10, 2014 | Carl Natale - ICD10Watch
Carl Natale
We need to have more compelling arguments for implementing ICD-10 coding.
Would you support ICD-10 delay to avert physician pay cut? March 26, 2014 | Tom Sullivan - Executive Editor, HIMSS Media, Frank Irving - Editor
Tom Sullivan
When the House votes Thursday on the SGR fix, the proposed legislation includes language pushing back ICD-10. It’s likely to pass the House and might even make it through the Senate, too.
ICD-10 Testing Week going on now March 04, 2014 | Carl Natale - ICD10Watch
Carl Natale
Participating providers will receive electronic acknowledgement indicating whether submitted test claims were accepted or rejected.
Avoiding productivity losses with ICD-10 February 19, 2014 | Carl Natale - ICD10Watch
Carl Natale
Conventional wisdom says that too many ICD-10 codes will make it harder for clinicians and medical coders to do their jobs. Here's what practices can do to mitigate the damage.
Top 5 Medical Practice Insider stories for January February 04, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
Given that we're only eight months away from a crucial compliance deadline, last month's hot topics may not come as a surprise.
Who’s resisting ICD-10 progress? January 10, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
Tom Sullivan
Results of a readiness study published this week paint a comical picture of minor defiance.
Don't expect ICD-10 deadline to move, too December 10, 2013 | Tom Sullivan - Executive Editor, HIMSS Media
Don't expect ICD-10 deadline to move, too
It had to happen. Oct 1, 2014 was going to be just too much for providers of all sizes and levels of IT savvy.
Tune up your practice for today and tomorrow November 25, 2013 | Doug Fielding - Vice President of Product Strategy at ZirMed
Tune up your practice for today and tomorrow
The financial and operational side of healthcare is shifting rapidly on a number of fronts.
Add intentional gila monster bites to list of zany ICD-10 codes November 14, 2013 | Carl Natale - ICD10Watch
Carl Natale
You've heard about ICD-10 codes for animal encounters, no doubt, but this is one is new to me. And it's very specific.

Pages

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.

Pages