Specificity of ICD-10 Coding Can Improve Reimbursements for Vaccine Administration

Posted in ICD-10, Medical Coding, Medical Coding BPO, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Administration of vaccines is an important part of healthcare delivery, and a critical contribution to preventive public healthcare. However, risings costs are making it difficult to align vaccine administration expenses with revenues. There may be some relief to these rising costs and it comes from something that was once seen as a burden for medical …

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With the Start of ICD-10, It’s Now About Reducing the Denial Rate

Posted in Accounts Receivable (A/R), Best Practices, ICD-10, Insurance Billing Solutions

The world did not come to an end on October 1, 2015. With the start of ICD-10, healthcare professionals anticipated an overall reduction in productivity of their billing staff. In a pre-October 1 survey, 94% of respondents indicated that they expected increased denials, but only 30% had done any work toward solving the problem. If …

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Checklist for ICD-10 and Audit to Confirm Readiness

Posted in Best Practices, ICD-10

October 1st is almost here.  Here is a quick checklist to ensure you are ready: Have you identified the top ICD-9 diagnoses and trained appropriate staff on the corresponding ICD-10 coding for billing and clinical documentation? Have you reviewed current clinical documentation and identified gaps for ICD-10 requirements? Have you contacted all your vendors to …

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Getting a Late Start on ICD-10? Don’t Worry!

Posted in Best Practices, ICD-10

If you are getting a late start on ICD-10 preparation, don’t worry; there are still cost-effective and viable solutions that can help you meet the October 1 deadline – outsourcing and technology. The transition to ICD-10 will have a tremendous impact on your organization and its revenue stream. If you are getting a late start …

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Tips to Make Sure You Are Ready for ICD-10

Posted in Best Practices, ICD-10

 October 1 is just around the corner. There is no other way to express it. Are you ready?  Training to ensure you are ready for ICD-10 is the most critical factor in preparation. You should determine your staff’s training needs based on their individual roles within your organization. Staff members will require different and specific …

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Uninsured Rate Dips Below 10%

Posted in Business Process Outsourcing (BPO), ICD-10, Revenue Cycle Management (RCM)

By Nitin Thakor, President & CEO I read with interest this week an article In Modern Healthcare’s e-newsletter titled, “Uninsured rate dips below 10%.” The statistic comes from The Centers for Disease Control and Prevention. In my opinion the most important sentence in the article follows: “The survey also found that 36% of people younger than 65 …

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Healthcare Financial Professionals Seek New Ways to Rescue Revenue Cycle Management

Posted in Accountable Care Organizations (ACOs), Affordable Care Act, ICD-10, Insurance Billing Solutions, Revenue Cycle Management (RCM)

Business pressures are forcing healthcare financial managers to re-evaluate their present revenue cycle management solutions, and look to the next generation of solutions for answers to their financial woes.Shifting payment models, new regulations and healthcare reform are forcing healthcare leaders to redirect previously launched budgets, priorities and strategic plans to assess if new solutions can …

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10 Steps for ICD-10 Readiness You Must Know

Posted in Health Information Management (HIM), ICD-10

There have been numerous delays to the implementation of ICD-10. These delays have caused untold frustration, — but they have also created opportunities for healthcare providers and the organization that serve the healthcare industry. You now have time to readjust your ICD-10 timeline preparations. As an HIM Director for many years, I am offering a plan …

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The Importance of Physician Champions in the Transition to ICD-10

Posted in Clinical Documentation Improvement (CDI), ICD-10

Do you have a “physician champion”? You should. A physician champion who will support your clinical documentation improvement (CDI) program and communicate the importance of an ICD-10 CDI program to his or her peers will go a long way in ensuring the success of your transition to ICD-10 in October of 2015. Providers are now …

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