How Deep is Your War Chest?

by James Dunnick MD FACC, CPC,CHCQM Everyone is aware of the affordable care act popularly called Obama care. The health care industry is well aware of ICD 10 and its implementation date of 10/01/14. Most hospitals are in some stage of readiness, most determining now that they are not quite as prepared as they had hoped. The problems are at several levels. First, teaching ICD 10 to...

Coordinating Care In (and Outside) Your ...

by Tom Ludwig, RN, MBA, FACMPE According to a recent report of the Agency for Healthcare Research and Quality (AHRQ), the top 5% of users of healthcare services in the US account for 50% of all healthcare expenditures. Many of these people have chronic diseases, multiple medications and behavioral health issues. It shouldn’t be surprising that they receive care from many points across...

HIPAA Audits 2014 – Auditing is to...

By: Brian L Tuttle, CHP, CHA, CPHIT, CBRA, CCNA, CISSP   Well D-Day in the HIPAA world (September 23rd   2013) has come and gone and we are all still here, the world hasn’t ended, the Feds still haven’t kicked down your doors demanding to comb over your practice or business……yet.    As of now the Federal government has a heavy workload in terms of who, what, when, and...

ICD-10-CM and Coding for Severe Sepsis

by Steve Adams, InGauge Healthcare Solutions Recently we looked at how to use the ICD-10-CM Book by using the “chapters, blocks and rubrics” provided for all 21 chapters of the book. Today I thought we might take one of the 21 chapters and list some of the common ICD-10-CM codes we might use from that specific chapter of ICD-10-CM beginning in October of 2014. Within chapter 1 of...

ICD-10-CM Introduction

by Steve Adams As we begin to draw closer to that October 2014 date we wanted to introduce you to the make up the ICD-10-CM book and some of the ways you can find the 3-7 character codes that represent the more than 69,000 diagnostic services within the ICD-10-CM manual that you will use every day. The National Center for Health Statistics (NCHS) is the Federal agency responsible for...

EMR Interoperability – You Can Sto...

By Mike Jenkins, PMP Over the past month, I have seen nearly a dozen tweets talking about lack of interoperability and sharing of information between physicians.  Cheer up, this is about to change in some big ways. Starting January 1, 2014, ALL physicians attesting for Meaningful Use stage 1 and stage 2 must do so using EHR technology certified under the ONC 2014 requirements.  The...

Shared Visit Documentation

Steve Adams, MCS, CPC, CPC-H, CPC-I For CMS you cannot bill “incident to” in the inpatient setting under most normal circumstances. However, CMS will allow a Non Physician Provider (NPP) like a PA or NP to see a patient and use the physician’s number to bill for their services under a provision called the “shared visit.” Because a “shared visit”...

Documentation for Office Consults

Steve Adams, MCS, CPC, CPC-H, CPC-I CMS no longer allows reimbursement for the consultation codes, so these issues pertain specifically to commercial patients. CPT defines a “consultation” as: A type of evaluation and management service provided by a physician at the request of another physician or appropriate source to either recommend care for a specific condition or...

Transitioning to Meaningful Use Stage 2

By Mike Jenkins, PMP, MBA On February 17, 2009, the “Stimulus bill” earmarked $19 Billion for the “Health Information Technology for Economic and Clinical Health” (HITECH) Act.  HITECH encourages physicians to migrate to electronic health records (EHR) and to show “Meaningful Use”.  Eligible Providers (EPs) attested with 90-days data before 10/3/2012 could earn up...

Communication: Let Me Count the Ways

by Donna Weinstock  When we think of “Communication” we think of words and about saying something to another person. The truth is verbiage is really just a small part of communication. Communication can be tone of voice, inflections and body language. It is so easy to misinterpret a person’s meaning when the communication is not expressed properly. What we say is as important as...

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