Medical coders for a hospital or general medical practice have an uphill climb – the number of codes they will be responsible for learning and knowing is immense when the ICD-10 transition occurs in October 2015. It would follow then that healthcare providers who specialize – like chiropractors – should...
Insights
How the Health Information Management Industry Will Be Impacted by the ICD-10 Transition
Mention the ICD-10 transition to a health information management (HIM) team and one word is likely to come to mind: productivity. There are approximately five times the number of codes in ICD-10 than in ICD-9. Disease classifications will be in the double digits. Inpatient hospital procedure codes alone will increase...
What Hospitals Need to Know About the Two-Midnight Rule
The Two-Midnight Rule is a benchmark for physicians to use in determining a patient’s status for care, whether inpatient or outpatient, at all inpatient acute care hospitals, including Long Term Care Hospitals and critical access hospitals. The Centers for Medicare and Medicaid Services (CMS) implemented the Two-Midnight Rule over concerns...
The Value of a Physician Advisor
Navigating through the intricacies of Medicare regulations and ICD-10 implementation is challenging enough for busy medical professionals. Now, the introduction of new health care policies as set by the federal government is making it even more difficult for healthcare providers and staff to give their patients the most thorough and...
ICD-10 “Gut Check” and New Opportunities to Bring Case Management Audits and Appeals In-House
In the News Interview with: Michael T. Dougherty, Founder and Chief Executive Officer, Provident Consulting ICD-10 implementation and a recent CMS decision create significant compliance, quality, and revenue opportunities for healthcare systems and providers in 2015, according to Michael T. Dougherty, Founder and Chief Executive Officer of Provident Consulting. These...
Omnibus Final Rule
September 23, 2013 marked the deadline for covered entities, business associates, and their subcontractors to be in compliance with the new Health Insurance Portability and Accountability Act (HIPAA) Omnibus regulations. New regulations, published in January 2013, expanded federal health care privacy and security laws and also extended their application. These...
ICD-10 – An industry readiness survey
ICD-10 – An industry readiness survey reveals that the health care industry is well behind the suggested milestones for the October 1, 2014 ICD-10 compliance deadline. Is your organization on track to meet the upcoming deadline? With little less than a year until the ICD-10 implementation deadline the results from...