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Icd 10- Are you really ready?

9/16/2015

 
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The ICD 10 transition has been in healthcare news for a few years now, it has even been postponed.  However now that it is happening this October 1st, are you and your office really ready?  There is more to the transition than just knowing what new code you will be using.

Computer software-Think of all computer applications you currently use. Make sure those will be ready to go live October 1st. You will also need to find out what you will need to do to ensure the applications will work correctly. Do you need to download the new codes, or change the outbound claim set up within the system? Make sure someone in the office contacts each of the applications’ customer service department to facilitate this.

Codes-Do you know which codes you will be using for your current patients? If not, that needs to be resolved. Also you will want to have a “cheat sheet” for your commonly used codes and the ICD 10 possibilities for the future. Most codes do NOT have a direct one to one correlation so you will need to have all the code possibilities on that list.

Paperwork-Think of every paper or form in your office that contains diagnoses and/or codes. This includes but is not limited too-patient questionnaires, superbills, authorization forms, insurance verification forms, etc.  Each of these items will need to be updated with the new codes as well.

This transition is not something to be taken lightly.  You will have to designate at least one person to accomplish all of these tasks ASAP.  These items need to be completed before October 1st.  The insurance companies are going to have a hard time processing all the claims that are coded correctly and payments will be delayed. If your claims processing systems are already incorrect, you can bet your payments are going to be delayed exponentially.

Should you need someone with ICD 10 experience to complete these processes for you, or you just don’t have additional extra staff for the workload, contact us. We can help.

Why Are My Claims Being Denied? CPT Updates for 2015 Musculoskeletal System

4/7/2015

 
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There have been new codes added, updates and codes deleted for ablations, fracture treatment, and percutaneous vertebroplasty.

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Why Are My Claims Being Denied? CPT Updates for 2015 Anesthesia and Arthrocentesis

3/27/2015

 
Some changes and deletions have been made to anesthesia as well arthrocentesis procedures. 

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Why Are My Claims Being Denied? CPT Updates for 2015 Chronic Care Management Updates

3/18/2015

 
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The Evaluation and Management Codes have had some updates in regards to reporting intensive care services.  Also, a new category and guidelines have been added for chronic care management services.



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Why Are My Claims Being Denied?  Procedural Coding Updates for 2015  (CPT) (Modifier Special)

2/3/2015

 
Hopefully your office was well aware of the changes that pertain to your specialty well before January 1st, 2015.  Offices that aren’t proactive in regards to updating their codes are most likely finding out now with the return of their EOBs, that something was missed. 

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Resolution #5-Networking for all staff

1/6/2015

 
We all know networking is important. Most of you reading this blog found out about it through LinkedIn, proving that to some extent our readers are currently trying to network.  Being as we are already networking, I don’t need to explain the benefits of networking. However, have you thought of how much your practice would grow and improve by having your employees network too?


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New Year’s Resolution #4-Be Ready for Changes (Codes, insurance plans, etc)

12/23/2014

 
Anyone who is successful in healthcare knows that learning never stops in this industry.  Things are always changing-new surgical procedures, new diseases, new billing rules, etc.  How well are you and your staff at keeping up with the changes?


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resolutions part 3-improve staff relationships

12/15/2014

 
Working in Healthcare, we spend most of our waking time at work instead of at home with our families.  While having employment is a blessing, when you don’t like your co-workers or employees, it can feel like a curse.  Since we must work together, why not try to improve the time we spend together? Having open lines of communication can help subdue negative feelings as well as improve relationships with both employees and patients too.


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Resolutions Part 2-ICD 10 Readiness

12/11/2014

 
We have been hearing about the transition to ICD 10 for many years now.  The most recent report is that ICD 10 codes will be required on dates of service from Oct 1, 2015 and forward to all HIPAA entities.  Technically work comp and auto insurance companies are not going to be required to update to ICD-10 codes, however some companies are doing so.  The way it stands now, a medical practice may have to use both ICD 9 (our current codes) and ICD-10 depending on whether the payers are health insurance companies or work comp and auto insurance carriers.


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New Year's resolutions for your billing office-part 1

12/8/2014

 
It’s that time of year when we all think about resolutions for New Years.  The most common resolutions have to do with improving our health such as eating better or getting more exercise. But isn’t it important to want to improve your financial health? We will have a series of blog posts highlighting the top 5 New Year’s Resolutions you should be implementing with your billing staff.

Resolution #1 Improve Patient Collections


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Medical Reimbursement Experts
711 East Lemon St PMB 28
Tempe, AZ 85281
Phone: 402-750-4024
Fax: 800-210-9445
mweigel@medicalreimbursementexperts.com