ICD-10

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Exploring the Fundamentals of Medical Billing and Coding

by Editorial Staff

Medical billing and coding translate a patient encounter into the languages healthcare facilities use for claims submission and reimbursement. Billing and coding are separate processes, but both are necessary for providers to receive...

New ICD-10 Codes, MS-DRG Assignments for COVID-19 Coming Jan. 1

by Jacqueline LaPointe

Come January 1, 2021, CMS will implement 21 new ICD-10 procedure codes for COVID-19 vaccines and therapeutics for the novel coronavirus, including baricitinib and monoclonal antibody treatments. The...

94% of Users Would Buy Computer-Assisted Coding Solution Again

by Jacqueline LaPointe

Computer-assisted coding solutions did not live up to user expectations when first released, but a new KLAS research report showed that hospitals and health systems are just now starting to see a...

Researchers Find More Accurate Model for Estimating Patient Costs

by Jacqueline LaPointe

Using single diagnostic codes and leveraging “present on admission” designations improved Medicare payment models, predicting total patients costs within 30 days of hospitalization better...

PQRS Medicare Payment Adjustments Waived After ICD-10 Update

by Jacqueline LaPointe

Some eligible professionals and group practices will not receive Physician Quality Reporting System (PQRS) Medicare payment adjustments in 2017 and 2018 because of the recent ICD-10 update, CMS recently...

WEDI: ICD-10 Coding Guideline Negates Some Claim Audit Policies

by Jacqueline LaPointe

A new ICD-10 coding guideline conflicts with reporting and auditing policies for several quality programs as well as medical necessity rules and other healthcare regulations, stated the Workgroup for...

Black Book Names Optum360 Top HIM, Coding Outsourcing Vendor

by Jacqueline LaPointe

Optum360 earned the top spot for health information management (HIM) and computer-assisted coding outsourcing vendor among hospital chains, systems, corporations, and integrated delivery networks as well...

Lessons Learned from the First Year of ICD-10 Implementation

by Jacqueline LaPointe

With the anniversary of ICD-10 compliance approaching, many providers are looking back on the past year to see how the new coding system has affected their organizations as well as preparing for fast...

CMS Prepares Providers for End of ICD-10 Coding Flexibilities

by Jacqueline LaPointe

Starting on October 1, CMS plans to thaw the freeze on ICD-10 implementation by adding more codes and allowing review contractors to deny claims based on level of specificity. To help healthcare...

AHIMA Reviews Top ICD-10 Implementation, Coding Challenges

by Jacqueline LaPointe

In the days leading up to the go-live of ICD-10 implementation, many healthcare providers feared that the new system would decrease productivity and cause more claim denials. However, in the eight...

AHA Seeks Changes to Post-Acute Care Medicare Reimbursement

by Jacqueline LaPointe

The American Hospital Association (AHA) has called on the Centers of Medicare and Medicaid Services (CMS) to revise proposed Medicare reimbursement reforms for two post-acute care models. In separate...

Coding Productivity Fell by 14% After ICD-10 Implementation

by Jacqueline LaPointe

As the anniversary of ICD-10 implementation approaches, a survey from the American Health Information Management Association (AHIMA) Foundation has revealed that coding productivity and accuracy has...

How to Manage ICD-10 Implementation Updates, Maximize Revenue

by Jacqueline LaPointe

Just as most healthcare stakeholders reported that ICD-10 implementation ran smoother than expected, CMS will be releasing 5,500 new codes beginning in October. While it may sound like a large update to...

ICD-10 Implementation Ran Smoother than Originally Expected

by Catherine Sampson

On May 9, the Workgroup for Electronic Data Interchange (WEDI), announced that the ICD-10 implementation process was moderately smooth because costs were mostly in line with expectations and testing...

AHIMA Proposes Revisions to New Group of ICD-10-PCS Codes

by Jennifer Bresnick

Six months after the healthcare industry managed to make its initial transition to ICD-10 with few significant issues, CMS is planning to lift its freeze on the addition of new codes. Approximately 5000...

ICD-10 System Codes Will See New Updates by October 1

by Vera Gruessner

The ICD-10 implementation deadline and postponements brought a variety of challenges to the healthcare field. One of those obstacles has been the constant ICD-10 system code freezes. However, on October...

CMS, CDC Add More than 5,000 Codes to ICD-10 Coding System

by Vera Gruessner

Last week, the Centers for Disease Control and Prevention along with the Centers for Medicare & Medicaid Services (CMS) announced some major news for the ICD-10 coding system. The two organizations...

CMS Details How to Resolve ICD-10 Implementation Issues

by Jacqueline LaPointe

In the second update about ICD-10 implementation, CMS has released infographic and statement guidance on how to address issues and questions about IDC-10. The recent statement encourages providers to...

CMS Demonstrates How to Track ICD-10 Implementation Progress

by Jacqueline LaPointe

CMS has recently released an infographic urging healthcare providers to assess and analyze their ICD-10 progress by identifying key performance indicators (KPIs) and creating baselines for analysis for...