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What To Do If Your Payer Does Not Comply With The ICD-10 Switchover Deadline
ICD-10 is fully in place October 1, 2015. It will include approximately 80,000 diagnostic codes, unlike the 14,000 in ICD-9. This new system needs a lot more specific coding when documenting patient visits. It will affect both commercial and public third-party payers to either:Revise paymentsDeny claimsConsider the claimsThe American Medical Association (AMA) and 99 specialty and state societies made clear their concerns about the ICD-10 to the CMS (Centers for Medicare and Medicaid Services). Their concerns say there could be…
Top Five Payer Readiness Questions to Ask Your Payer
International Classification of Diseases-Version 10, popularly known as ICD-10 has replaced the previous version on October 1, 2015. The anticipated adoption of the new codes created lots of speculation in the health sector with most medical providers airing concerns about their payments. Each payer has their unique preparations for ICD-10. As an ENT service provider, you should test your payers for payer readiness by asking them these five questions: Who is my contact person? Organizations providing health plans are usually big with…
Five Technical ICD-10 Changes For ENTs In 2016
ICD-10 will be one of the largest healthcare changes since 1979 in the United States. This coding method describes your medical diagnoses, inpatient procedures and practice verified with clinical documentation. Many of the guidelines for ENTs will not change with the new ICD-10 codes. However, new codes are being added that have never been used before. Some of the guidelines that you may not recognize are: Determine How Serious the Condition Is and Prove Medical Necessity The patient's condition will…
Upgrading Your EHR? Here are Five Important Things to Consider
No matter how comprehensive and feature-rich a medical practice's EHR may be, there will come a point in which the system will have to be upgraded or replaced. According to industry experts, a substantial number of medical practices are currently operating with EHR systems that are outdated and functioning at an unsatisfactory level, and a recent survey conducted by Software Advice confirms this assertion. These practices are currently looking for EHR solutions that are capable of facilitating the growing need…