icd-10

February 4, 2016

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…

February 4, 2016

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…

February 4, 2016

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…

February 4, 2016

Three Ways To Protect Your Practice from ICD-10 Issues

It’s not all doom and gloom, if you have been preparing sufficiently for the transition. If you have, then you know that whereas there are some big changes to the coding structure and number of codes, all these can be termed as incremental changes rather than a completely new way of doing things.So why the big fuss from doctors and hospitals across the country? Because they are scared. Scared that they will not be able to meet the deadline. Scared…