Hello everyone! It has certainly been a bit since we’ve posted on our Blog. It could be the remnants of a mild winter has affected our circadian rhythms? Regardless of spring-like weather in February, our team has been busy at the MediPro office handling an influx of interest in the medical software products and add-on… Read more »
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ICD-10
ICD-10 glitch leads CMS to relax physician quality penalties
The CMS issued something of a get-out-of-Medicare-penalties-free-card for two years to physicians and group practices due to a glitch with quality reporting measures based on a recent update to the ICD-10 diagnosis and procedure codes. The CMS pointed its finger at updates that went into use Oct. 1, 2016, to the ICD-CM (Clinical Modification) and… Read more »
ICD-10 claims denial rate at 1.6 percent, RelayHealth reports
Denial rates for ICD-10 claims are at about 1.6 percent, according to a report by RelayHealth Financial. Out of about 262 million claims processed between Oct. 1, 2015, and Feb. 15, 2016, which totaled $810 billion, 1.6 percent were denied, according to an announcement from the revenue cycle management solutions organization. The numbers show there has… Read more »
Ringing in Zip, Zero, Zilch
For those I haven’t had the pleasure of visiting with in the first 15 days of the month, Happy New Year! I’m excited about what 2016 will bring to medical practices and billing services over the next 350 days. After peering inside the plethora of healthcare news, I found some recurring hot topics that we’ll… Read more »
Providers Urged to Monitor ICD-10 Claims; Challenge Denials
Although it’s still early in the process, the transition to the ICD-10 coding system by all accounts is unfolding more smoothly than many observers expected. Reports nonetheless indicate that unexpected denials may be occurring. As a result, McKesson experts recommend that providers continually monitor their revenue cycle to determine if claims are being inadvertently rejected… Read more »
RelayHealth reports over $25 billion in claims processed since October 1
Since October 1, RelayHealth Financial has successfully processed more than 13 million of your hospital and physician ICD-10 claims, totaling more than $25 billion. This is good news! “RelayHealth Financial has led the industry with investments such as a comprehensive ICD-10 testing program and ICD-10 Central’s real-time analytics dashboard to help ensure a smooth transition… Read more »
Smooth Rollout For New ICD-10 Medical Codes, Insurers Say
The launch of tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures in the billing process has seen few problems in the early days of its launch, large health insurers say. The news of a smooth rollout thus far comes from Humana HUM +0.33% (HUM) and UnitedHealth Group UNH -1.88%… Read more »
CMS: Government shutdown won’t jeopardize ICD-10 transition
However, uncertainty surrounds ICD-10 Coordination Center, ombudsman While officials from the Centers for Medicare & Medicaid Services could not say definitively on a media call Thursday what the status of the agency’s new ICD-10 Coordination Center and its ombudsman would be in the event of a government shutdown on Oct. 1, they did maintain that… Read more »
Some ICD-10 Insight
At this point, it’s a good idea to conduct one last check to re-confirm if your payers will be ready to accept ICD-10 codes on 10/1, your respective clearinghouse testing has been completed, the physicians and staff in your group are comfortable with the new code set, and your medical software is ready. If you… Read more »
14 and rounding the corner
We are rounding the ICD-10 corner with 14 days left until this “historic undertaking” envelops the healthcare industry with the change over to the ICD-10 code set. Are anxiety levels high, are medical offices and billing services encountering head scratching moments of coding confusion, are providers taking out additional lines of credit? Unfortunately, the answers… Read more »