ICD-10: Ignorance is Not Bliss – Part 2

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The ICD-10 compliance date of October 1, 2014 draws nearer every day. While many individuals in healthcare believe this initiative to impact only coders and billing staff, that misconception will certainly prove detrimental on many levels. All involved in the patient care experience will be impacted, even the patient (as introduced in ICD-10: Ignorance is Not Bliss – Part 1.) In Part 2 of this 4 part series, we will continue to follow our patient through her post-ICD-10 experience. When we last left off, Doris Jones was waiting for an exorbitant amount of time in the clinic waiting room to see her doctor. After an hour, she is finally checked in and called back by the Medical Assistant.

Scenario: Please Visit Ignorance is Not Bliss – Part 1 for Mrs. Jones’ situation.

Now let’s see just how this change really can affect everyone…

Continue reading: ICD-10: Ignorance is Not Bliss – Part 2

ICD-10: Ignorance is Not Bliss – Part 1

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By now, most individuals working in Healthcare have heard of ICD-10. The varying degrees of familiarity with the new diagnostic and procedure code set are as varied as the individual reactions to its upcoming required implementation. Some individuals shudder in fear as the diagnosis codes leap from ~13,000 codes in ICD-9 to ~60,000 in ICD-10 (not to mention the ~76,000 procedure codes that will now be required for use in the Inpatient environment.) Some individuals (certainly most coders and billers) can not sleep at night knowing the learning curve, productivity slowdown, and likely revenue loss that this initiative will certainly yield. Perhaps most disturbing, however, is that many individuals (including providers) believe that ICD-10 will not have an impact on their staff, their work, their finances, or the patient experience.

That, unfortunately, is a scary and fallacious understanding of what is ahead. ICD-10 will impact everyone. To make the point, I offer an example of a basic patient office visit.

Continue reading: ICD-10: Ignorance is Not Bliss – Part 1

I’m a Doctor. I treat Patients. Knowing ICD-10 codes is the Coder’s Job!

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The title of this article seems reasonable and appropriate. Unfortunately, it is patently false!

By now you are probably likely acclimated to (perhaps even enjoying!) the ‘touch once’ method of encounter documentation, in which you dictate, click and/or type through patient visit documentation. Once the patient leaves the office, you are 100% done with the documentation. Although this may not always be possible, this serves as the preferred method to complete your charting.

With the impending changes that ICD-10 will bring, you are all but assured of the requirement to re-touch a large number of your charts if you have not been properly trained in the methodology of ICD-10 billing.

What does this mean? Why is this?

Continue reading: I’m a Doctor. I treat Patients. Knowing ICD-10 codes is the Coder’s Job!

ICD-10 Training Timeline: Are You Already Behind the Curve?

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ICD-10 looms over Healthcare in America ominously. Many studies project that a tremendous number of ambulatory medical practices will have very significant cash flow shortfalls . Many of them actually may declare bankruptcy, because of the draconian changes in the required billing processes on October 1st, 2014.  A number of sources of information, including the Federal government at CMS, as seen at http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10SmallMediumChecklistTimeline.pd encourage immediate action!

Don’t get caught short.  Arm yourself with the  knowledge that will prove vital to your practice.  Just as it took a year to learn anatomy, it will take your office a year to undertake the painful migration to using ICD-10 for all of your billing.  To state the obvious, if you are not using ICD-10 for all medical services on or after October 1st, 2014, you will not be paid!

To state the less obvious, this is not an issue only for your billing department.  You, the physician, will need to either:

Continue reading: ICD-10 Training Timeline: Are You Already Behind the Curve?

AthenaHealth Buys Epocrates for $293 Million; Reference Tools To Be Incorporated With Athena Cloud EHR

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Epocrates has been around for a long time in healthcare and is most noted for their mobile formulary applications which is what launched their business years ago.  The company was one of the first with this type of application and also provided a look up web service for finding information on almost any drug which is free for doctors and consumers.  Continue reading: AthenaHealth Buys Epocrates for $293 Million; Reference Tools To Be Incorporated With Athena Cloud EHR

Using EHRs in the Emergency Room With Higher Billings Does Not Always Indicate Fraud

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Fierce EMR today focused on a study of an analysis created by the New England Journal of Medicine that takes a deeper look in to why some of the medical billing today is growing.  In the news of late we have been reading about the government and others questioning the billing and coding of physicians with using electronic medical records. Continue reading: Using EHRs in the Emergency Room With Higher Billings Does Not Always Indicate Fraud

eClinicalWorks Launches Outsourced Revenue Cycle Management Service Integrated with EMR

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The cost for the service is 2.9 percent of monthly collected revenue and that is obtained through using portals and other offerings in the EHR package.  Below is a screenshot from the website and you can see that when enrolled in the Revenue Cycle Management program with 2.9% of the practice collections being the cost, the EMR comes free. Continue reading: eClinicalWorks Launches Outsourced Revenue Cycle Management Service Integrated with EMR