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!

“It’s the System Stupid”, And the Laws of Unintended Consequences Reviewed

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Today we have an opinion piece from Dr. Edmund Billings from Medsphere relaying a message that we have all probably thought about at one time or another if you are in the Health IT business.  How did all of this transpire in the medical record business?  Continue reading: “It’s the System Stupid”, And the Laws of Unintended Consequences Reviewed

The RAND Report: Are Healthcare and Health IT in a Dysfunctional Relationship?

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Today we hear from Dr. Edmund Billings, Chief Medical Officer from Medshpere systems.  In short he is addressing some different points of view regarding the recently released Rand Report.  Medical records have changed many times since the beginning states and what have we evolved to?  It has been stated many times on the web that the progression of medical records has been leaning more toward the insurer or payer side of the coin and the doctor asks some questions in this area and has a couple ideas open for discussion. Continue reading: The RAND Report: Are Healthcare and Health IT in a Dysfunctional Relationship?

What Makes Up an EHR Template Relative to Reimbursement; CMS To Begin Reviewing

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Medical record templates have been in and out of the news quite frequently today.  All medical record templates for one are not the created equally.  Which templates are the “so called troublemakers”?  We may see some additional complexities develop here since this seems to be an area where the discussion has lead to capturing bigger dollars when billing. Continue reading: What Makes Up an EHR Template Relative to Reimbursement; CMS To Begin Reviewing

Medicare End of Consultation Fees Provided Uptick in Medicare Spending–Not the EMR This Time

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With all the current discussions on medical records and coding, the American Medical Association today has a with a study to shed some light with a surprise change in billing with the removal of consultation fees.  Sometimes it may be hard to predict exactly how the math will work. Continue reading: Medicare End of Consultation Fees Provided Uptick in Medicare Spending–Not the EMR This Time

Cerner Buys EHR Certified Software Anasazi Ambulatory Behavioral Software Solutions

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Cerner Anasazi will allow healthcare providers access to information they may use in a productive manner while facilitating transitions in health care. The takeover is expected to close in November 2012.  Continue reading: Cerner Buys EHR Certified Software Anasazi Ambulatory Behavioral Software Solutions