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Is your medical practice ready for dual coding?
Carl Natale
Although medical practices cannot submit medical claims with ICD-10 codes until Oct. 1, there are a few good reasons to start using them sooner.
Recent Posts
CMS releases ICD-10 awareness video
The Centers for Medicare and Medicaid Services (CMS) released a two-minute video that sums up the ICD-10-CM code set. It's perfectly fine as a way to introduce the topic. Read More
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Under dosing finds a home in ICD-10-CM code set
Under dosing is a concept not covered by ICD-9 codes. Coding for under dosing is a lot like coding for poisoning. Read More
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What's the ICD-10 code for shooting yourself in the foot?
I understand that ICD-10 implementation does not have anything to do with the Affordable Care Act. Read More
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How to prepare for ICD-10 testing
Remember the good ol' days when test preparation meant pulling an all-nighter before taking the exam? That's not going to cut it when preparing for ICD-10 testing. Read More
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Recent Comments
Is your medical practice ready for dual coding?

Not much time to get an application vendor to make significant changes to the encounter forms. Have any of the major practice management vendors stated that their systems will support "practice" dual coding?


CMS releases ICD-10 awareness video

Don't you think most providers have already spent the money and are ready? Better documentation has always been a problem and not a good argument, I think. I feel and I think my colleagues agree; everyone is REALLY READY to get going with ICD-10!


How to prepare for ICD-10 testing

I have conducted extensive payer testing over the past year. Our outpatient encounters are reimbursed based on contract rates so our primary focus has been on denials, especially NEC/NOS codes, which are common Diagnoses for us. For the inpatient claims, though, we examined DRG shifts in addition to denials. A DRG could shift up or down, which would impact your reimbursement in a positive or negative way. The benefit of all of this testing is that we can incorporate our learning into clinician training so that we do not experience a large increase in recoding on October 2nd.


ICD-10 Analytics: Keeping your eye on your KPIs

You are so right! It is "...all on the provider." . Unfortunately, the AHA, representative of member hospitals, has not gotten that yet. . I refer you to a July 8, 2014 letter, excerpted below, from the AHA to AHIMA, CMS, and CDC that indicates the 4 (un)cooperating parties don't understand the tremendous part physicians


Why aren't healthcare providers volunteering for ICD-10 testing?

The combination of not being selected for Round 1 (we are a reasonably large provider but our clearinghouse was not selected for our state/MAC) as well as the limitation of 50 claims MAX makes the effort of both collecting, future dating and sorting through the various hospital/clinic/home care locations we represent to find robust claims to test with beyond reasonable. We are limited by our clearinghouse acceptance and do not have a way around that since we do not direct submit. We have already participated in acknowledgement testing with Medicare and unfortunately feel like we will not get beyond ...


 
 

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