January 25, 2017
Carl Natale

PQRS vs ICD-10 coding: What physicians need to know

While the Centers for Medicare and Medicaid Services (CMS) announced it won't new Physician Quality Reporting System (PQRS) standards to healthcare providers. It appears the updated ICD-10 code sets could unfairly lower quality scores.
January 23, 2017
Carl Natale

Some hot ICD-10 codes for winter

Yes, winter is here. And with it comes some season-specific injuries. RT Welter identifies one very plausible use of ICD-10-CM coding:
January 21, 2017
Carl Natale

Five ways to use results from a coding audit

Coding audits are designed to find mistakes. There is a great incentive for healthcare providers to conduct their own audits instead of waiting for regulators or healthcare payers to find mistakes for them.
January 19, 2017

Medical practices need to brace for coding challenges

Healthcare is a constantly evolving industry. Medical knowledge thankfully increases constantly. But the regulatory and financial structures offer less welcome evolution.
January 17, 2017
Carl Natale

How to outsource ICD-10 coding and get high quality

As healthcare organizations prepared for ICD-10 implementation, they trained medical coders to work with the new code sets. Those coders who learned ICD-10 coding became more valuable and encouraged them to change jobs.
January 16, 2017
Carl Natale

Reporting noncompliance is part of medical coder's job

Organizations should have a reporting mechanism in place for noncompliance reports. It's better that they get the reports and fix problems instead of forcing noncompliance reports to go to healthcare payers or government agencies.
January 16, 2017
Carl Natale

Don't be afraid to use an unspecified ICD-10 code

If something bad happened to anyone on Friday, it would be tempting to blame injuries on the bad luck of Friday the 13th. But that's not recognized as an external cause  in the ICD-10-CM codes. Even...
January 14, 2017

CMS: PQRS penalties are suspended because of ICD-10 updates

The Centers for Medicare and Medicaid Services (CMS) reminded the healthcare industry this week that they will not apply 2017 or 2018 Physician Quality Reporting System (PQRS) penalties in some cases.
January 11, 2017

ICD-10 coding is only as good as the documentation

It's worth emphasizing that healthcare providers cannot code what has not been documented in the clinical notes or reports. Even when it means leaving money on the table.
January 10, 2017
Carl Natale

ICD-10 updates revised more than just code sets

On Oct. 1, 2016, U.S. healthcare organizations revised the ICD-10-CM/PCS codes they were working with. This required more training and system updates.