February 14, 2017
Carl Natale

Why ICD-10 codes are going to become more important

While Washington, D.C., isn't clear on what will happen to the Affordable Care Act (ACA), it doesn't look like MACRA (Medicare Access and CHIP Reauthorization Act) will be repealed or replaced. This is important because MACRA is creating a greater emphasis on ICD-10 coding.
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.
December 31, 2016
Carl Natale

Preventing ICD-10 denials comes down to knowledge

The question of how ICD-10 implementation — and the safe harbor and the 2017 updates — affects claim reimbursements and denials is worth debating. But what's more important to healthcare professionals should be how ICD- 10 coding is affecting their organization.
December 27, 2016
Carl Natale

An old problem with DRG assignments has ICD-10 repercussions

The Office of Inspector General (OIG) is applying greater scrutiny to a couple DRG assignments.
July 27, 2016
Carl Natale

Can healthcare keep the ICD-10 transition a positive experience?

So far, the healthcare industry seems pleased with the ICD-10 transition. The medical claims data has not shown significant increases in denials or decreases in reimbursements. Medical coding productivity is a bit murkier.
July 26, 2016
Carl Natale

How ICD-10 coding audits can improve revenue

If medical practices want to prepare for the Oct. 1 ICD-10 updates and increasing specificity requirements from healthcare payers, they need to start auditing ICD-10 coding.
April 28, 2016
Carl Natale

ICD-10 incentives can be carrots or sticks

On Wednesday, I wrote that granular ICD-10 data has value because it can help move medical knowledge forward.
December 27, 2015
Carl Natale

ICD-10 metrics: Are we looking at the right indicators?

This week, I observed we didn't have enough data to judge whether the ICD-10 transition was successful or not. Basically we need more data to know that.
November 12, 2014
Carl Natale

How to manage denials after ICD-10 implementation

Medical practices can expect an increase in medical claim denials after Oct. 1, 2015. But that doesn't have to mean that revenue will be lost. The Centers for Medicare and Medicaid Services (CMS)...
July 30, 2014
Carl Natale

ICD-10 Risk: How medical practices can protect their revenue cycles

It's no secret that ICD-10 implementation could hurt a medical practice's revenue cycle worse than walking into a lamppost. But it doesn't mean that a medical practice has to assume it will lose...