Revenue Cycle Management: all articles most popular
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to the Affordable Care Act (ACA), it doesn't look like MACRA (Medicare Access and CHIP Reauthorization Act) will be repealed or replaced.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.
February 08, 2017
Carl Natale

Why coding audits are features not ICD-10 glitches

It feels weird to consider an increase of coding audits to be a benefit of ICD-10 implementation, but that's what Susan Belley is going for in her Health Management Technology column.
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 07, 2017
Carl Natale

Three tips that can aid coding compliance

Medicare and private healthcare payers are increasing scrutiny of claims from ambulatory surgery centers (ASCs). According to Alison Kuley writing for Becker's ASC Review, that scrutiny has meant that some ASCs gave back reimbursements to the payers.
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.
October 19, 2016
Carl Natale

Why ICD-10 accuracy matters more now than ever

There is an obvious reason to get ICD-10 codes correct on medical claims. Incorrect coding can lead to denied claims that hurt healthcare providers' revenue streams. Unfortunately, sometimes when all the coding is done correctly, healthcare payers may not be able to hold up their end of the deal.
October 16, 2016
Carl Natale

Are payers struggling with ICD-10 updates?

When healthcare providers started submitting claims after Oct. 1, specificity shouldn't have been a problem. Maybe the updated ICD-10 codes would create some problems though.
September 10, 2016
Carl Natale

Use KPIs to assess ICD-10 impact

The Centers for Medicare and Medicaid Services (CMS) is reminding healthcare providers that they should be tracking key performance indicators (KPIs) to assess how ICD-10 coding is impacting the revenue cycle.
August 30, 2016
Carl Natale

ICD-10 coding as a claim denial strategy

The conventional wisdom is that ICD-10 implementation hasn't had a disastrous effect on medical practice cash flow. The reason why is up for a little bit of debate.