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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

Last Minute Steps You Can Take to Prepare for the End of the ICD-10 Grace Period

by Toshya Griffin, CPC on September 14, 2016

Although the ICD-10 transition officially went into effect last year on October 1st, 2015, a grace period was put into place by the Centers for Medicare & Medicaid Services (CMS). October 1, 2016, will mark the end of a one-year “grace period” that allowed unspecified ICD-10-CM codes on certain physician Medicare claims as well as the end of a three-year partial code freeze. Here's what your practice can do now to prepare.

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Topics: ICD-10

Is Your Documentation Ready for the End of the ICD-10 Grace Period?

by Toshya Griffin, CPC on May 31, 2016

Clinical documentation is at the heart of every patient encounter. It needs to be meaningful, and to be meaningful, it needs to be clear, accurate and timely. Clinical documentation isn't just critical for patient care, it is also used to share critical information with other providers while optimizing the claims process. However, with implementation of ICD-10 from October 2015, provider clinical documentation became much more complex: There are now nearly 70,000 codes, up from nearly 14,000 in the ICD-9.

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Topics: Revenue Cycle Management, ICD-10, Coding

How to Prepare for Thousands of New ICD-10 Codes

by Toshya Griffin, CPC on April 19, 2016

The shift from ICD-9 to ICD-10 brought some big challenges to healthcare. To help relieve some of these transition difficulties, the CDC and CMS instituted a freeze on updates to the codes prior to the October 1, 2015 implementation date, according to the American Hospital Association. But now, CMS has lifted the freeze and announced they will be adding a host of new diagnostic and hospital inpatient procedure codes (5,000+ new codes) to ICD-10 for fiscal year 2017.

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Topics: Revenue Cycle Management, ICD-10

How Medical Transcription is Bridging the ICD-10 Documentation Gap

by Kaitlyn Houseman on March 8, 2016

It's been several months since the ICD-10 transition deadline, but that doesn't mean that every practice and hospital is fluent in ICD-10 just yet. With the number of codes increasing considerably from ICD-9 to ICD-10, and with longer codes that include far more specificity, it will take time for ICD-10 codes to become free-flowing and automatic, even among experienced coders.

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Topics: Revenue Cycle Management, ICD-10, Transcription

Why Your ICD-10 Transition Might Not Be Long Term Success

by Keith Lage on December 9, 2015

Many health organizations have checked ICD-10 off as a complete success since its go-live date of October 1st brought little disruption to practice productivity and cash flow. But is it too early to declare with certainty that the ICD-10 transition was indeed successful?
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Topics: Revenue Cycle Management, ICD-10

CMS Releases Notice To Address ICD-10 Claims Processing Issues

by Kaitlyn Houseman on December 7, 2015

CMS recently issued an update on the steps it has taken to address isolated problems with processing ICD-10 codes, AHA News reports (AHA News, 11/20). The U.S. health care system transitioned from using ICD-9 codes to the ICD-10 code set on Oct. 1. The switch required health care providers and insurers to change out about 14,000 codes for about 68,000 codes (iHealthBeat, 10/30).

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Topics: CMS, ICD-10

5 Spooky ICD-10 Codes as Costumes

by Kaitlyn Houseman on October 30, 2015

With Halloween just around the corner, you surely have seen the various blog posts with Halloween ICD-10 codes. Since ICD-10 go live was this year, we decided to take it to another level. We thought we'd pair a few spooky codes with a costume. On the off chance you still haven't decided what you'll dress up as this year, feel free to snatch up one from this list of the top 5 ICD-10 codes with costumes.

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Topics: Revenue Cycle Management, ICD-10

Why Your ICD-10 Implementation Failed

by Keith Lage on October 27, 2015

You might be wondering why hundreds of practices experienced a smooth transition to ICD-10 but your practice didn't. Was it really that easy? Did you miss something? The ICD-10 transition was the biggest change to healthcare in decades. Why is my practice the only one struggling? 

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Topics: ICD-10

4 Major Insurance Payers Share Policies on Reimbursing ICD-10 Claims

by Toshya Griffin, CPC on October 19, 2015

While the Centers for Medicare and Medicaid Services announced a year's grace period this summer when it comes to claims coded with ICD-10, not all large commercial payers are following suit.

According to the CMS announcement, during the 12 months immediately following the October 1, 2015, date, “Medicare review contractors will not deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a valid code from the right family.”

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Topics: Revenue Cycle Management, ICD-10

Post ICD-10: What to Expect After October 1st

by Keith Lage on September 30, 2015

Tomorrow ICD-10 will replace the current classification system, ICD-9. Whether you're ready or not, ICD-9 codes will no longer be accepted on claims. Claims with ICD-9 codes after October 1 will be denied without payment. While surveys indicating readiness for the ICD-10 transition vary, one thing is for sure: ICD-10 will dramatically impact medical billing and cash flow. 

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Topics: Revenue Cycle Management, ICD-10, Coding

Be Wary of the ICD-10 Grace Period

by Toshya Griffin, CPC on September 28, 2015

With ICD-10 just 3 days away, healthcare providers and practices should be gearing up for the biggest change in healthcare to occur in decades. However, there seems to be a lot of debate and confusion surrounding the CMS announcement of a “grace period” with ICD-10. If you haven’t yet heard of the “grace period” it is intended to alleviate some of the concern surrounding the additional time physicians will need to spend on documenting with the new ICD-10 code set.

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Topics: Revenue Cycle Management, ICD-10, Coding

What Will ICD-10 Do To Your Cash Flow?

by Toshya Griffin, CPC on September 26, 2015

The change from the ICD-9 coding standard to ICD-10 will affect healthcare provider cash flow from several different angles. In fact, you could do everything "right" in the lead-up to ICD-10 and still face problems with revenue cycle management. But knowing where and how ICD-10 will make an impact can help you prepare and do your best to minimize problems.

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Topics: Revenue Cycle Management, ICD-10

Will ICD-10 Cause the Extinction of Paper Superbills?

by Kaitlyn Houseman on August 26, 2015

Paper superbills have been as much a part of many medical practices as stethoscopes and blood pressure cuffs over the past few decades. And despite increasing prevalence of electronic health records (EHRs), more than half of physician practices today still use paper superbills. That's because they're flexible and powerful and do their job well.

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Topics: Revenue Cycle Management, ICD-10

Code Confusion: What to Expect With ICD-10

by Kaitlyn Houseman on August 10, 2015

Reactions to the looming changeover from ICD-9 coding standard to ICD-10 scheduled to take place October 1 range from general confidence to serious worry. There is little debate that ICD-10 is better. It will make codes more meaningful, allowing medical practices to pack more information into a simple code. This will make it easier to track individual health problems as well as societal health trends.

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Topics: Revenue Cycle Management, ICD-10

Will ICD-10 Make Your Staff Less Productive?

by Toshya Griffin, CPC on August 6, 2015

Change is difficult, even if it is ultimately a positive change. ICD-10 is one of the biggest changes to hit healthcare in decades and the deadline is getting closer and closer. The upcoming transition from the ICD-9 coding standard to ICD-10 will lead to more accurate tracking of individual and population health trends, and will allow much greater specificity in medical coding. But there's no question that the transition will be challenging.

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Topics: Revenue Cycle Management, ICD-10

Why ICD-10 Has More Than 150,000 Codes - And What You Can Do About It

by Kaitlyn Houseman on July 27, 2015

Use of the ICD-10 coding standard will no longer be optional after October 1. After that time, medical claims submitted without the correct ICD-10 codes will be rejected. Learning ICD-10 is comparable to learning a new language, one that is much more complex than ICD-9.

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Topics: Revenue Cycle Management, ICD-10

Top 4 ICD-10 Frequently Asked Questions with CMS and AMA

by Kaitlyn Houseman on July 7, 2015

Q. What if I run into a problem with the transition to ICD-10 on or after October 1st 2015?
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Topics: CMS, ICD-10

Physicians Beware! 3 Revenue Cycle Impacting Changes in 2015

by Kaitlyn Houseman on June 13, 2015

Just when you thought medical billing couldn't become a more complex process, it is set to do just that in 2015. Medical facilities could find their incomes affected unless they have a strategy ready for many of the changes expected to take place this year. This may be true even for practices that are experiencing above average financial outcomes.

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Topics: Revenue Cycle Management, ICD-10, Physician Payment

Avoiding Cash Flow Interruptions from ICD-10

by Kaitlyn Houseman on June 10, 2015

The time has come for making the transition from ICD-9 to ICD-10, with the deadline being October 1, 2015. The old ICD-9 system is outdated and insufficient for meeting the demands of a healthcare system that uses electronic health records and sharing of information. With greater detail on things like laterality of a condition, ICD-10 documentation will ultimately provide much richer health data that conveys more information than the old codes.

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Topics: ICD-10

10 Quick Tips to Prepare for ICD-10

by Kaitlyn Houseman on December 23, 2014

Whether you're just starting out with an ICD-10 plan of action (hopefully not) or you have been preparing for years, it is easy to become overwhelmed and forget everything that a good ICD-10 plan entails.

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Topics: Revenue Cycle Management, ICD-10, Coding