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Insights to guide your practice. 

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House Delays SGR Cuts, ICD-10 for a Year | Senate to Vote Monday

by Kaitlyn Houseman on March 28, 2014

Yesterday the House of Representatives passed legislation to delay the 24% physician fee schedule cut slated to take effect on April 1, 2014. However, the legislation did not stop there. A number of other changes were made that will have long-lasting implications. A listing of these changes is available at the end of this post.

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Topics: ICD-10

Congress to Vote on ICD-10 Delay Today

by Kaitlyn Houseman on March 27, 2014

A new bill has been introduced into the US House and Senate that features a brief mention for the delay of ICD-10-CM/PCS implementation until 2015.

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Topics: ICD-10

CMS' Tavenner: ICD-10 Deadline Will Not Be Delayed

by Kaitlyn Houseman on February 28, 2014

During a keynote address at HIMSS14 in Orlando, Florida, CMS Administrator Marilyn Tavenner has announced that the ICD-10 deadline will not be delayed. However, she is offering relief to providers, payers, and HIT vendors struggling with Stage 2 of Meaningful Use requirements.

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Topics: CMS, ICD-10, Affordable Care Act, Incentive Programs

Now Available: "Road to 10" Resource to Help with ICD-10 Transition

by Kaitlyn Houseman on February 26, 2014

The transition to ICD-10 is going to change how you do business from registration and referrals to superbills and software upgrades.  However CMS has the following resources to help your practice prepare for the transition.

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Topics: Revenue Cycle Management, Practice Management, CMS, ICD-10, Coding

Less Than 10% of Physician Practices Ready for ICD-10

by Kaitlyn Houseman on February 10, 2014

Englewood, Colo., Feb. 4, 2014 – As the Oct. 1 compliance date to transition to the International Classification of Diseases, Tenth Revision (ICD-10) approaches for physician practices, MGMA research released today indicates that overall readiness for implementation continues to lag. Less than 10 percent of responding practices reported that they had made significant progress when rating their overall readiness for ICD-10 implementation, up only slightly (from 4.7 percent) since June 2013, when MGMA previously conducted research to assess readiness levels. The new research includes responses from more than 570 medical groups where more than 21,000 physicians practice.

“The critical coordination that must take place between practices and their software vendor, clearinghouse and health plan partners is simply not happening at the pace required for a seamless implementation. Very simply, ICD-10 is behind schedule,” said Susan L. Turney, MD, MS, FACP, FACMPE, MGMA president and chief executive officer. “MGMA continues to advocate on behalf of members and provides tools and resources to help practice executives make the transition to ICD-10 more cost effective and less disruptive to their organizations.”

MGMA urges the Centers for Medicare & Medicaid Services (CMS) to immediately take action to help ensure that physician practices can successfully undertake such a massive transition, including:

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Topics: Revenue Cycle Management, EHR, Practice Management, CMS, ICD-10, Coding

WEDI Survey a Snapshot of ICD-10 Implementation Status

by Kaitlyn Houseman on January 7, 2014

 “When compared to a similar WEDI survey given in February 2013, the healthcare industry has slipped further behind key ICD-10 compliance milestones suggested in the WEDI/NCHICA timeline,” the Workgroup for Electronic Data Interchange (WEDI) explained in a prepared statement.

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Topics: Revenue Cycle Management, Practice Management, ICD-10, Coding

Medical Billing in 2014: 5 Quick Reminders for Your Practice

by Kaitlyn Houseman on January 3, 2014

Every year we set new goals and expectations for ourselves.  January 1st is a clean slate for most of us hoping to make a change for the better in our lives.  This year, make the commitment to your practice. Devoting time and effort to each of the following 5 points will help prepare your practice for the upcoming changes and help you better manage your practice in 2014.

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Topics: Revenue Cycle Management, Practice Management, ICD-10

[Infographic] Important Healthcare Deadlines to Remember

by Kaitlyn Houseman on December 19, 2013

Healthcare Deadlines Over the Next Few Years

Still trying to figure out the who, what, when and where of the upcoming healthcare deadlines? It can be hard to stay up-to-date with all of the changes with policies and payments. Check out the following timeline to plan for the changes over the next couple of years.

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Topics: Revenue Cycle Management, EHR, Practice Management, CMS, ICD-10, Affordable Care Act, Incentive Programs

Join the Next CMS eHealth Webinar on Program Milestones

by Kaitlyn Houseman on December 3, 2013

Join Next Provider Webinar on 2014 CMS eHealth Program Milestones for Eligible Professionals

Eligible Professionals (EPs) are encouraged to join the next CMS eHealth webinar on milestones for 2014 eHealth programs, which will be held on Thursday, December 5th from 12:00 – 1:30 p.m. ET. The webinar will help you prepare for major eHealth deadlines, transition milestones and benchmarks in 2014. CMS experts will present on eHealth programs including the EHR Incentive ProgramsICD-10, and the Physician Quality Reporting System (PQRS).

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Topics: EHR, CMS, ICD-10, PQRS, Incentive Programs

4 Major Risks with ICD-10

by Kaitlyn Houseman on November 13, 2013

According to CMS, 1 in 5 physician practices will see their Medicare denials double for up to 6 months after October 1, 2014, the deadline for ICD-10. Your practice does not have to be one of them. Get started early with planning for ICD-10.

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Topics: Revenue Cycle Management, Medical Business, Practice Management, CMS, ICD-10, Coding

Anderson Reveals “Scary” Truth About ICD-10 Test Results

by Kaitlyn Houseman on October 16, 2013

The North Carolina Healthcare Information and Communications Alliance executive director Holt Anderson revealed a ‘scary’ finding after some end-to-end ICD-10 testing.  Anderson made the announcement of their findings during the MGMA 2013 annual conference last week.

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Topics: Revenue Cycle Management, Medical Business, Practice Management, ICD-10, Coding

There's an ICD-10 Code For That?

by Kaitlyn Houseman on September 29, 2013

Burn Due to Water Skis on Fire? - There's an ICD-10 Code For That!

Struck by a Turtle? Walked Into a Lamppost? Hurt While Crocheting? Burn Due to Water Skis on Fire? – There’s a Code for that.

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Topics: Practice Management, CMS, ICD-10, Coding, Denial Management

EHR Incentive Program Milestones | Key Deadlines Coming in 2014

by Kaitlyn Houseman on July 13, 2013

2014 will be a big year for CMS eHealth programs— there are key deadlines for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs; an expansion of eReporting will be coming up; the implementation of quality reporting program alignment begins; and the ICD-10 transition takes place on October 1st. Each of these milestones supports the overall goals of the eHealth initiative—helping health care providers deliver better patient care by simplifying the use of electronic standards and encouraging the adoption of health information technology.

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Topics: CMS, ICD-10, Affordable Care Act

Top 5 ICD-10 pitfalls

by Kaitlyn Houseman on December 12, 2011

A panel of ICD-10 experts spoke last week at a conference co-hosted by the New England Health Information and Management Systems Society and Maine Healthcare Financial Management Association in South Portland, Maine, giving advice about the five ‘gotchas’ that can wreak havoc on the best-laid plans for implementing the new coding system.
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Topics: Revenue Cycle Management, EHR, ICD-10, EHR Training

HIPAA 5010 Enforcement Delay Pitfalls

by Kaitlyn Houseman on December 2, 2011

"It's not a good idea to get too comfortable with the extension," according to industry experts.

Even with the Centers for Medicare & Medicaid Services' (CMS) recently announced 90-day discretionary enforcement period (March 21 versus Jan. 1) for physicians to transition to HIPAA Version 5010 for claims transmission, physician practices must stay on task, making a "good faith effort" toward on-time compliance.

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Topics: EHR, HIPAA, ICD-10

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