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EHR final rule has fewer objectives in stage 2, more interoperability in stage 3

10/12/2015

CMS has scaled back some objectives in stage 2 of the electronic health records (EHR) meaningful use program but plowed ahead with stage 3 despite Congressional opposition, according to a final rule released Oct. 6.

ICD-10 update: Some hit snags, others sail; all wait for processed claims

10/12/2015

by: Roy Edroso, Laura Evans, CPC, and Julia Kyles, CPC-A

As practices enter their second week in ICD-10, some continue to thrive while others struggle, resulting in a mixed bag of experiences with the new code set.

Improve your billing of 4 highly denied codes that might surprise you

10/12/2015

by: Richard Scott

Don’t let your guard down when you bill some of the most frequently used services — such as electrocardiogram, urinalysis and hemoglobin testing — or your revenue might end up among the tens of millions in denied payments that providers incur annually.

ICD-10 Z-codes don’t mean you can’t bill preventive, problem services together

10/12/2015

by: Roy Edroso

Question: I have read on a coders’ message board that under ICD-10, you can no longer bill a well visit if a patient presents with a complaint. They say the Z00.0 and the Z01 categories have a note that says, “Excludes 1: encounter for examination of sign or symptom — code to sign or symptom,” which means you cannot code a well visit and a symptomatic complaint on the same encounter. Is that right?

Upcoming OMHA forum seeks to expand settlement pilot, address ALJ backlog

10/12/2015

by: Joshua Poltilove

The Office of Medicare Hearings and Appeals (OMHA) is expanding a pilot project designed to reduce the massive backlog of appeals at the administrative law judge (ALJ) level.

Watch out for common coding challenges with your big utilizers

10/12/2015

by: Richard Scott

Pay attention to your frequently billed — and frequently denied — services, especially common testing and injection codes, to see where you can strengthen your claims coding and ensure you get paid for the work your practice conducts.

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