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Oct 29, 2014 RACs: When a Pause Is Not a Pause UDPATED OCTOBER, 2016: The mission of the Centers for Medicare & Medicaid Services’ Recovery Audit Program is to identify and correct Medicare improper payments through efficient detection of both overpayments and underpayments. Based on demonstrated RAC results, the RAC program has achieved...
Jan 9, 2014 ICD-10: The momentum is back! The momentum is back for ICD-10 risk assessments post Department of Health and Human Services (DHHS) one (1) year delay in implementation date announcement. Although we are still in the 30 day comment period, the industry is ready to continue and/or begin their assessment efforts. That’s my one big...
Jan 9, 2014 Tell me again- Why do we need ICD-10? More than ever the burning question remains, “Why ICD-10?”  It feels like “heartburn” for most but the increase in hesitancy to adopt this new system appears to be directly related to the announcement of the impending October 2014 delay in the implementation date.  The reason for ICD-10 is more...
Jan 9, 2014 Hot off the Press: No ICD-10 End-to-End Testing by CMS “OMG” is about the best way to not only get your attention as a reader of this article, but my first thought as I reflect on the breaking news from the HIMSS ICD-10 Leadership Forum in National Harbor, Maryland this week.  Definitely the biggest “take away” is the announcement from CMS that they...
Jan 9, 2014 Dual Coding versus Double Coding: An ICD-10 Implementation Plan Dual coding or is it double coding? That is a very good question to ask yourself as you work toward ICD-10 implementation. The difference can be confusing when you first read the phrase, but know this….dual coding can be your avenue to successful ICD-10 transition in your organization.  Dual...
Dec 9, 2013 Doing More With Less…The Charge Capture Saga Continues Christina Panos, RHIA, CTR  Healthcare today requires organizations to be very efficient in the delivery of services.   The unfortunate reality is that hospitals and organizations are experiencing decreases in reimbursements and many of these organizations are faced with financial challenges that...
Dec 9, 2013 ICD-10PCS – The ICD-10 Game Changer The U.S. healthcare industry has had a large focus and in turn has published a great amount of guidance on ICD-10CM and its impact on healthcare; however the real game changer is ICD-10-PCS.  ICD-10-PCS is a new classification system that replaces the third volume of ICD-9-CM for coding inpatient...
Dec 9, 2013 ICD-10 Education: How Soon is Too Soon? Now that the implementation date for ICD-10 is finalized, the next step many are tasked with is to figure out the training schedule for education.  It is prudent to make the best use of the two year timeline remaining; however, many continue to ask themselves….Is it too soon to start training...
Dec 9, 2013 March Madness and ICD-10: Is it Possible to Bracket it? It’s March Madness and many men’s college basketball teams have worked very hard to get to the sweet sixteen of the NCAA tournament. Unfortunately, there will be winners and losers and for some there will be great March sadness.  I was quite shocked with the bracket craze these last few weeks and...
Dec 9, 2013 Start Your Engines Now: Train for ICD-10-PCS The healthcare community has expressed concern about the cost of training and the potential loss of coding productivity due to the implementation of ICD-10-CM and ICD-10-PCS.  Some experts have predicted a loss of productivity between 10-50%.   Many facilities are concerned about recruiting and...

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