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By Molly Gamble for Becker’s Hospital Review In an Oct. 17 webinar presented by Becker’s Hospital Review, Scott Becker, JD, CPA, a partner at McGuireWoods in Chicago and publisher of Becker’s Hospital Review, commented on a dozen of the most pressing issues facing hospitals and health systems today. 1. Hospital-hospital consolidation. As hospitals continue to…
By Bob Herman, for Becker’s Hospital Review ICD-10 is coming, and it will affect virtually every department within a hospital or health system. A question many are asking is, “How exactly will it impact the revenue cycle?” At the 2012 AHIMA Convention and Exhibit, Jeff Pilato, director of revenue cycle at coding firm HRS, broke…
By James Swann for Bloomberg BNA The Centers for Medicare & Medicaid Services Aug. 24 released a final rule confirming a one-year delay in compliance for the ICD-10 code set, moving the date from Oct. 1, 2013, to Oct. 1, 2014. The final rule, which will be published in the Sept. 5 Federal Register, also…
From AHANews.com The number of RAC claim denials is up 24% relative to last quarter, according to the most recent results of the AHA’s RACTrac survey. Medical necessity denials represented the top reason for RAC denials, however, two-third of these were for care found to be provided in the wrong setting, not because the care…
Article Sharon Easterling and Donna D. Wilson, posted by Chris Dimick, Editor-in-Chief at the Journal of AHIMA. This article was originally published on the Journal of AHIMA website on Augist 1, 2012 and is republished here with permission. We are now midway through 2012, and still awaiting the start of RAC prepayment reviews. The program…
From Modern Healthcare Last week, the American Medical Association sent a letter to acting CMS Administrator Marilyn Tavenner asking the federal government to further delay the compliance date for the transition to ICD-10 code sets to Oct. 1, 2015, Modern Healthcare reports (Conn, Modern Healthcare, 5/11). Background U.S. health care organizations are working to transition…
By Connie S. Tohara for Computerworld When October 1, 2014 arrives, there are a number of potential disasters that await if we’re not fully prepared for the new clinical coding classification, ICD-10. Federal regulators have proposed a Fall 2014 deadline to comply, and we’re taking the initiative head-on at the University of Utah Hospitals and…
By Carle Natale for Healthcare IT News ICD-10 implementation is a problem that affects how physicians will practice medicine. But just how to you persuade them that they need to get involved in the training and planning now? The first thing you do is put a physician on the ICD-10 steering committee. That physician is…
By Sebastian Mitchell for Medical Practice Trends There are many daily chores to being a good physician. Patient care, nursing staff issues, medical decision making, patient paper work and referrals, constant prescription refills requests; the list goes on and on. This list goes on even longer if you run your own private practice, to which…
CHICAGO—Hospitals must implement a contingency plan to deal with ICD-10, said Mary Phelps and Carol Beehler, both of PricewaterhouseCoopers during a presentation March 22 at the annual meeting of the American College of Cardiovascular Administrators (ACCA). Hospitals should go forward preparing for ICD-10, despite the fact that the Oct. 1, 2013, deadline has been delayed.…