• ICD-10 To-Do for PTs Image

    article Apr 23, 2014

    ICD-10 To-Do for PTs

    By now, we’re all aware that, thanks to Congress , the mandatory transition date for ICD-10 has been pushed back from October 1 of this year to at least October 1, 2015. If you were one of the many practitioners and vendors who weren’t super confident in their readiness—or were procrastinating about ICD-10 nearly as much as Congress was when it came to fixing SGR—this is your lucky break. Of course, now there’s no excuse not to …

  • How to Comply with Conflicting Billing and State Practice Requirements—and Other  Useful Information Image

    article Apr 22, 2014

    How to Comply with Conflicting Billing and State Practice Requirements—and Other Useful Information

    I’ve recently received quite a few questions about how therapists can best meet conflicting billing and state practice requirements. Today, I thought I’d provide some clarity on that and explain why documentation is important for cash-based practices when it comes to addressing liability. Billing Requirements All payers—Medicare and private health insurance companies—maintain requirements that you must meet to receive reimbursement for your services. Additionally, each state has its own supervision requirements (based on license type) as documented …

  • Can You Ever Use an Unspecified ICD-10 Code? Image

    article Apr 22, 2014

    Can You Ever Use an Unspecified ICD-10 Code?

    With five times as many codes as ICD-9, ICD-10 is certainly more specific. It’s no wonder, then, that the use of unspecified codes has become a common topic of discussion among healthcare professionals. Unspecified codes are incredibly common in coding with ICD-9. However, there’s a general consensus that using unspecified ICD-10 codes could prove detrimental. In addition to corrupting the reliability and validity of the data, the use of unspecified codes could lead to claim denials. With …

  • What’s the Deal With External Cause Codes? Image

    article Apr 21, 2014

    What’s the Deal With External Cause Codes?

    Let’s face it: the ICD-10 code set isn’t exactly the most enticing reading material. So naturally, mainstream media coverage of ICD-10 has focused on some of the more, shall we say, entertaining features of the coding manual: namely, the external cause codes found in chapter 20. But while these supplementary codes certainly offer a dose of comic relief—and an endless supply of hilarious blog fodder (if we do say so ourselves)—they’ve also elicited more than a few …

  • How Your Bank Can Help With the Cost of the ICD-10 Transition Image

    article Apr 17, 2014

    How Your Bank Can Help With the Cost of the ICD-10 Transition

    There’s been plenty of debate over the price tag on the ICD-10 transition. In fact, a recent AMA study—cited in this Information Week article —claimed that by the time everything is said and done, the total cost could be three times more than what original estimates predicted, which means small practices could take a hit of around $226, 000. While that projection is probably a bit far-fetched, experts do expect there to be more than a few …

  • 2013 PQRS Interim Claims Feedback Data Now Available Image

    article Apr 16, 2014

    2013 PQRS Interim Claims Feedback Data Now Available

    Did you participate in claims-based PQRS reporting in 2013? If you would like to confirm that the Centers for Medicare and Medicaid Services (CMS) received your data—or if you want to review the data that you submitted—you can now do so by viewing CMS’ interim claims feedback report for 2013. According to CMS, “If you are an individual eligible professional who reported at least one PQRS quality measure in 2013 via claims-based reporting, you can now view …

  • How to Select the Right ICD-10 Code in Three Easy Steps Image

    article Apr 16, 2014

    How to Select the Right ICD-10 Code in Three Easy Steps

    Earlier this month, we showed you how to find the correct ICD-10 equivalent of an ICD-9 code ; discussed tips for coding pain and injuries ; and provided you with a list of common therapy-specific codes . Now, let’s talk about how to navigate the alphanumeric coding labyrinth known as ICD-10 from patient diagnosis to final code submission. With more than 68, 000 codes to wade through, identifying the correct (read: most specific) one might seem a …

  • How ICD-10 Will Benefit Your Practice Image

    article Apr 15, 2014

    How ICD-10 Will Benefit Your Practice

    So, the transition to ICD-10 is going to require that providers complete some prep work—that is, if said providers want a successful transition. But it’s not all bad news. Come the mandatory transition date, there will be some pretty sweet benefits: “From proper observation and documentation to improved clinical documentation, progress notes, operative reports, and histories, the benefits of ICD-10 begin with enhanced clinical documentation enabling [providers] to better capture patient visit details and lead to better …

  • Common ICD-10 Codes for PTs Image

    article Apr 14, 2014

    Common ICD-10 Codes for PTs

    Referencing a Codes That Matter study, CMS developed a breakdown of common codes based on specialty and released it with the following two warnings: “The codes most frequently used by your practice will vary based on geographic location, patient population, payer mix, and other differentiating factors.” Even though this study shows unspecified codes as being common, practitioners should absolutely (positively, definitely) consider codes that have a greater degree of specificity first and foremost. Without further ado, below …

  • Compliance Expert Tom Ambury Talks ICD-10 Image

    article Apr 10, 2014

    Compliance Expert Tom Ambury Talks ICD-10

    Everyone has been gearing up in preparation of the October 1, 2014, ICD-10 implementation deadline. (Even CMS changed their claim form requirements: beginning on April 1, 2014, if you submit paper claims, you must use CMS1500 version 2/12 instead of version 8/05.) No one thought there would be another delay—that is, until Thursday, March 27, when the House of Representatives passed HR 4302, a bill that contained a provision to delay the implementation and extend the therapy …

Pages

Get exclusive content delivered right to your inbox.