• 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 …

  • PT Primer for Coding Pain and Injuries in ICD-10 Image

    article Apr 9, 2014

    PT Primer for Coding Pain and Injuries in ICD-10

    One of the most talked about—and most feared—characteristics of ICD-10 is the massive size of the new code set. Whereas ICD-9 contains approximately 13, 000 diagnosis codes, ICD-10 has around 68, 000—an increase of more than fivefold. With so many codes to choose from, how can you be sure you’re selecting the right one—or even looking in the right place? Well, two of the main reasons patients seek physical therapy are injury and/or pain. So, let’s start …

  • Why You Must Code for Medical Necessity with ICD-10 Image

    article Apr 8, 2014

    Why You Must Code for Medical Necessity with ICD-10

    In order to successfully transition to ICD-10, healthcare providers will need to change more than the actual codes they use; they’ll also have to change the way they think about coding. Because in addition to choosing the right code from a list of 68, 000 possibilities, providers must ensure that the code they choose most accurately reflects the specific condition they’re treating so it supports the medical necessity of their services. As this article points out, “Medical …

  • Evolve 2014 San Diego Video Recap Image

    article Apr 7, 2014

    Evolve 2014 San Diego Video Recap

    We really appreciate everyone who attended our last Evolve session in San Diego. For those who missed the event or would like to relive it, we captured all of the presentations on video. So, grab some popcorn and settle in for a wealth of advice to help you improve your private practice’s bottom line.   WebPT and Culture: A Tale of Rapid Growth by Heidi and Brad Jannenga In this presentation, WebPT Co-Founders Heidi and Brad Jannenga …

  • Considering an ICD-10 Coder Image

    article Apr 7, 2014

    Considering an ICD-10 Coder

    When it comes to ICD-9, only large-scale medical organizations, like hospitals, have typically experienced the wondrous benefits of coders. That might not be the case with ICD-10 as medical practices big and small are pondering the necessity of trained coders. Here’s why: ICD-10 has an entirely new coding structure . ICD-10 codes contain seven characters compared to ICD-9’s five. ICD-10 incorporates much more advanced anatomical terminology. ICD-10 requires practitioners to code for patients’ conditions and, in the …

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