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Prepare to withstand ICD-10 cash-flow disruptions with line-of-credit lifeline

04/06/2015

Avoid the pitfalls of taking out a loan by obtaining a line of credit to stay afloat during the potentially turbulent period after the transition to the ICD-10 code set Oct. 1.

Rethink how you’ll get patients to engage with your EHR as stage 3 approaches

04/06/2015

by: Roy Edroso

Start questioning your electronic health records (EHR) vendor and your patients about their use of health apps in preparation for bold new meaningful use requirements that could wind up making your compliance easier.

Determine whether provider did expanded problem-focused or detailed exam

04/06/2015

by: Scott Kraft

A piece of the 1997 E/M Documentation Guidelines could help you determine the difference between an expanded problem-focused exam and a detailed exam, even if you’re using the 1995 version.

CBA modifiers may apply to DME billing even if you’re not a contract supplier

04/06/2015

by: Roy Edroso

Question: I keep getting a denial from Medicare on E0143 (Walker, folding, wheeled, adjustable or fixed height). I have used the modifiers KX (Requirements specified in the medical policy have been met) and NU (New equipment), then just KX, then just NU. What am I doing wrong?

Don’t report hospital observation, inpatient visit on same patient, same day

04/06/2015

by: Julia Kyles

Question: I have a doctor who is asking: Can we bill inpatient codes and observation codes for the same hospital stay for our patients?

ICD-10-CM transition cost linked to practice size, survey shows

04/06/2015

Many estimates have been floated about how much the transition to the ICD-10-CM code set will cost, but to date, practices have spent an average of $17,108 getting ready for the big switch.

House kicks SGR to the curb, sets new payment path, eases quality reporting

03/30/2015

by: Richard Scott

With an overwhelming majority, the U.S. House voted to banish the long-patched sustainable growth rate (SGR) formula instead of kicking it down the road again, sending it for a vote in the Senate at press time.

Meaningful use proposed rule: Providers face steep cuts if not in stage 3 by 2018

03/30/2015

by: Roy Edroso

Did you expect to be at stage 3 meaningful use by 2018? Now you may have to be or face an up to 4% pay cut, according to a CMS proposed rule released March 20. And part of the requirement will be an unprecedented increase in patient engagement with your electronic health record (EHR).

MedPAC: Overhaul primary care incentives, E/M fees, reporting measures

03/30/2015

You’ll see a substantial change to several Medicare payment methodologies — from E/M services to expiring physician incentives — should the nation’s largest insurer follow the policy recommendations of its congressional watchdog agency.

Plan superbill transition now as ICD-10 makes paper versions hard to use

03/30/2015

by: Roy Edroso

If you’re using a paper superbill that is manageable under the limited number of ICD-9 codes, be ready for an adjustment to a potentially unwieldy document, charge capture tools or an electronic health record (EHR) system when ICD-10 kicks in Oct. 1.

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