CD-10’s benefits can be defined in just a few simple phrases. It’s time to get on board.
The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.
We all know that the official deadline for implementing ICD-10 has been moved to Oct. 1, 2015. Any healthcare organization that singles out that date as its primary focus, however, is placing itself at grave financial risk.
As patients, we don’t have the thousands of dollars it costs to tap into the extensive database information required for the entire body of CPT codes. But the AMA does offer us an easy way to look up one code at a time, for free.
Paying medical bills is a huge hassle and expense for companies. With the cost of providing workers compensation coverage for employees rising, it’s more important than ever that employers have a cost control process in place to minimize expenses and maximize savings.
A proposed rule that was expected to outline how Medicare’s interest should be protected in cases of settlements for future medical care was withdrawn Oct. 8 by the Office of Management and Budget.
The ICD-10 mandate may be delayed another year, but providers and EHR vendors shouldn’t view the reprieve as an opportunity to relax.
As hospitals prepare to transition from ICD-9 to ICD-10 coding by October 2015, computer-assisted coding (CAC) tools will become increasingly important.
We are hearing lots about ICD-10-CM/PCS (International Classification of Diseases, 10th revisions, Clinical Modification/Procedure Coding System) documentation needs.
The catch is you have to make the request for your rightful dollars.
Here’s a piece of good news for you. As per the Medicare’s April update, three Holter monitor codes will get a slight boost in pay.
The change has an implementation date of April 4, 2011, and an effective date of Jan. 1, 2011. That means contractors have to be ready to comply with the change by April 4, but the change in practice expense relative value units (PE RVUs) is retroactive to Jan. 1 dates of service.
Medicare isn’t requiring contractors to search their files to adjust claims they have already paid (which is good news for any physician who reports a code seeing a fee decrease). But contractors do have to adjust claims if you bring them to their attention. Take a look at how many 93224-93227 services you provided from January to March to see if making the claim for the small increase in RVUs is worth your time.
93224: The PE RVUs for 93224 (External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation) will change from 2.30 to 2.53. That’s a difference of .23 RVUs. Multiply that by the 2011 conversion factor (33.9764), and you can expect roughly an additional $7.81 for this code. (Remember that geographic region will affect your fee, as well).
93225: For 93225 (…recording [includes connection, recording, and disconnection]), the PE RVUs only increase by .09, changing from 0.82 to 0.91. So the additional reimbursement should be roughly $3.06.
93226: You may see an additional $4.76 for 93226 (… scanning analysis with report). Its PE RVUs change from 1.21 to 1.35.
Swan-Ganz: If you ever report 93503 (Insertion and placement of flow directed catheter [e.g.,…