Succeeding in an ICD-10 World: A Peek Inside the New Issue of the AHIMA Journal
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In the ICD-9 era, there were universally accepted benchmarks to measure coding professionals’ productivity. Now, more than 18 months after the ICD-10 implementation date, the challenge is to do the same for the new coding system. The article, “Coding Checkup,” in the June issue of the Journal of AHIMA, addresses this issue and provides direct feedback
from...
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OIG Investigates Payments for Ambulance Transports of SNF Patients
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Medicare’s Office of Inspector General (OIG) has issued a sixteen-question survey to many ambulance service suppliers. The survey is focused on SNF patients, and specifically why the ambulance service has billed Medicare Part B for transports while patients were in a Part A stay. During Part A stays, the nursing home receives Medicare payments that include funds
for...
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Understanding the Basics of Bundled Payments in Healthcare
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The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment fades away, alternative payment models like bundled payments are helping to define the future of revenue cycle
management. Click Here to Read More
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Medicare Cardiac, Ortho Bundled Payments Delayed Until 2018 |
CMS pushed back the implementation of compulsory Medicare cardiac and orthopedic bundled payment models and the Cardiac Rehabilitation Incentive Payment program until 2018. CMS recently delayed the launch date of three mandatory Medicare cardiac and orthopedic bundled payment models and the Cardiac Rehabilitation Incentive Payment program from May 20, 2017, to Jan. 1,
2018. Click Here to Read More
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It is Time to be Change-Hardy with the new IPPS Proposed Rules
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Be adaptable and ready for change if you are responsible for payer reimbursements in your healthcare organization. The Centers for Medicare & Medicaid Services (CMS) has announced a large number of changes to diagnosis-related groups DRGs for 2018, along with changes in ICD-10-CM and PCS. Here is a quick summary of the
changes. Click Here to Read More
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Study Guides On Sale For Only $39.99 (Reg $52.99)
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