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Healthcare organization revenue cycles can be complex and difficult to manage because each phase of the cycle runs slightly differently while still being inextricably linked to each other. Yet revenue is integral to a practice’s continued health. How can you manage the intricacies of a medical revenue cycle efficiently and effectively? Let’s review the parts of the cycle to find out.
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Are You Ready for QAPI in 2016?
If you aren’t ready, it’s time to get started! Industry leaders expect HHS to release a proposed rule on QAPI sometime in 2016, according to a Dec. 17, 2015, post by Lyn Bentley, MSW, in the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) blog. She recommends that long-term care professionals understand the Five Elements of QAPI (see below) and get started on their plans to implement this process.
To Check out the Five Elements of QAPI Click here
Four days are remain in 2015, and only five of those are business days. Wow! Are you like me, thinking, “hey, wait, where did the year go?” But besides leaving us shaking our heads in amazement at the truth in the old saying “tempus fugit,” the flip of the calendar to January 2016 also brings a flock of brand-new CPT® codes. CPT® 2016 features 365 code changes, to be exact, one for each day in the new year, if you count the deletions and revisions along with the additions.
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Eradicate Errors in Your Hysterectomy Claims With These Time-Proven Tips
Do you often wonder how much documentation is adequate to support your hysterectomy claim? Or do you get confused about whether you can code the removal of the tubes and ovaries separately?
Tips For pathology to implement
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ICD-10-CM: Have These 6 Responses Ready to Encourage Provider Participation in ICD-10 Prep
Part of preparing for the transition to ICD-10 in October 2015 is combating any complaints from your providers about learning ICD-10. Arm yourself with these six responses provided by Joe Nichols, MD, a member of CMS’s ICD-10 Task Force, during the agency’s.
Read More: ICD 10 Codes
Fraud & Abuse: Guilty Pleas Continue To Pour In From Nation's Hot Spots
Plus, VNSNY faces Medicaid fraud scandal. The feds are racking up guilty pleas and lengthy jail sentences across the country as they keep the pressure on Medicare Fraud Strike Force cities.
Recent announcements from the Medicare home care fraud capital of Miami include:
You’ll select from 149 different ulcer codes in the L89.000 to L89.95 range once ICD-10-CM goes into effect.
Pressure ulcers, also known as decubitus ulcers or bedsores, are localized injuries to the skin caused by unrelieved pressure on the skin. Reporting pressure ulcers is fairly straightforward in ICD-9-CM; you use two codes — one to report the location (from 707.0x, Decubitus ulcer) and the other to report the stage (from 707.2x, Pressure ulcer stages).
