Explore and weigh your options to determine what work environment is best for you. By Jen Flohr, RHIT, COC, CPMA, CPCO, CCS, CAPM, ICD-10 Certified Trainer Over the years, more healthcare organizations have chosen to outsource some, if not all, of their health information management (HIM) roles to staffing companies, eliminating plenty of direct-hire positions. ...
Find out if what they say is true because your compliance and financial livelihood is in their hands. By Joette Derricks, MPA, FACMPE, CPC, CHC, CSSGB Before outsourcing the coding needs in your medical organization, take time to verify a potential vendor’s claims. Here are 15 ways to dig a little deeper to ensure a ...
It’s not too early to reach out and ask questions. Annie Boynton, BS, RHIT, CPC, CPCO, CPC-H, CPC-P, CPC-I, CCS, CCS-P Although ICD-10 implementation has been pushed back a year, providers cannot afford to overlook the importance of establishing open lines of communication with vendors and payers. Vendors and payers are on the cutting (and ...
Oct 1st, 2012
By Holly J. Cassano, CPC Accurate payment under the Centers for Medicare & Medicaid Services (CMS) risk adjustment reimbursement model depends on diagnosis code specificity and reporting all current chronic conditions. A leading cause of incorrect and/or insufficient reimbursement from Medicare Advantage (MA) plans is deficient hierarchal condition categories (HCC) code reporting. CMS has been ...
Jun 1st, 2012
Let under-utilized appeals systems work for your practice. By Heather M. Shand, CMAA, CBCS, CMB Sometimes, even if you do everything right, you may end up with denied claims. Rather than throw up your hands and walk away, you should appeal. Yes, it will mean extra work, but the results are worth it: Most of ...