Better equip yourself to answer patient questions and secure patient cost-sharing. Nothing stays the same for long in this industry, so even if you are a seasoned healthcare business professional, you may not know all types of insurances and plans available, and how they work. A quick review will assist you in correctly coding, billing, ...
In CMS
May 27th, 2016
A recent technical alert from the Centers for Medicare & Medicaid Services (CMS) outlines additional unspecified diagnosis codes the agency is excluding from both ICD-9 and ICD-10 reporting beginning January 2, 2017. CMS’ missive states the codes, “will not be accepted in the in the Alleged Cause of Injury, Incident or Illness (Field 15) or ...
Providers, payers, coders, employers, and carriers must communicate effectively to get the claim paid. When we think of health insurance, we typically think of government programs (e.g., Medicare, Medicaid, TRICARE®), major medical, and private pay. But there are patients with non-traditional insurance, such as auto and — the subject of this article — workers’ compensation. ...
Mar 17th, 2015
The federal Occupational Safety and Health Administration (OSHA) has revised its recordkeeping rule to include two key changes that affect all employers, regardless of business or size. And on the horizon, OSHA promises even bigger changes. Reporting Regulations Now All employers must report to OSHA work-related fatalities within eight hours; and, as of Jan. 1, 2015 all employers must ...
Nov 16th, 2012
ICD-10 Monitor’s Talk Ten Tuesday interviews this week primarily focused on the challenges of handling workers’ compensation under the new coding system. Nannette Orme, CPC, CPMA, CEMC, CCS-P, discussed the results of a recent poll regarding what practices will do if their state worker’s compensation does not require acceptance of ICD-10-CM codes after October 1, ...