By Judy Monestime bio ICD-10-CM Chapter 10, "Diseases of the Respiratory System (J00–J99)," identifies codes for a wide variety of pulmonary conditions, ranging from acute upper respiratory infections, pneumonia, influenza, asthma, as well as diseases of the lower respiratory tract including chronic lung diseases and diseases acquired from exposure to external substances. … [Read more...] about Coding tips for respiratory diseases
Billing & collections
The balance between kindness and good business: getting your patients to pay their bills
A 2014 survey conducted by the Medical Group Management Association (MGMA) finds that collecting balances due from patients is the seventh most "intense and applicable challenge" for the members surveyed. And no wonder. According to a 2014 survey by the Kaiser Family Foundation, the average yearly deductible in the United States has more than doubled in the last eight years, … [Read more...] about The balance between kindness and good business: getting your patients to pay their bills
How to get paid for filling out patient forms
To charge or not to charge? Medical offices don't value their time as much as they ought, according to the office manager for a family practice in Pennsylvania. And one area that's woefully undervalued is the time spent filling out patient forms for things such as disability verification and the Family and Medical Leave Act (FMLA). That's time consuming for both doctors and … [Read more...] about How to get paid for filling out patient forms
How one practice addressed the issue of delinquent patient payments
A medical practice in Fayetteville, GA, had an ongoing situation with 20 or so longtime patients who believed because they knew the doctor personally and even socialized with him that they could pay for medical services when it was convenient for them. Yet, Rick E. Blondeau, practice manager, believed the doctor shouldn't wait to be paid for his service that he performed in … [Read more...] about How one practice addressed the issue of delinquent patient payments
New Orleans jury convicts two doctors, a nurse, and an office manager for roles in $50 million fraud scheme
A jury in New Orleans has convicted four employees of medical service clinics for their roles in a $50 million Medicare fraud scheme. Assistant Attorney General Leslie R. Caldwell of the Justice Department's Criminal Division, U.S. Attorney Kenneth A. Polite of the Eastern District of Louisiana, Special Agent in Charge Michael J. Anderson of the FBI's New Orleans Field … [Read more...] about New Orleans jury convicts two doctors, a nurse, and an office manager for roles in $50 million fraud scheme
SGR repeal emphasizes move to value-based payments
After a long and winding road, the sustainable growth rate (SGR) is finally part of history and the move to value-based payments has renewed urgency now that the Medicare Access and CHIP Reauthorization Act of 2015 (Act) has become law. The Act became law April 16, 2015, repealing the SGR and establishing the following conversion factor updates: 0.0% for January 1, 2015 through … [Read more...] about SGR repeal emphasizes move to value-based payments
Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
By Judy Monestime bio Chapter 21 in ICD-10-CM contains codes for factors influencing health status and contact with health services. There are differences in ICD-10-CM from what is currently found in ICD-9-CM. Some categories in Chapter 21 have rephrased titles to better reflect the situations the codes classify. For example, elective, legal, or therapeutic abortions have … [Read more...] about Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
Miami medical office manager convicted of Medicare fraud
A former office manager of a Miami-based physical and occupational therapy clinic was convicted, following a four-day trial, for her participation in a scheme that involved the fraudulent submission of more than $3.3 million in false billing to Medicare. Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, and Shimon Richmond, Special Agent in … [Read more...] about Miami medical office manager convicted of Medicare fraud
ICD-10 research reveals physicians’ views
Clinical documentation and reimbursement lead the list of concerns that physicians have about ICD-10, according to new research from the CAREinnoLab of Care Communications, Inc., a provider of health information solutions, and the Department of Health Information Management in the School of Health and Rehabilitation Sciences at the University of Pittsburgh. Patty Sheridan, … [Read more...] about ICD-10 research reveals physicians’ views
How to choose the electronic medical records vendor that’s right for you
Choosing the right electronic medical records vendor for your practice can seem like an overwhelming task—and getting it right is crucial. Before any other considerations, you want to be sure than any vendor you are considering is HITECH certified for 2014, so that you can achieve meaningful use stages one and two. This will also ensure HIPAA compliance. Beyond that the options … [Read more...] about How to choose the electronic medical records vendor that’s right for you