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Got Paid? How to Handle Denials with ICD-10

On October 1, the U.S. health care system moved to the International Classification of Diseases, 10th Revision (ICD-10). Recognizing that health care providers may need help with the transition, CMS has established an ICD-10 Ombudsman and ICD-10 Coordination Center to help track, triage, and resolve issues. Generally speaking, Medicare claims take several days to be processed Read more

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CMS Finalizes the Meaningful Use Rules

On October 6, 2015, the Centers for Medicare and Medicaid Services (CMS) and the National Coordinator of Health IT (ONC) released the 752-page final rule for the EHR Incentive Programs, which they say will ease reporting requirements for providers. The rule finalizes proposals that were made by the agency back in April of 2015. This Read more

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5 Techniques to Close a Sell in Any Business

Kevin O’Leary is known as “Mr. Wonderful”. He is one of the investors on the “Shark Tank” (ABC) where entrepreneurs present their business proposals to five multi-millionaire tycoons in hopes of receiving the investment needed to make their ideas a reality. According to O’Leary the hardest business job in the world is sales. “Every business has sales. Read more

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6 ICD-10 Changes for Primary Care

DIABETES Diabetes (codes E08 – E13) has greatly expanded in ICD-10. Physicians must document whether the diabetes is Type 1, Type 2, drug- or chemical­ induced, or due to an underlying condition. They must document the specific underlying condition, the specific drug or toxin, as well as the use of any insulin (Z79.4). ICD-10 requires Read more

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Tamper-Resistant Prescription Pads

Effective January 1, 2005, prescriptions for controlled substances (Schedules II-V) must be written on tamper-resistant security prescription forms provided by a state-approved security printer. Additionally, on January 1, 2012, a new law took effect that requires changes to controlled substance prescription forms. Prescription forms for controlled substances are now required to include the pre-printed address Read more

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Medicare Incentive and Penalty Programs – A Brief Summary

Over the past few years Congress has created a number of programs that call for payment incentives and reductions (referred to as “adjustments” by the Centers for Medicare and Medicaid Services) that impact physicians and their practices. These programs include: Sequestration Electronic Prescribing (eRx) Electronic Health Records (EHR) and Meaningful Use (MU) Physician Quality Reporting Read more

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