The ICD-10 switchover: It’s here – are you prepared?

New ICD-10 Diagnosis Codes for OSA

Dental Prosthetic Services

Insurance know-aboutEffective October 1, 2015, the diagnosis code on the CMS-1500 for Obstructive Sleep Apnea is now G47.33.  Reimbursement claims with a date of service on or after October 1, 2015 require the use of the new code.

The new diagnosis code for Upper Airway Resistance is G47.3 and the diagnosis code for Snoring is R06.83

The treatment code of E0486 for a Custom Fabricated Oral Appliance for OSA remains the same.

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Outsourcing Billing

Pro MD

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Why Small Medical Practices Should Outsource Their Billing

Smaller medical practices often believe their size is what makes it reasonable to keep their medical billing in-house. The fact is that with ever changing regulations, rising costs, and fewer and smaller reimbursements, small medical practices are more likely to feel the burden. READ MORE…………..

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Know the types of medical billing software

Futuristic Gigatech Pvt Ltd

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Many healthcare providers use the medical billing software to automate and supervise the data. These software are being developed to handle the increasingly complex process of medical billing and to avoid the misuse of these tools in the form of submitting false claims with penalties as well as for over reimbursement.

There are different types of medical billing software systems:

Basic software

The use of this software entirely depends on the knowledge and entry skills of the user and is majorly used for billing purpose. The entries made to this software are being manipulated to produce an electronic claim. This type of software is being distributed by Medicare fiscal agents and the private sector. There is a risk of claim error involved in data entry.

Informational software

This software also supplements to the basic software capabilities.  Here the data bases and linked files are used to recall patient, diagnostic, service…

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ICD-10 Preparedness and Clarified Flexibilities

HIT Stoltenblog

Can you believe we’re in the final stretch before the looming ICD-10 October 1 deadline? Well, for some healthcare providers, the thought is still surprising. According to a recently conducted RelayHealth survey of 130 HFMA ANI attendees, 17 percent of participants said they think ICD-10 will be delayed again, while only 13 percent felt they are fully ready for ICD-10.

Within the same survey, 32 percent believed the ICD-10 transition will actually take place on October 1, 2015, but with provisos. A majority of participants (59 percent) thought physicians need more training on documentation, and 39 percent felt coders need more training or opportunity for practice with new codes.

Considering it’s already August, providers can’t bank on another delay. Instead, they must make sure they have the necessary processes in place for this transition and work with thoroughness and urgency, not panic. Consider the possible problem areas for ICD-10 testing…

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CMS and AMA Helping Doctors Get Ready for ICD-10

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Eyefinity Blog

Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) teamed up to help doctors ease into the transition for ICD-10 on October 1, 2015.

Here’s a quick overview of the Guidance regarding ICD-10 flexibilities. The Guidance is for all services paid under the Medicare Fee-for-Service Part B physician fee schedule.

  • Claim Denials. For 12 months, Medicare claims will not be denied solely based on the specificity of diagnosis codes, as long as they are from the appropriate family of ICD-10 codes.
  • Quality-Reporting Penalties. CMS will not impose penalties for the Physician Quality Reporting System, value-based payment modifier, or meaningful use based on the specificity of diagnosis codes, as long as they use a code from the correct ICD-10 family of codes.
  • Payment Disruptions. CMS can authorize advance payments, if Medicare contractors are unable to process claims as a result of problems with ICD-10. To apply for…

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