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Understanding ICD-10 Coding

The latter end of 2015 saw a significant change in medical coding. The standard ICD-9 (International Classification of diseases, Ninth Division), which had been in use for over three decades was upgraded to ICD-10. This new classification comes with a set of significant upgrades and changes, for example ICD-10 coding uses a wider,

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ICD-10 Flexibilities to end October 1st

After ICD-10 went live on October 1, 2015; CMS (Centers for Medicare and Medicaid Services) allowed a one year grace period for ICD-10 flexibility, to overcome the strong opposition from the AMA (American Medical Association) to ICD-10 implementation. For the one year period, even though a more specific code existed, CMS allowed healthcare providers to submit claims with a valid code from the ICD-10 three character category,

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ICD-10-CM Code (M62.84) for Sarcopenia Announced

Effective October 01, 2016, the code M62.84 will be used by the healthcare community for sarcopenia, thus recognizing it as a distinctly reportable condition.  The AIM (Aging in Motion Coalition) announced this ICD-10-C code, as established by the CDC (Centers for Disease Control and Prevention).

What is Sarcopenia?

Defined as a combination of low muscle mass,

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Florida Hospital Gains $72.5 Million Courtesy its Clinical Documentation Improvement Program

Once an informal process that received significant attention at just a few hospitals; Clinical Documentation Improvement (CDI) is now the backbone of an organizations financial viability.  Essential for patient safety, proper and accurate reimbursement, quality ratings and more, a strong CDI program will ensure documentation integrity – a key factor in the ICD-10 transition. 

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Why you need a CDS System designed for ICD-10

The main reason for the transition from ICD-9 to ICD-10 was greater documentation precision.  However, if the diagnostics is documented by clinicians at a lower level than what ICD-10 supports, it may result in submission of financial claims that are lower.  Such documentation will also cause a patient’s medical record to lack details, resulting in incomplete information for future providers. 

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5,500 New ICD-10 Codes from October 2016

The medical billing coding system is about to get larger and tougher – with Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) adding 1900 diagnosis codes and 3651 hospital inpatient procedure codes to the ICD-10 coding system for fiscal year 2017.  As it is, there are 68000 billing codes under ICD-10,

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Misconceptions About Medical Billing

Medical billing is an important part of your practice.  In fact, it is one of the crucial aspects, which if ignored or not handled properly, can even lead to the practice eventually facing closure.  Healthcare providers handle their medical billing either in-house or through outsourcing.  However, the benefits of outsourcing your medical billing are far more than keeping them in-house. 

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Key Areas to Consider for a Career in Medical Coding

John is definite that he wants a career in the healthcare industry.  After all, the healthcare industry is one of the fastest growing sectors in the country and John is sure that there were many opportunities for those willing to work diligently.  When he expressed his desire of joining the healthcare industry to his immediate neighbor and good friend,

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Difference between Medical Coding and Billing

Often mistakenly assumed to be the same, medical billing and medical coding are two very distinctly separate jobs.  Although there are many similarities between the two and small healthcare settings may entrust a single person for doing both the tasks; most medium and large healthcare facilities have different individuals responsible for the two different jobs. 

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