Clinical documentation has been around for centuries. There are records from the 18th and 19th centuries that show the detailed observation and findings recorded by doctors of that time. However, clinical documentation has undergone drastic changes over the years. In the early days, clinical documentation was used as a record of the patient’s diagnosis and treatment for future reference.
ICD 9 codes were replaced by ICD 10 on October 01, 2015 as they had some inherent issues which were addressed and rectified in ICD 10.
However, it is important to understand that ICD 10 codes are not merely ICD 9 codes that have been increased in numbers or volume;
An important tool in the coding process; modifiers in medical billing and modifiers in medical coding are used to further describe a service or procedure.
So important are the modifiers that the phrases “CPT modifiers list 2018” and “HCPCS modifiers list 2018” rank highly on Google search terms.
One of the most important considerations during the medical billing and coding process is to choose whether the patient is an inpatient or an outpatient. Based on the choice, the medical codes associated differ.
At times, inexperienced medical coders may unintentionally misrepresent the patient status which could result in denied claims and even accusations of fraud.
We all work hard – but the key differentiator lies in whether we work smart too! Efficiency can be defined as the state or quality of being able to accomplish something with the least waste of time and effort.
Outlined below are 5 practice management tips you increase efficiency and improve your medical practice.
The basic goal of population health management is to manage the health of a defined population optimally by providing the right intervention(s) to the right people at the right time. Well-designed population health tools when implemented thoroughly, benefits the patient, makes workflow easier for the provider and keeps costs low for health systems and payers.
It has been more than two years since Congress voted to enact the Medicare Access and CHIP Reauthorization Act of 2015 and subsequent deadlines for various aspects of the law were issued by the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS). And yet, surveys conducted earlier this year and a few conducted more recently indicate that a large number of healthcare professionals are not familiar with the Medicare Access and CHIP Reauthorization Act (MACRA).
To provide the best possible healthcare to your patients, it is important that your healthcare providers are up to the task. But, how can you ensure that the healthcare providers you hire are competent and qualified for the job?
In the following article, I’m going to show you why Provider credentialing is the best way to compare,
HCC scores have been used since 2004 by Medicare to adjust payments based on the risk level of the enrollee. This has resulted in Medicare paying a higher monthly capitation fee for patients with higher HCC scores as these require more resources and disease intervention.
The new MACRA implementation has brought about nothing but chaos and confusion among medical practitioners, and more so for cardiovascular specialists. MIPS (Merit Based Incentive Payment System) is the new payment model that is geared towards a value-based payment rather than the existing service based model. This shift comes with a number of changes that a medical practitioner has to incorporate into his practice in order to ensure that the revenue is not amiss.