ICD-10 is a sizeable undertaking for any practice. In addition to expanding the number of codes to nearly 70,000, ICD-10 coding and documentation will require significantly more detail and specificity. PracticeMax is your partner for ICD-10 preparation, including clinical documentation requirements and tips. Here are some examples of where ICD-10-CM will require more specific documentation. […]
ICD-10 Documentation & Coding Tips Read More »
ICD-10-CM Emergency Department (ED) General Concepts: Signs and symptoms are still acceptable in the absence of a definitive diagnosis Example: Fever, dehydration and vomiting without nausea Location/laterality Document right, left or bilateral for paired organ structures Example: Bilateral pneumonia Location/anatomic specificity Be specific as to the exact anatomic site; see examples below Finger: Individual fingers
ICD-10 General Concepts for Emergency Department Read More »
ACEP Now Article: ICD-10 Coding Tips to Help Emergency Physicians Navigate Documentation Changes This article from June 15, 2015 presents two experts’ guidance on ICD-10 and answers the following questions: How will this impact how I document? Why is severity of illness (SOI) important and how and why should I document it? How do I document
ICD-10 Education & Resources for Providers Read More »
The transition to ICD-10 will change the way emergency medicine physicians document the ED patient encounter. ICD-10 requires significantly more detail than ICD-9 to help support medical necessity. In this regard, ICD-10 requires more effort on part of the provider to document the exact type of patient diagnosis. Not providing the required additional detail and
ICD-10 Impact on Emergency Medicine Practices Read More »
New ICD-10 Initiatives to Aid in Transition In a July 6th press release the US Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) announced new ICD-10 initiatives to help providers successfully transition by the looming October deadline. The press release announced an increase in flexibility in the enforcement of ICD-10 rules
ICD-10 Alert: CMS and AMA Offer New ICD-10 Initiatives to Help Providers Transition Read More »
The transition to ICD-10 will impact very aspect of your practice including processes, systems and staff. As the October 1, 2015 deadline approaches, take this opportunity to check in on your progress by answering the following questions for your practice. 1. We have evaluated superbill alternatives to accommodate the new ICD-10 code set? 2. We
ICD-10 Preparedness Survey: Are You Ready? Read More »
Perhaps one of the most overused yet least significant KPIs, Collection Percentage measures what percent of accounts are being collected for a medical practice. Consider Practice A that collects 95% of a $50 charge ($47.50), and Practice B that collects 80% of a $75 charge ($60.00) for the same level of service. Would you rather
Key Performance Indicator: Collection Percentage Read More »
To accommodate the increased specificity and number of codes in ICD-10, superbills may become up to fifteen pages in length depending on the specialty. For this reason, paper superbills may become obsolete and providers will need a new tool like MaxMobile that provides point of care capabilities and synchronization. PracticeMax‘s Maxmobile is a web based
Electronic Charge Documentation for ICD-10 Read More »
To classify AR by its age, you must measure the time since a particular service was billed. Payments due for services in the past thirty days are placed in the 0-30 day bucket, those billed between thirty one and sixty days are placed in 31-60 day buckets, etc. While monitoring your AR aging is important,
Key Performance Indicator: Accounts Receivable (AR) Aging Read More »
This key performance indicator (KPI) measures how long it takes a bill to leave the facility and go to the insurer after the date of service. While timely submission is important, some providers may get worried when this KPI reached more than six or seven days and encourage their staff to “hurry up” and get
Key Performance Indicator: Days to Bill Read More »