Surgery

ICD-10 Alert: FAQs and Guidance on Flexibility

On Monday July 27th, CMS issued Guidance on the recent CMS/AMA joint announcement regarding ICD-10 flexibilities. The Guidance comes in the form of a frequently asked questions (FAQs) document. Below we’ve provided important information and highlights from the FAQs we think you’ll want to become familiar with as quickly as possible. Learn more at https://practicemax.com/ Key […]

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Electronic Charge Documentation for ICD-10

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

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Key Performance Indicator: Accounts Receivable (AR) Aging

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,

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Key Performance Indicator: Days to Bill

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

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Key Performance Indicator: Revenue per Unit

Key performance indicators (KPIs) can help medical practices and organizations track their revenue goals more effectively. The most important KPI is Revenue per Unit where unit may stand for claim, case, procedure, visit, patient encounter etc. Individual practices may determine what the appropriate unit of measure is for their group and it will vary based

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ICD-10 Basics: Who Needs to Transition?

The transition to ICD-10 affects coding for everyone covered by the Health Insurance Portability and accountability Act (HIPAA): Health care providers Payers Clearninghouses Billing services Discover more about ICD-10 here: https://practicemax.com/icd-10-code-look-up-resources/

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ICD-10 Basics: Why is the Transition Happening?

ICD-9 has been used in the United States since 1979, but effective October 1, 2015, health care providers will be required to transition to the tenth version of ICD (ICD-10). This new code set will result in the ability to report and track much more specific data related to patient diagnoses. For physician services, the

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ICD-10 Basics: What is ICD-10?

The International Classification of Diseases, 10th Edition (ICD-10) consists of two components; (1) ICD-10 CM for diagnosis coding and (2) ICD-10 PCS for inpatient procedure coding. Current Procedural Terminology (CPT) codes will continue to be utilized by provider practices for procedure coding. Therefore, our focus is on ICD-10_CM diagnosis codes used to report diagnoses. Diagnosis

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Tips for Medical Practices & Organizations Evaluating Reporting Solutions

In today’s market, medical groups and health care organizations can choose from a multitude of solutions to manage their revenue cycle and associated functions such as billing, coding and reporting. A robust reporting tool as a part of a revenue cycle solution is crucial to optimizing the financial health of a practice and offers insights

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ICD-10 Ready Electronic Health Records (EHRs)

EHRs help practices provide high quality care while optimizing revenue and efficiency. At PracticeMax, we offer a variety of EHR solutions that are ICD-10 enabled to help ensure a smooth transition. eClinicalworks EHR System ICD-10 compliant ICD-10 search feature to help providers find an ICD-10 code with ease NextGen Ambulatory EHR The correct ICD-9 or

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