The Danger of Unspecified ICD-10 Codes

Everyone is familiar with the external cause codes in ICD-10.  We have hear examples of walking into a lamppost, bitten by a turtle, or a water skier injured due to water skis on fire.  These examples provide some levity, but many of these examples exist in ICD-9 and will rarely be used in ICD-10. Today,…


A Practical Guide to ICD-10…you will never use many of those crazy codes!

I am sick and tired of hearing about the huge increase in the number of codes in ICD-10.  How many times have we heard about 69,000 codes in ICD-10?  While we are on the subject of things that get under my skin, if I hear about a Subsequent Encounter for Burns due to water skis…


Can CMS Kill the Golden Triangle?

  Project managers often refer to the Iron Triangle. The Iron Triangle says that there is a balance between Scope, Resources and Schedule. You can choose any of the two, but not all three. This principal holds true for almost any project from software development to construction. We will modify this theory for ambulatory revenue cycle…


Stop the Insanity!

“You can never make the same mistake twice because the second time you make it, it’s not a mistake, it’s a choice.” – Steven Denn Preventing denied claims in advance is an easy step hospitals and physician practices can take to prepare for ICD-10.  Best performers use a combination of people, processes and technology to…


EHR vs. Paper, Round 2

Ok, it’s not really like that… we know that the days of paper-based charts are as archaic as the ledger-based “day sheets” that were used pre-Practice Management (PM) systems.  I remember those days, converting unwilling office staff from carefully aligning their ledger cards with the day sheet to record a patient’s services that would later…


CDI is All You Need?

  When Congress delayed ICD-10 by another 12 months, many within healthcare breathed a sigh of relief while others screamed in frustration. In the aftermath, most consultants and thought leaders have encouraged organizations to stay the course, continue CDI (Clinical Documentation Improvement) projects, continue to test internally and externally, and continue to train coders on…


ICD-10 Requires a Customizable Rules Engine

  Why a Customizable Rules Engine is So Important for ICD-10 I just finished reading an article written by Charles Lockwood, MD, MHCM where he gives a concise overview of the ICD10 changes and how they will impact his specialty of OB/GYN. To paraphrase, he states “my advice is to prepare now”. As I read…


Maintaining Provider Productivity

  The number of clicks required to document a patient visit substantially increases using EMR templates.  Why, in order for clinics to go fully electronic, does physician productivity have to be affected? It doesn’t have to.  White Plume clients using EMR overcome this hurdle using AccelaCAPTURE, White Plume’s electronic superbill. A business manager of a long-time…


Software Usability and Lean Workflows

Software Usability and Lean Workflows Can these terms be used in the same phrase?  Some would argue they are mutually exclusive.  When software is highly adaptable for the end user, there are people on the backend making the solution actually work. If the solution supports a lean workflow and efficiencies, then the front end user is taking…


Health Insurance Exchanges and Impact on the Revenue Cycle

  HIX Timeline 10/1/2013 – Open enrollment for HIX 1/1/2014 – Plan Year Begins and newly insured patients arrive in clinic In October, previously uninsured patients and patients whose employers will no longer offer health insurance plans will enter into the state run or federally run exchanges.  HIX are intended to make it easier for…