Physicians Unprepared for ICD-10

MGMA released survey results in January surrounding ICD-10 preparation and concerns for physician practices. The results show high levels of concerns around physician productivity and costs of transitioning to ICD-10. A few highlights: 64.8% of practices were very concerned about decreases in clinician productivity 67.3% expect the ability of clinicians to select the approriate diagnosis…


ICD-10 Costs for Physician Practices

  In 2008, Nachimson Advisors published a landmark paper projecting the cost of implementing ICD-10 in physician practices.  On February 12, 2014 an updated study was published with additional details and revised projections.  The study projects total ICD-10 costs to range from $21,000 – $82,000 per provider. The full study is very detailed and can…


ICD-10 Threatens Physician Productivity

Carl Natale of ICD-10 Watch wrote an article recently discussing the trends to watch in 2013 when it comes to preparing for ICD-10.  He makes the point that one of physician’s greatest complaints about ICD-10 is surrounding the time and money it will take to make the conversion to ICD-10.  A physician’s time is money, so as with most…


PQRS Incentives – Get Paid or Get Adjusted!

CMS has published the 2011 PQRS and eRX Experience Report and there still remains a gap between reporting PQRS accurately and actually qualifying for the incentive. Get Paid Eligible Professionals (EPs) can still earn an incentive for reporting their quality measures in 2013 and 2014. Get Adjusted EPs who fail to successfully report in 2013…


Revenue Mining – Collect Every Dollar You Deserve

Most EMR templates, PM systems and scrubbers can edit on what is on the encounter.  Can your edits look for what’s NOT there? The flexibility of AccelaSMART’s 5.0 editing system enables practices to “mine for revenue” based on specific scenarios defined by each practice. Do you have an habitual offender?  A provider that often forgets…


Meaningful Use – Do the Math

When the HITECH act was first introduced in 2009, it seemed like a really good deal for eligible providers who could buy the latest technology and get incentivized richly to do it.  Dare we say completely offset the cost of adoption? Four years later, the stark realities of adoption are coming forth.  The table below…


Preparing for Payment Reform with AccelaPQRS

One thing we can all agree on is that reform is on the horizon for the US healthcare.  Politicians are focused on how to simultaneously bend the cost curve, improve outcomes and increase access to preventative care.  Independent physicians are waiting to see how reimbursement models will change and analyzing what can be done to…


Healthcare’s Wake-up Call for 2013-2014

Our industry is on the eve of confluence among four major technology drivers. When considered as a whole, they may represent the Perfect Storm/Y2K/Tsunami of changes leading to negative impacts on productivity and profit margins for healthcare providers.  These drivers are PQRS, Meaningful Use Stage 2 (MU2), ICD-10, and Health Insurance Exchanges (HIX). Any one…


Healthcare’s Wake-up Call for Current Clients in 2013-2014

Our industry is on the eve of confluence among four major technology drivers. When considered as a whole, they may represent the Perfect Storm/Y2K/Tsunami of changes leading to negative impacts on productivity and profit margins for healthcare providers.  These drivers are PQRS, Meaningful Use Stage 2 (MU2), ICD-10, and Health Insurance Exchanges (HIX). Any one…


How to Avoid Denials for Excisions and Repairs

In the recent AAPC article “Know When to Report Excision or Repair (or Both),” the coding rules for performing excisions and repairs for both malignant and benign lesions are described. The following decision tree provides guidance on when it is appropriate to report repairs separately (per AAPC): Is it a simple repair (e.g., involving “primarily…