Tag: ICD-10

Importance of Diagnosis & HCC Coding

    Diagnosis Coding is Becoming Increasingly Important Diagnosis coding is becoming more and more important.  The shift from volume to value, requires HCC coding for patient acuity not just diagnosis coding for medical necessity.  During the “Good Old Days” (think pre-Meaningful Use) as well as during the Meaningful Use Era, diagnoses were primarily required…


Three Questions Your Practice Should Be Asking About Unspecified ICD-10 Codes

The average physician practice is using unspecified ICD-10 codes at a rate of 31.5%.  There are significant short term and long term risks to using unspecified codes.  It is important to know what the unspecified rate is for your practice and to know what that unspecified rate means. These are three questions your practice should…


Washington Update on ICD-10 – March 2015

February was a busy month in Washington DC for parties interested in ICD-10.  The big question on everyone’s mind is will it get delayed again?  ICD-10 has already been delayed three times, twice by CMS and most recently last March by Congress. The repeated delays make it difficult for anyone to say with certainty what…


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…


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…


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…