Are you prepared for 4,000 new ICD-10 codes coming Oct. 1st?

September 14, 2017 On August 9th, 2017, 419 codes were added, 273 codes were revised codes and 123 codes are being deleted. In addition, on April 14, 2017, the Centers for Medicare & Medicaid Services (CMS) published proposed changes to ICD-10, along with the proposed hospital inpatient prospective payment system rule. These changes are effective on October 1st, 2017. Healthcare … Read More

How to reduce the stress of the RADV audit process

August 10, 2017 Risk Adjustment Validation (RADV) audits have two main purposes, to ensure contracts have met CMS’ submission requirements, and to validate HCC codes by ensuring the submitted diagnoses are supported by medical documentation. If selected by CMS for a RADV audit, a mistake in either one of these areas can have severe financial consequences, so there’s one key … Read More

Is implementation taking too long with your Risk Adjustment Vendor?

Is implementation taking too long with your Risk Adjustment Vendor? Choose one that makes it simple. Health systems and health plans are constantly inundated with technologies that promise a quick and easy implementation. However, all too often, these same technologies require intensive, costly IT support, which lengthens the project’s timing. Luckily, there is an easier way to get an implementation … Read More

True or False: Contract Coding is Too Expensive

July 6, 2017 True or False: Contract Coding is Too Expensive True. Are you sure? While at first glance the hourly rate of a contract coder versus one you would hire internally appears to be more expensive, there are some other factors that come into play to make these numbers closer than you might think. First, let’s make sure that … Read More

Top 10 Reasons to do an Audit in 2017

June 22, 2017 Quality health care is incomplete without the accuracy and completion of the medical record and the corresponding coding. To ensure the medical records are 100% accurately coded, it is important to complete a medical coding audit. Here are the top 10 reasons to conduct an external audit in 2017: With the increased specificity of ICD-10, your case … Read More