Jun 1, 2015 | Uncategorized
X15.0XXA — Contact with hot stove (kitchen), initial encounternX15.1XXA — Contact with hot toaster, initial encounternY93.G3 — Activity, cooking and bakingnY27.2 — Contact with hot fluidsnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!
Jun 1, 2015 | Uncategorized
Communicating with healthcare payers is a process, one involving more than simply handing them a medical claim. Here are some tips to help with the process.nnCreating better relationships with your payers before Oct. 1, in fact, enables providers to glean important insights about testing results, changes to reimbursement, how to handle denied claims. Early communication will also help healthcare providers test the ICD-10 claims process and prepare for DRG shifts. This puts a price tag on procrastination.nnBut how to begin?n
The first step is to survey healthcare payers to understand ICD-10 readiness by asking:
n1. Are you prepared to meet the ICD-10 deadline of Oct. 1?n2. Where is your organization in the transition process?n3. Will you conduct external testing?n4. What will we need to test with you?n5. When will you be ready to accept test transactions from my practice?n6. Will you be dual processing, and if so, when will you start?n7. What will happen if something goes wrong?n8. Who will be my primary contact at your organization for the ICD-10 transition?n9. Can we set up regular check-in meetings to keep our progress on track?n10. Do you anticipate any changes in policies or delays in payments to result from the switch to ICD-10?nnIn return, providers should expect to communicate the status of your transition, establish regular check-ins, and be willing to share any information, particularly surprises, with your payers.nnThis part of the ICD-10 transition will take time and effort but there will be reward — less financial disruption and stress.nnThis article originally posted on GovHealthIT.com.
Apr 24, 2015 | Uncategorized
R45.1 — Restlessness and agitationnR45.2 — UnhappinessnR45.3 — Demoralization and apathynR45.4 — Irritability and angernnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!
Apr 24, 2015 | Uncategorized
Your providers see waste in the system every day.nnServices that are done (by other providers and facilities), but not needed for a particular patient’s care—Make note of these! Use them when you sit down to re-negotiate your next rate increase with the payers. You don’t need the specific patients (this is protected information), you need to make it known that paying you well, will help you help them.n
I know how you (payer) can save on my cases….nnI can take more cases to an Ambulatory Care CenternnI can use this radiology location rather than the hospitals…nnBut, you have to meet me halfway, share the savings, give me a goal for savings and I will exceed it…
nStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Apr 15, 2015 | Uncategorized
In most markets half, or more, of the payer lives are in self-funded plans
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nThis means the “insurance company” is not really providing an Insured Product—they simply administer the plan. The actual payer, at the end of the day, is the employer themselves. All of these employers have a Human Resources Department (or something similar) and they all have a Director. Ask your patients who their Director of HR is, and do your best to meet him/her.nnFind out their pain points! Ask them… “How can my practice help you?” If nothing else, you will have a friend on the inside. Maybe you can get more patient volume, set up a clinic, do an in-service…nnStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Apr 15, 2015 | Uncategorized
The United States Senate just passed the SGR Bill, which includes no indication of a further delay of the ICD-10 transition deadline.nnIn a move that took over a decade to accomplish, the Senate voted 92-8 late Tuesday to repeal the sustainable growth rate (SGR) formula that adjusts Medicare payments to physicians.nnThe bill, H.R. 2, the Medicare Access and CHIP Reauthorization Act, did not include any references to ICD-10 implementation or an ICD-10 delay. The bill now moves to President Obama, who has indicated that he would sign the bill, according to a statement posted on the White House’s website.nnThe SGR repeal was seen by ICD-10 proponents as a major hurdle to overcome, who in 2014 saw a last minute ICD-10 delay slipped into SGR legislation that put off implementation of the new code set until October 1, 2015.nnThough six amendments were voted on during the Senate debate, none of the amendments included language that would have impacted ICD-10.n
CLICK HERE TO READ MORE
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ARE YOU READY? ICD-10 Coder Academy – Sign Up Today and Save On Registration!
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nThis interactive and hands-on ICD-10 training is designed to prepare coders for the AAPC and AHIMA ICD-10 proficiency examinations. Participants will gain the tools they need to appropriately select ICD-10-CM codes. These training sessions will be coder centric, and the content will be designed for those staff who will be responsible for applying (or verifying) these codes to documentation. Throughout the academy, participants will be given an assortment of scenarios to code to obtain the proficiency they need for coding in ICD-10.n
CLICK HERE TO LEARN MORE
nThis article originally posted on AHIMA.org.
