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.
Apr 15, 2015 | Uncategorized
nnThis interactive and hands-on ICD-10 training is designed to prepare coders for the AAPC and AHIMA ICD-10 proficiency examinations. This training is also appropriate for experienced billers that perform coding as part of their job responsibilities. 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
Overview of ICD-10 Academy Agenda:
nICD-10-CMnnnAHIMA-approved ICD-10 trainers will educate coding staff regarding ICD-10-CM with a focus on:n
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- Convention changes and additions
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- Concept changes and additions
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- Chapter specific guideline changes and additions
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- Live coding workshop
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n**This training has the approval of 8.0 CEU’s from the American Health Information Management Association (AHIMA) (AAPC members can submit these CEU’s to AAPC for credit)nn[dt_divider style=”thin” /]n
Click here for detailed training agenda
n[vc_toggle title=”Required Academy Materials:” size=”sm” el_id=””]AHIMA ICD-10-CM Coder Training Manual – Upon registration participants will have an ICD-10 Book and Training Manual ordered on their behalf – cost is $100.00 for the ICD-10 book and $90.00 for the training manual ($190.00 total) and will be added to the registration fee. If you already have an ICD-10 book, you may use it (please indicate this on the registration form). For interested participants we can also order ICD-10 flash cards on your behalf to help in your ongoing studying efforts ($10.00 – see registration form)!nn**Book Pick-Up: In order for pre-requisites to be completed prior to the actual course date, participants will be required to pick up their books from 8am – 5pm, at Welter Healthcare Partners headquarters (unless specified otherwise) at 6870 W. 52nd Avenue, Suite 102, Arvada, CO 80002 on:n
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- Friday, June 26, 2015 – for the June 30, 2015 Coder Academy
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- July 15-17, 2015, 8am-5pm at the El Paso County Medical Society office at 1465 Kelly Johnson Blvd, Suite 130, Colorado Springs, CO 80920 – for the July 21, 2015 Coder Academy
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- Friday July 24, 2015 – for the August 6, 2015 Coder Academy
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- Friday, July 31, 2015 – for the August 13, 2015 Coder Academy
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nIf you need to make alternative arrangements to pick up your books, please contact Dianna Gilmore at 303.534.0388.[/vc_toggle]nn[vc_toggle title=”Academy Pre-Requisites:” size=”sm” el_id=””]ICD-10-CM:nICD-10-CM Coder Training Manual: Pages 2-82; Reading and accompanying section review questions[divider_flat][/vc_toggle]nn[vc_toggle title=”Academy Dates and Locations:” size=”sm” el_id=””]**Lunch break is from 12-1pm. We reduced the cost of the training by eliminating food/drink costs for the participants. You may bring your own drinks/snacks/lunch or go out for lunch. nnLakewood, COnJune 30, 2015n9:00am – 5:00pmn(Check-in at 8:45am)nSt. Anthony HospitalnCancer Conference Centern(Medical Office Plaza 1)n11750 W. 2nd PlacenLakewood, CO 80228nRegistration Deadline:nJune 8, 2015 Colorado Springs, COnJuly 21, 2015n8:00am – 5:00pmn(Check-in at 7:45am)nThe Space FoundationnArea 51 Conference Roomn4425 Arrowswest DrivenColorado Springs, CO 80907nRegistration Deadline:nJune 26, 2015 Englewood, COnAugust 6, 2015n8:00am – 5:00pmn(Check-in at 7:45am)nSwedish Medical CenternSpruce A and BnConference Roomsn501 E. Hampden AvenuenEnglewood, CO 80113nRegistration Deadline:nJuly 10, 2015 Thornton, COnAugust 13, 2015n8:00am – 5:00pmn(Check-in at 7:45am)nSpine Educationn& Research Instituten9005 Grant Street, Suite 100nThornton, CO 80229nRegistration Deadline:nJuly 17, 2015 [/vc_toggle]nnAcademy Registration Fee:nnICD-10-CM Only — $175.00 per participant (plus $190.00 for the training manual and the ICD-10-CM book)n
Registration Discounts:
nPractices registering 3+ participants will receive $25.00 off each registration.n
Seating is limited, register now to guarantee your spot today!
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Click here for registration form
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Course Instructor:
nToni Woods, CCS, CPCnMs. Woods is an AHIMA-Approved ICD-10-CM/PCS Trainer. She educates and trains in the areas of ICD-10, physician documentation, Medicare coding and documentation guidelines, ambulatory medicine coding, hospital, and other facility coding and documentation. She works with physician practices of all specialties and is an expert in analyzing chart documentation and in reengineering practices to enhance their reimbursement systems and processes, and overall increase revenue and profitability. Her goal is to empower physicians and health care professionals and staff to understand the language of the coding and billing world, and to give them the tools they need for successful reporting and reimbursement of their services. Ms. Woods is enthusiastic about the future of ICD-10 and is on the forefront of providing ICD-10-CM/PCS education and implementation processes.nnFor more information or to register, please contact Jennifer at Welter Healthcare Partners at 303.534.0388 or jh@WHPelter.com
Apr 1, 2015 | Uncategorized
J30.1 — Allergic rhinitis due to pollennJ30.2 — Other seasonal allergic rhinitisnJ30.81 — Allergic rhinitis due to animal (cat) (dog) hair and dandernJ30.89 — Other allergic rhinitisnnIn 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 1, 2015 | Uncategorized
Do you know the payer representatives? Find out who they are and develop a relationship! Usually there is someone assigned to you. Invite them to drop in for lunch. They are not the enemy and very often a good relationship can pay big dividends when you need help with a problem claim, or when it is time to negotiate a new agreement.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.
