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Read the latest ICD10monitor news!
 
ICD10monitor NEWS
JANUARY 28, 2019
Prior Authorization for Medical Services: A Significant Pain Point for Providers and Practices
By Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, QMGC, QMCRC
An April 2018 study from the Government Accountability Office found that Medicare prior authorization programs saved the program between $1.1 billion and $1.9 billion since 2012, through a reduction in unnecessary utilization and improper payments. However, the American Medical Association (AMA) did some research of its own, estimating in a 2017 report that clinicians and staff spent 14.6 hours per week on prior authorizations.
Read more ?
 
 
Single Source Physician and Facility Emergency Room Coding: What Key Elements to Consider
By Susan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
As organizations continue to evaluate the most efficient and cost-effective ways to streamline operations, there is increasing movement toward single-source physician and facility emergency room coding. This has proven to be a successful endeavor for many organizations, though making the shift requires a well thought-out plan, and openness to change across departments.
Read more ?
 
 
 
Deadly Virus Continues to Rattle Global Healthcare Officials
By Laurie M. Johnson, MS, RHIA, FAHIMA AHIMA Approved ICD-10-CM/PCS Trainer
As of Jan. 27, eight cases of a novel coronavirus (2019-nCor) have been reported in the United States. The outbreak that started in Wuhan, China has spread to four states – Washington, California, Arizona, and Illinois.
Read more ?
 
 
Hierarchical Condition Categories: It’s Not Just for Inpatients
By Erica E. Remer, MD, FACEP, CCDS
In March, I make my annual pilgrimage to Columbus, Ohio to speak at the Ohio Health Information Management Association (OHIMA) conference, and this year, my remarks are titled, “The HCC Model: Risk Adjustment isn’t just for Inpatients.”
Read more ?
 
 
RESOURCE SPOTLIGHT
Learn How to Optimize HCC Capture and CDI
LIVE WEBCAST | Wednesday, January 29, 2020 | 12:30 - 1:30 PM CT
? Earn CEUs  -  1.0 AAPC  -  
1.0 AHIMA
Population health management is the way of the future, and Hierarchical Conditions Categories (HCCs) is its methodology. HCCs drive appropriate and fair reimbursement and are utilized in certain quality metrics. Since HCCs can be captured in the office or hospital, inpatient or outpatient, it is crucial that all coders and clinical documentation integrity specialists (CDISs) be familiar with this complex model.
  Learn more  
 
Talk Ten Tuesdays
Coming up on Talk Ten Tuesdays...
Prior Authorization Headaches:
A Pain Point for Providers and Practices
– FEATURING –
Susan Gatehouse, CCS, CPC, RHIT, AHIMA-Approved ICD-10-CM/PCS Trainer;
Terry A. Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM;
Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer;
Karen Kinzle; Timothy Powell, CPA, CHCP; and Erica Remer, MD, MD, FACEP, CCDS
Tuesday, January 28, 2019 | 10:00 - 10:30 AM ET
  Register to listen.  
 
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Tell us what you think
To comment on a story from today's edition or to let us know your thoughts on subjects you would like to see us cover, email us at editor@icd10monitor.com. You can also follow us on Twitter and tell us what you think on Facebook.

 
 
 
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