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3 Min Read

CMS continues ICD-10 education, names “ombudsman”

In July, CMS announced that the AMA secured flexibilities for physicians to make the transition to ICD-10 less disruptive. Part of the provisions the AMA secured include CMS establishing a communication center to monitor issues and an ICD-10 ombudsman devoted to triaging physician issues.

Claims Processing
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2 Min Read

The beginner and expert's guide to ICD-10 prep: Steps for September

If you’ve followed our ICD-10 series, you’re probably well-prepared for the Oct. 1 deadline. Use these tips from the AMA and the Centers for Medicare & Medicaid Services’ Road to 10 Implementation Guide during September to bring your practice up to speed for the new code set.

Claims Processing
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4 Min Read

How physicians are paid

In the shift toward value-based care, physicians are getting paid by their practices in a variety of ways. Learn six key things about payment trends that physicians should know and see how you stack up.

Payment & Delivery Models
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2 Min Read

Ruling could give insurers more leeway to terminate physicians

The outcome of a recent case could have implications for other physicians and their patients as a federal court decided it was permissible for a large health insurer to terminate two physicians from its network following a dispute over the necessity of medical services they provided.

Judicial Advocacy
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5 Min Read

ICD-10 testing: What you need to know

Physicians have less than 50 days to transition to the ICD-10 code set as the Oct. 1 deadline draws close. Testing is vital to making sure you can create and submit claims using ICD-10 codes. These tips should help with what you need to know.

Claims Processing
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3 Min Read

3 clinical documentation tips you should know for ICD-10

In ICD-10, the main categories of change are definition changes, terminology differences and increased specificity. Understand three clinical documentation scenarios and how to code them using ICD-10.

Claims Processing
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4 Min Read

6 things you need to know about the ICD-10 transition

The Centers for Medicare & Medicaid Services (CMS) is making the transition to the ICD-10 code set more flexible, but there are several clarifying points physicians should know. 

Claims Processing
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2 Min Read

3 ways electronic transactions can help manage payment errors

Medical practices that have made the transition from paper to an electronic claims revenue cycle spend less time on administrative processes and have more time to lessen payment errors and appeal inappropriate denials.

Claims Processing
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3 Min Read

How physicians will steer implementation of the SGR repeal law

The Medicare Access and CHIP Reauthorization Act (MACRA), the law that eliminated the sustainable growth rate (SGR) formula, has a variety of provisions physicians need to know. Learn how physicians will work to influence implementation of the repeal law.

Medicare & Medicaid
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