2015 Archives - Page 2 of 3 - DoctorsManagement 2015 Archives - Page 2 of 3 - DoctorsManagement

ICD-10 Grace Period

By 2015, Coding and Auditing, DM Newsflashes
CMS ANNOUNCES ICD-10 GRACE PERIOD You can take a small sigh of relief about the looming Oct. 1 implementation deadline for ICD-10. There is no delay coming, but for one year after October 1, 2015, CMS will pay for all claims that don't have the correct ICD-10 codes as long as the codes used are in...
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E&M Auditing: Defining the HPI

By 2015, Coding and Auditing, DM in the News
E&M Auditing: Defining the HPI By Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CMSCS | June 17, 2015 As originally published by Racmonitor.com The 20-year-old evaluation and management (E&M) documentation guidelines are full of different components and elements, all of which must be reviewed in order to ensure that services billed were appropriately documented. If you...
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The Nash Equilibrium: A Study in the Futility of Striving for Healthcare Compliance

By 2015, DM in the News, Frank Cohen
The Nash Equilibrium: A Study in the Futility of Striving for Healthcare Compliance By Frank Cohen, Director of Business Analytics | June 3, 2015 As originally published by Racmonitor.com. I’m not sure how many people paid attention to the sad news over Memorial Day weekend, but Dr. John Forbes Nash Jr., a brilliant mathematician, economist, and...
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Starting an Urgent Care Center

By 2015, DM in the News, Practice Startup
Starting an Urgent Care Center by Valora Gurganious, MBA and Dan Greenfield, CDT Published in Medical Economics,| June 4, 2015 According to the American Academy of Urgent Care Medicine (AACUM), the number of urgent care facilities has increased 14% to 9,300 centers since 2008. The economics support this trend. The Urgent Care Association of America...
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Problems with Extrapolation

By 2015, DM in the News, Frank Cohen
Problems with Extrapolation By Frank Cohen, Director of Business Analytics | April 15, 2015 As originally published by Racmonitor.com To begin, I believe that the recent audit of Northwestern reflects the generally poor processes and statistical modeling used by Centers for Medicare & Medicaid Services (CMS) auditors when scrutinizing a healthcare provider. In particular, there seems...
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