Articles

The new ICD-10 interim final rule has been released by the Department of Health and Human Services (HHS).   It requires the use ICD-10 beginning October 1, 2015. You will continue to use ICD-9 CM through September 30, 2015. Claims will not be accepted with ICD-10 prior to this date.

Be prepared! Create your implementation plan so your Go-Live date will be as stress free as possible; keep your cash flowing by doing your part. ICD-10 actually has the potential to increase your overall reimbursement if done properly and you are organized.

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ATTENTION In-Patient Hospitals

CMS has announced a settlement request to Inpatient hospitals for claims in appeal status!

Due to the unprecedented growth in claim appeals the demand continues to exceed Medicare’s available resources. CMS has made an offer in hopes of quickly reducing inpatient status claims currently pending in the appeals process. CMS is cleaning house and has made this administrative offer to Inpatient hospitals only.

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CMS offers exclusions and hardship exceptions for eligible professionals who face challenges in meeting meaningful use objectives that require that they and their patients have broadband access and Internet connectivity.

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Due to the increase of medical transactions stored online and in the cloud, cyber intrusions will only increase. Cyber insurance also known as privacy and network security insurance can help cover the costs incurred if your computer system is compromised, or after a data breach which can include a HIPAA breach. Keep in mind breach notification is legally mandated in 47 states and regulations vary state by state to be sure you are aware of your states laws.

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The following frequently asked questions (FAQs) are adapted from the American Pyschiatric Association (APA).  It is relevant to all Behavioral Health providers with questions about managed care.

Q:  I am having a problem getting in the network of managed care company X.  They have a contract with a major employer in the area, so it is important for me to be able to join this network.  What should I do?

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