Medical Billing Blog with Medical Billing & Coding Info & Articles

Welcome to the Medical Billing and Coding Blog

Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding ICD-10, HIPAA and all practice management functions.

Click any of the article links below or browse by section to the right to read articles on a specific subject.

Currently contains over 1,180 healthcare and medical related entries.

View a complete list of all entries

CMS Modifies E/M EHR Clinical Documentation Requirements

The American College of Physicians (ACP) recently applauded a CMS decision to change EHR clinical documentation requirements. Teaching physicians can now verify medical student documentation in a patient’s EHR related to evaluation and management (E/M) code services. “Prior to the change, physicians were required to re-document most work performed by medical students — which is often very thorough and based on careful and supervised evaluation — rather than review, refer to, amend, or correct the student note,” clarified ACP President Jack Ende, MD in a public statement. Changing the EHR clinical documentation requirement allows teaching physicians to educate medical students about EHR use within a more streamlined workflow and reduces

By: Melissa Clark, CCS-P, RT - CEO
No Comments

RCM tip: Achieving effective revenue cycle practices in urgent care

Urgent care facilities have various factors contributing to their financial performance. With the start of a new year, one factor they should focus on is achieving effective revenue cycle practices, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. First, Mr. Sandler encouraged urgent care facilities to look at patient registration. “Though it can be challenging in many ways, the good news is that with focus on training and oversight during patient registration, you have control over your revenue cycle. The patient experience is critical in the urgent care setting, so … be sure you put the right staff in place to oversee this important and

By: Melissa Clark, CCS-P, RT - CEO
No Comments

RCM tip: Focus on field training in an IDN environment

Healthcare providers operating within integrated delivery networks should pay attention to field training as they manage a central business office, according to Kenneth Miller, Senior RCM Specialist at Cantata Health. Mr. Miller shared this tip with Becker’s Hospital Review. “Ongoing education is key to ensure financial success. Without an education department, it is impossible for IDNs to ensure field staff and registrars are doing what the leadership team expects of them. Trainers must be sent out to the field on rotation to certify staff are following through on verification, maintaining the required financial paperwork, and communicating with patients as appropriate.” Beckers is seeking article topics and tips…. If you would

By: Melissa Clark, CCS-P, RT - CEO
No Comments

EHR Use and Administrative Burden Accelerate Burnout

In response to a new study about high levels of physician burnout among family physicians, Ohio State University Wexner Medical Center family physician Donald O. Mack, MD, suggested the recent transition to a value-based care system and increased EHR use may have augmented the problem. “Burnout is associated with lower patient satisfaction and care quality, higher medical error rates and malpractice risk, higher physician and staff turnover, physician substance abuse/addiction, and physician suicide,” he wrote. “The causes are numerous, and in many cases physicians point to the increasing demands of electronic medical records, quality metrics, administrative tasks such as prior authorization, and value-based payment requirements, which take time away from

By: Melissa Clark, CCS-P, RT - CEO
No Comments

RCM tip: Identifying the root causes of denials

Discovering the reason for a hospital claim denial can help healthcare organizations improve revenue cycle performance, according to Susan Eilman, senior healthcare consultant for revenue cycle transformation at Hayes Management Consulting. Ms. Eilman shared the following tip with Becker’s Hospital Review. “Recently I was working with a revenue cycle director who researched root causes for registration and eligibility denials and identified a specific clinic with a denial rate of 42 percent. This director contacted the clinic and asked the clinical director, ‘Why does your location have a denial rate of 42 percent due to registration and eligibility denials when the industry standard is less than 5 percent?’ The clinical director

By: Melissa Clark, CCS-P, RT - CEO
No Comments

RCM tip: Invest in automated rules engine to improve RCM

Investing in automation tools, such as a rules engine, can help healthcare organizations decrease their administrative workload, according to Andrew Wade, practice administrator at Conway, S.C.-based Coastal Orthopedics. Mr. Wade shared the following tip with Becker’s Hospital Review: “If we want to truly free up providers from administrative burden and empower them to do the work they love to do — spending more time with patients and delivering quality care — organizations need to invest in tools that automate tasks wherever possible. Thanks to our technology’s rules engine, our claims can be automatically verified and some errors automatically resolved based on knowledge gleaned from the network. We are getting cleaner

By: Melissa Clark, CCS-P, RT - CEO
No Comments

MIPS: The Day of Reckoning

One of my favorite books is The Big Short by Michael Lewis. It was eventually made into a movie by the same name and gives a clear view of the housing bubble that burst 10 years ago and pushed the US economy into the Great Recession. What fascinates me was the ability of some to predict, and profit, from knowing when the collapse would occur. They were able to delve into the details of millions of mortgages and see when the adjustable rates would suddenly increase leading to escalating mortgage payments and boosting the default rates dramatically. The subsequent collapse was unavoidable, and predictable. What does this have to do

By: Melissa Clark, CCS-P, RT - CEO
No Comments

Newly-Designed EHR Notes May Improve Usability

Showing less data in physician EHR notes may produce more benefits for physician productivity, according to a recent study published in the Journal of the American Board of Family Medicine (JABFM). The study by Jeffery Beldon, MD et al. compared different physician EHR note designs to see which design physicians found most efficient, accurate, and usable when attempting to obtain information for ambulatory chronic disease care. Researchers devised four physician note designs and tested the designs on 16 primary care physicians in random order. Physicians were instructed to find key information in the EHR notes during timed tasks. Physicians then gave each note design a usability rating and new feature

By: Melissa Clark, CCS-P, RT - CEO
No Comments