Medical Billing Blog with Medical Billing & Coding Info & Articles

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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 1,200 healthcare and medical related entries.

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Health IT Developers are Working to Understand Workflows

Via EHR Intelligence… “Health IT developers from Google, Apple, and other tech companies are working with clinicians to gain a better understanding of clinical workflows during app development, according to CNBC. UCHealth Chief Innovation Officer and emergency room physician Richard Zane, MD, has invited health IT developers from different companies to observe the way he interacts with EHR technology and uses health IT tools for clinical documentation and clinical decision-making. While Zane offers health IT developers insight into certain administrative tasks associated with patient care, he does not invite the engineers into operating rooms or allow them to see patient information. Zane initially began inviting health IT developers into the

By: Melissa Clark, CCS-P, RT - CEO
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Return on Investment in Healthcare

Professor William A. Hyman has a good article on ROI over at Hitech Answers… “The usual meaning of Return on Investment (ROI) in purely financial transactions is how much money do you get back for the amount of money you put in. It is usually desirable for the amount returned to exceed the amount invested, thus achieving a positive ROI. In healthcare this concept requires modification because of who may receive the benefit and whether or not that benefit is monetary. Here our concern is usually investments in IT, although there are many other possibilities such as medical devices. In some hospital “investments” there can be an internal positive return

By: Melissa Clark, CCS-P, RT - CEO
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One Approach to Achieving EHR Interoperability

While many healthcare stakeholders are dissatisfied with the current state of EHR interoperability and health data exchange, a number of health systems are leveraging existing technology to support care coordination and patient data access. The College of Healthcare Information Management Executives (CHIME) recently recognized a select group of health systems in its 2018 Most Wired list as exemplary organizations embracing new healthcare IT to deliver superior care. Pennsylvania-based Lehigh Valley Health Network (LVHN) ranked third in the nation for its advanced use of health IT. The health system consistently updates its health IT infrastructure and integrates new technologies and data sources into its health IT ecosystem. These ongoing changes support

By: Melissa Clark, CCS-P, RT - CEO
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Interoperability Questions to Consider During EHR Selection

“Improving interoperability is the central focus of several CMS federal incentive program policies, ONC initiatives, and new partnerships between EHR vendors and health data exchange services providers. Healthcare’s inability to achieve the level of seamless information exchange now common among other industries — such as banking — frustrates healthcare stakeholders across the industry. In a September 2018 survey, nearly 40 percent of physicians cited the current lack of interoperability in healthcare as a primary source of dissatisfaction. While there is no silver bullet that will solve the interoperability problem overnight, there are steps healthcare organizations can take to improve their ability to exchange patient health information with outside hospitals, health

By: Melissa Clark, CCS-P, RT - CEO
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61% of Physicians Say EHR Systems Reduce Clinical Efficiency

“EHR systems continue to fall short of provider expectations and detract from the joys of practicing medicine, according to a recent national survey by The Doctors Company. More than 3,400 physicians from 49 states and the District of Columbia offered their perspective on EHR technology, federal regulations, value-based care, patient-centered medical homes (PCMHs), and other aspects of the healthcare system. Survey respondents included surgical specialists, primary care providers, and nonsurgical specialists. The majority of respondents were 51 and older. Overall, the majority of surveyed physicians reported that EHR systems have had a negative impact on the patient-provider relationship, clinical workflows, and clinical productivity. Fifty-four percent of surveyed physicians stated their

By: Melissa Clark, CCS-P, RT - CEO
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Billing and coding for advanced clinical practitioners

Melissa’s Mention…   “A 67-year-old patient with diabetes shows up for her appointment. Her A1C levels are high. She reveals during the visit with the advanced practice clinician that she’s not taking her medication as prescribed. The patient’s physician is doing rounds at the hospital and is, thus, unavailable to consult with the patient in person.   At this point, the practice needs to answer a couple questions:   Can the nurse practitioner (NP) or physician assistant (PA) bill the visit under his/her own national provider identification (NPI) number? Or, is the visit appropriate for “incident to” billing and, thus, billable under the physician who created the patient’s care plan?

By: Melissa Clark, CCS-P, RT - CEO
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Are Health Record Guidelines the Same in Every State?

Health professionals typically know many federal guidelines instruct how to handle patient health records. However, they may not understand whether such guidelines differ from state to state. Getting clarification on that matter is essential, particularly when people move to other places after practicing in one for extended periods of time, or if they work as traveling providers on short-term assignments. Medical Retention Time Frames Vary by Location One of the specifics health providers must comply with during their patient care duties relates to the length of time they keep medical records. The details change based on the state. Furthermore, there are differences in retention time for hospitals versus physicians. Some

By: Melissa Clark, CCS-P, RT - CEO
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RCM tip: Follow all payer billing guidelines

“In today’s healthcare environment, it is more important than ever that healthcare providers follow appropriate billing guidelines for each contract with third-party payers, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. “With the various types of contracts urgent care providers are entering into with third- party insurers, it’s extremely important to follow the appropriate billing guidelines for each. For example, clinical guidelines are not necessarily the same as those for billing,” he told Becker’s Hospital Review. “Many contracts require all providers to be individually credentialed, and services to be billed under the rendering provider, whereas some contracts allow all providers to bill for services under

By: Melissa Clark, CCS-P, RT - CEO
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