Every Hospital and Provider Needs to Understand the Mais Decision

Last month, on November 7, 2014, the WUSB 90.1 radio show, The Business of Healthcare with host Susan Montana, featured guest Laura J. Lowenstein, Esq. The interview and discussion was based on Laura’s article posted on her website with the title “Every Hospital and Provider Needs to Understand the Mais Decision” LISTEN to the Radio […]

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Ebola was MORE than a Healthcare Crisis!

How important are solid policies and procedures, including clinical best practices? This is something that became very popular in the news with the identification of three cases of Ebola here in the US. But it’s also something that I’ve encountered personally over the summer as my mother had her knees replaced, my brother experienced a […]

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What’s the Difference Between an Audit and a Review?

So you’ve selected which type of internal audit/review you’re going to conduct for your practice.  Now you need to determine if you’re going to do an audit or a review.  What is the difference you may ask? Audit An audit is conducted after claims have been submitted to a payor.  The advantages are that a […]

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Be Your Own Medical Record

  It started as a professional curiosity, but now it has become a habit, and I recommend it to everyone.  Maintain your own medical record. I’ve found this helps me better understand what is going on with my own health, and it also makes it easier to communicate amongst the various healthcare practitioners you may […]

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ICD-10 Implementation Challenges & Taking Action

Documentation? Training? Vendor readiness?  Coding?  Billing?  Where do I start? There are many ICD-10 implementation challenges a medical practice faces. • How will I properly document my medical records to support the coding and billing of the new ICD-10 coding system? • Will my billing system be able to process ICD-9 for dates of service […]

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55,000 New Diagnosis Codes with ICD-10

ICD-9 contained 14,000 codes.  ICD-10 contains 69,000 codes!  Which code do I use? The introduction of ICD-10 has been in the works for many years and there is a lot of information available.  In fact, the rest of the world has been using ICD-10 for years, and the United States is just now catching up. […]

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ICD-10 Transition: Y2K will look like a child’s game

ICD-10 will impact every area of your medical practice or billing company! There have been so many changes put upon medical practices in recent years, from EMR, new HIPAA and HITECH privacy and security requirements, advances in medical care, payor audits, just to name a few.  You may not have appreciated just how big the […]

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