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From the College: Coding Corner Answer: June Coding Challenge

What you need to know to prepare for, or appeal, a Medicare audit

From the College: Coding Corner Question: June

Test your knowledge of Medicare audits

From the College: Practice Page: Deadline Approaching to Implement ICD-10 Coding Changes

Unless Congress enacts a delay, healthcare providers will need to implement the new ICD-10 code set changes by October 1, 2014, a mere 18 months away

From the College: What Does Stage 2 Meaningful Use Mean for Your Rheumatology Practice?

The Centers for Medicare and Medicaid Services (CMS) Stage 2 Meaningful Use rule will focus on using data collected for more advanced clinical processes

News: CMS Delays ICD-10 Compliance Date

Despite months of assurances to the contrary, the Center for Medicare and Medicaid Services announced in mid-February they were indefinitely postponing implementation of International Classification of Diseases, Tenth Revision, Clinical Modification. The changeover was originally scheduled to take effect October 1, 2013.

Features: Planning is Key to Meaningful Use

Four months after signing on with a vendor for a new EHR system, Deborah Wasser is not yet ready to hit the live switch with the “cloud” service that she chose for the solo rheumatology practice of her husband, Kenneth B. Wasser, MD.

From the College: Stage 2 of the EHR Incentive Program

Although reporting for Stage 1 of the Centers for Medicare and Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Program began just this year, the rules, objectives, and measures for Stage 2 are already being established. Last June, the Office of the National Coordinator (ONC) for Health Information Technology (IT) presented CMS with its recommendations for Stage 2 of the CMS EHR Incentive Program which builds on the Stage 1 objectives supporting EHR utilization for data capture and sharing.

From the College: MUEs and Muscular Ultrasound Guidance: An Unlikely Story

Medically Unlikely Edits (MUEs) were launched on January 1, 2007 by the Centers for Medicare and Medicaid Services (CMS) to reduce the paid claims error rate for Medicare Part B claims. The function of MUEs is to detect and deny unlikely CMS claims for a Medicare patient on a single, 24-hour date of service on a prepayment basis. This is achieved by limiting the frequency of services provided by a physician or medical supply company.

From the College: Meaningful Use and Patient Engagement - Supporting eHealth Literacy

It is no surprise that understanding health information and navigating the U.S. health system can overwhelm even the savviest patients with advanced literacy skills. Data from the National Adult Literacy Survey suggest that nearly 50% of all adults have problems understanding many aspects of healthcare, including prescriptions, appointment slips, and health education materials.

From the College: Practice Page

Managing an efficient practice requires seamless and transparent protocols. Key federal and governmental agencies are targeting risk areas in physician practices to reduce compliance risks and healthcare fraud. While some of the new requirements starting in 2012 initially represent changes with office operations and cost, especially for system upgrades, ultimately the goal is to facilitate quality patient care, proper documentation, provide incentives, and increase productivity.

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June 2013

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