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ICD-10 Vendor Readiness

All of the leading experts in the health-care industry are stressing the importance of contacting your vendors to assess their readiness for ICD-10. It is vital that they can accommodate your needs for ICD-10, right? Of course! Have you contacted your vendors yet? Let’s get started on your homework right now! Below are the questions we recommend asking all of… Read more

Published Mon, May 05 2013 12:14 PM by AdvancedMD | Blog

Filed under: Regulatory, AdvancedMD, training, claims, ICD-10, vendor, Coding, Diagnosis, clearinhouse

The Corporate Compliance Program in Healthcare: The Program That Can Protect Your Agency

The government is escalating investigations in 2013 through Recovery Audit Contractors (RACs), Medicare Recovery Contractors (MACs), Medicaid Integrity Contractors (MICs), Zone Program Integrity Contractors (Z-PICs), and now, the Health Care Fraud Prevention...

Published Wed, Mar 03 2013 11:39 AM by Select Data

Filed under: Home Health, Select Data, OIG, GAO, Coding, HEAT, Z-PICs, MICs, RACs, MACs, Corporate Compliance, RAC Demonstration Project, Code of Ethics, General Accounting Office, Corporate Compliance Plan, Office of Inspector General, Medicare PPS

Solving the ICD-10 Equation

ICD-10 ready software + Prepared Health Care Offices = Successful ICD-10 Implementation We now have less than two short years in order to prepare for the October 1, 2014 ICD-10 deadline. Successful implementation will take effort by physician’s offices and their vendors. With this in mind, you might have some questions when it comes to the ADP AdvancedMD side of… Read more

Published Mon, Nov 11 2012 11:05 AM by AdvancedMD | Blog

Filed under: Regulatory, Medicare, AdvancedMD, training, CMS, claims, ICD-10, Coding

Introducing the ADP AdvancedMD 2012 Summer Release and iPad® App for EHR

The ADP AdvancedMD 2012 Summer release aims to make life easier and more more profitable for physicians, while untethering them from their desk! Howdy! I am excited to share some details on an important milestone we have reached with the ADP AdvancedMD 2012 Summer release http://www.advancedmd.com/company/news-events/press-releases/adp-advancedmd-unveils-ipad-app-for-medical-practices/, which introduces important improvements to the AdvancedMD cloud as well as our exciting new Apple… Read more

Published Thu, Aug 08 2012 12:19 AM by AdvancedMD | Blog

Filed under: Regulatory, AdvancedMD, Coding

Physicians and Care Plan Oversight (CPO) and Certification/Recertification

Care Plan Oversight is physician supervision of patients under either the home health or hospice CMS benefit. CMS does not provide this reimbursement for these services if a patient resides in a nursing facility or skilled nursing facility. Physicians...

Published Tue, May 05 2012 5:43 PM by Select Data

Filed under: Medicare, CMS, Home Health, OASIS, Select Data, OASIS-C, Compliance, Coding, Physician Orders, Home Health Software, Plan of Care, G Codes, Home Care Compliance, Point of Care

Expect CMS Unannounced Visits after Filing the Revalidation Application

Do not be surprised if a CMS representative visits your agency after you apply for revalidation. Leaders are identifying that the visitors are taking pictures of the agency building and signage; taking pictures of the state license; as well as requesting...

Published Mon, Apr 04 2012 7:10 PM by Select Data

Filed under: CMS, Home Care, Select Data, Compliance, Coding, Affordable Care Act (ACA), Z-PICs, MICs, RACs, MACs, Home Health Software

The Surveillance and Utilization Review Subsystem (SURS)

Predictive Analytics or Provider Profiling? Call it what you want, is your agency being monitored by CMS and/or state Medicaid etal? And, have you directly triggered an alert? Or, are physicians that sign orders for your agency patients being investigated...

Published Thu, Apr 04 2012 6:21 PM by Select Data

Filed under: Medicare, CMS, Home Care, Select Data, Compliance, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software, SURS

ACOs and Patient Centered Medical Homes: Home Health, Have You Prepared?

CMS has, for years, suggested to healthcare providers across the care continuum that they must refine old and create new methods of providing care. Providers are expected to collaborate and coordinate to minimize the fragmentation in healthcare. They...

Published Wed, Feb 02 2012 6:03 PM by Select Data

Filed under: Medicare, CMS, Home Health, Home Care, Select Data, OASIS-C, Compliance, ACO, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software

Auditors are Making Their Presence Known: Prepare for RACs, MACs, and Z-PICs

Because we have received calls asking about RAC audits, we have included a PowerPoint regarding RACs and suggested below preparation you may consider doing NOW. We are also re-releasing segments of a prior ezine. Below are some questions that you may...

Published Wed, Feb 02 2012 6:02 PM by Select Data

Filed under: Medicare, Home Health, Home Care, Select Data, OASIS-C, Compliance, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software

Thirty days into 5010… is there an ICD-10 code for this?

A month into 5010 and the fall out for all involved is frustrating, disruptive and at times financially devastating. I knew that a single deadline for all parties involved would cause additional challenges, but the constant adjusting of the radio dial (mentioned in my previous blog post) is not only disruptive, it is becoming almost impossible to track/follow. Yesterday, the… Read more

Published Thu, Feb 02 2012 10:53 PM by AdvancedMD | MDBlog

Filed under: Regulatory, Medicare, AdvancedMD, 5010, CMS, claims, HHS, MGMA, Coding, Deadline, ICD10, Payment, hold times, denial, rejjection, exclusion

The Performance Improvement Plan; Silent but Powerful

Among RACs, MACs, MICs, and Z-PIC concerns, along with new survey protocols, new CY 2012 regulations, the advent of 5010, Accountable Care Organizations, and looming ICD-10 CM, what tools can a leader utilize to help mitigate risk? One such tool is the...

Published Thu, Jan 01 2012 6:45 PM by Select Data

Filed under: Medicare, Home Health, Home Care, Select Data, OASIS-C, Compliance, CMS Guidelines, Coding, ICD-10-CM Coding, Z-PICs, MICs, RACs, MACs, CY2012, Home Health Software, (PIP), Performance Improvement Program

A little GEM for you.

GEM stands for General Equivalence Mappings. It will allow industry personnel to convert data from the current ICD-9 to ICD-10 format after implementation. Not all ICD-9 codes will have a 1:1 match in ICD-10 so it’s important for you to determine which codes you will need to use in your office. This is where GEMS come into play. The GEM is… Read more

Published Thu, Oct 10 2011 10:00 AM by AdvancedMD | MDBlog

Filed under: Coding, ICD10, ICD9, Diagnosis

Why ICD-10, Why now?

ICD-10 will be the greatest change to the coding industry since the 1970′s and will impact many areas. Not only will documentation need to be more specific, but workflow in other areas will be impacted as well. Office forms like superbills and ABN’s will need to be updated. When pharmacies call for refills they will ask for the dx code. ICD-9 is… Read more

Published Thu, Oct 10 2011 10:00 AM by AdvancedMD | MDBlog

Filed under: Regulatory, Coding, ICD10, ICD9, ABN, ICD11, DX Code

Medicare Home Health Agencies and Medical Social Services (MSS)

Let’s talk about the role of the medical social worker in the home health setting. In these tougher economic times, are agencies seeing a growing need for MSS? Have social and emotional factors risen? What MSS skills are necessary to best serve the patient...

Published Wed, Sep 09 2011 8:41 PM by Select Data

Filed under: Medicare, CMS, Home Health, Select Data, OASIS-C, Compliance, Clinical Compliance, CMS Guidelines, Coding, Social Services, MSS

Education Videos: Coding Compliance Diabetic Complications – CVA Part I of II

Coding Compliance Diabetic Complications – CVA Part I of II Coding Compliance Diabetic Complication – Late Effects of a CVA Part I Many times we see a diagnosis of diabetes and throughout the assessment we will see PVD, Neuropathy, Chronic Kidney...

Published Sat, Sep 09 2011 3:39 PM by Select Data

Filed under: Medicare, CMS, Teaching/Education, Home Health, Select Data, Educational Videos, ICD9-CM Coding, Compliance, Coding, CVA, Diabetic Complications

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