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Everyone is talking ICD-10! We all know this major shake-up will rock the health care industry. Preparation is your key to surviving this huge transition. Hopefully you are already identifying and reviewing needed changes to your documentation, work flow and office processes, considering your training...
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AdvancedMD | Blog
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Mon, May 20 2013
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Filed under: Regulatory, AdvancedMD, EHR, claims, ICD-10, Coding, PM, ICD-10 transition, Note Templates, Charge Slip, Diagnosis Code, system setup, Problem Lists, HealthWatcher
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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...
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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...
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Select Data
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Wed, Mar 6 2013
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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
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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...
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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...
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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...
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Select Data
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Tue, May 15 2012
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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
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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...
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Select Data
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Mon, Apr 30 2012
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Filed under: CMS, Home Care, Select Data, Compliance, Coding, Affordable Care Act (ACA), Z-PICs, MICs, RACs, MACs, Home Health Software
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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...
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Select Data
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Thu, Apr 26 2012
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Filed under: Medicare, CMS, Home Care, Select Data, Compliance, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software, SURS
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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...
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Select Data
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Wed, Feb 29 2012
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Filed under: Medicare, CMS, Home Health, Home Care, Select Data, OASIS-C, Compliance, ACO, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software
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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...
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Select Data
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Wed, Feb 29 2012
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Filed under: Medicare, Home Health, Home Care, Select Data, OASIS-C, Compliance, Coding, Z-PICs, MICs, RACs, MACs, Home Health Software
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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...
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AdvancedMD | MDBlog
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Thu, Feb 2 2012
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Filed under: Regulatory, Medicare, AdvancedMD, 5010, CMS, claims, HHS, MGMA, Coding, Deadline, ICD10, Payment, hold times, denial, rejjection, exclusion
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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...
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Select Data
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Thu, Jan 19 2012
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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
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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...
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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...
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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...
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Select Data
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Wed, Sep 28 2011
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Filed under: Medicare, CMS, Home Health, Select Data, OASIS-C, Compliance, Clinical Compliance, CMS Guidelines, Coding, Social Services, MSS