Orthopedic Surgery

/Orthopedic Surgery

Register by Oct. 15 to Avoid PQRS Penalties; Optimize Orthopedic Coding and Billing

2013-10-03T14:31:50+00:00

Avoid reduced payments impacting your orthopedic coding, billing and collections and ultimately your bottom line when you register for the Centers for Medicare and Medicaid Services (CMS) Physician Value-PQRS (PV-PQRS) Registration System by Oct. 15, 2013. PV-PQRS is a new application to serve the Physician Value Modifier and PQRS programs that, according to CMS, will allow: Physician group practices to select their CY 2013 PQRS Group Reporting Mechanism and, if the group has 100 or more eligible professionals, elect quality tiering to calculate their CY 2015 Value-based Payment Modifier Individual eligible professionals to select the CMS-calculated Administrative Claims reporting mechanism for [...]

Register by Oct. 15 to Avoid PQRS Penalties; Optimize Orthopedic Coding and Billing2013-10-03T14:31:50+00:00

Falling Behind in ICD-10 Testing Places Orthopedic Coding at Risk

2013-09-26T15:42:07+00:00

According to a recent survey conducted by QualiTest Group, three out of four healthcare providers are not meeting the recommended timeline for the switch to ICD-10 by Oct. 1, 2014. Are you counted among those who are not? Is the ICD-10 transition of your orthopedic coding and all other aspects of your medical revenue cycle management at risk? Many healthcare providers across the board think they still have a lot of time to complete the steps necessary including performing ICD-10 testing. Think again. That's because CMS will not be performing end-to-end testing of ICD-10-CM and PCS fee-for-service. End-to-end testing is a [...]

Falling Behind in ICD-10 Testing Places Orthopedic Coding at Risk2013-09-26T15:42:07+00:00

Put ICD-10 Prep in Motion for Orthopedic Surgery Medical Coding and Billing

2013-08-22T10:47:19+00:00

Just how does your Orthopedic medical coding and billing rate when it comes to preparations for ICD-10? Yours might be among the 55.4 percent of all medical practices (as of June 2013) in the United States that hasn't started or has barely begun preparations. Even if your practice is in the remaining 45.6 percent, you're most likely in process but perhaps not making the progress you were hoping to in order to meet the Oct. 1, 2014 implementation deadline. Are there aspects of the implementation causing concern for your healthcare revenue cycle management? If so, you're not alone. According to a [...]

Put ICD-10 Prep in Motion for Orthopedic Surgery Medical Coding and Billing2013-08-22T10:47:19+00:00

Medical Necessity for Joint Replacements Requires Heightened Orthopedic Medical Coding Documentation

2013-07-09T09:49:23+00:00

How often are you faced with denied claims for joint replacements or those slow to be reimbursed because medical necessity is being reviewed or questioned? One of the most challenging aspects of your orthopedic surgery practice these days is when you provide a service to a patient who genuinely needs a joint replacement only to find later that reimbursement has been denied. Substantiating the need for joint replacement surgery requires detail, detail and more detail in order to avoid claim denial and keep your orthopedic revenue cycle management flowing smoothly. The following CMS guidelines are provide to help you avoid claim [...]

Medical Necessity for Joint Replacements Requires Heightened Orthopedic Medical Coding Documentation2013-07-09T09:49:23+00:00

Reduce Risk of Total Joint Overpayment Audits with Orthopedic Coding Expertise

2013-06-13T12:04:26+00:00

Your medical practice is under scrutiny. That's because both state and federal agencies are lowering the boom on overpayments. If there was ever a time when you needed a healthcare revenue cycle management team that understands the intricacies of orthopedic coding, billing and collections, it's now, when CMS has increased audits resulting from overpayments. Since 2010, the federal government's goal has been to cut the Medicare FFS improper payment rate and reduce overall payment errors. Among those areas in the spotlight within orthopedic physician medical billing is total joint replacement surgeries and documentation of their medical necessity. This isn't to say [...]

Reduce Risk of Total Joint Overpayment Audits with Orthopedic Coding Expertise2013-06-13T12:04:26+00:00

ICD-10 Conversion of Medical Practice Billing and Coding Could Surpass Y2K in Scope

2013-05-02T09:49:45+00:00

Experts predict the conversion from ICD-9 to ICD-10 could very well eclipse Y2K in scope. Keeping your Orthopedic Surgery revenue cycle management in motion before, during and after the Oct. 1, 2014 ICD-10 transition relies squarely on you, your team's preparedness and the expertise of your Orthopedic coding and billing team. The ICD-10 conversion means significant changes to office procedures, which are expected to affect every aspect of business operations. It also requires you to increase your level of medical record documentation across all aspects of service. More patient data will be collected and documented to justify codes submitted for claims. [...]

ICD-10 Conversion of Medical Practice Billing and Coding Could Surpass Y2K in Scope2013-05-02T09:49:45+00:00

Low Patient Engagement Contributes to Rising Healthcare Costs and Greater Need for Orthopedic Surgery Revenue Cycle Management

2013-04-16T02:09:24+00:00

Among the biggest objectives for any orthopedic surgery practice is to maximize patient engagement and reduce healthcare costs (both for patients and providers). It just so happens one impacts the other. The following Power Your Practice article explains the tie: Though electronic medical record software has helped practices streamline workflows, automate healthcare revenue cycle processes, and better manage patient care, health IT systems cannot revolutionize the healthcare industry on their own. Medical professionals must also make a greater effort to engage patients and make them more active participants in their health. The reason this is important is that patient engagement is [...]

Low Patient Engagement Contributes to Rising Healthcare Costs and Greater Need for Orthopedic Surgery Revenue Cycle Management2013-04-16T02:09:24+00:00

Staying Abreast of Compliance Updates Integral to Orthopedic Surgery Revenue Cycle Management

2013-03-11T15:32:52+00:00

Practice compliance requires vigilance and oversight, which can be a challenge for orthopedic surgery practices today and their corresponding medical coding, billing and collections process. Merging the practice of medicine with the business of healthcare can result in a high wire balancing act that can result in updates slipping through the cracks, especially when there’s a continuous stream of changes. The right orthopedic surgery revenue cycle management process has got you covered. This just in. According to a January 16, 2013 edition of Industry News, “Your practice can no longer brush off breaches of electronic patient health information (ePHI) files if [...]

Staying Abreast of Compliance Updates Integral to Orthopedic Surgery Revenue Cycle Management2013-03-11T15:32:52+00:00

Recent Chart Auditing Requirements Fuel Changes to Orthopedic Surgery Revenue Cycle Management

2012-12-26T23:09:34+00:00

2013 proves to be a year of continued change and new growth opportunities for orthopedic surgery practices. Changes to the auditing standard have occurred recently to ensure accuracy and optimize orthopedic surgery revenue cycle management. And new frontiers in surgical technology include minimally invasive anterior total hip replacement. Whether anterior total hip replacement is in the strategic framework of your practice, it's important to be prepared for changes in orthopedic surgery medical coding, billing and collections, including auditing and compliance regulations. The quality of care provided by any orthopedic surgery practice is based on the accurate and complete clinical documentation of [...]

Recent Chart Auditing Requirements Fuel Changes to Orthopedic Surgery Revenue Cycle Management2012-12-26T23:09:34+00:00

Affordable Care Act Brings Changes to Orthopedic Surgery Revenue Cycle Management

2012-12-15T17:16:01+00:00

According to the Oct. 1, 2012 edition of Spine Review, "One of the most sweeping changes concerning the healthcare system today is accountable care organizations (ACO)," writes Laura Miller. "Hospitals, specialists, primary care physicians and insurance companies are all worried about how they will fit into this new model of care, which values quality over quantity through a pay-for-performance instead of a fee-for-service. However, some orthopedic surgeons and hospitals have decided to push forward with accountable care organizations and are finding the challenges minimal — and even seeing benefits — to participation." In this new ACO environment, the federal government, in [...]

Affordable Care Act Brings Changes to Orthopedic Surgery Revenue Cycle Management2012-12-15T17:16:01+00:00