Managing Coding &
Reimbursement Challenges
As
any physician will attest, no one wants to leave money on the table or be
accused of submitting incorrect claims. And yet every year, medical practices
are faced with the daunting task of understanding the newest coding and billing
rules, many fail to educate themselves on the new guidelines. The result: lower
revenue potential, increased denials and greater operating/administrative costs
for the practice.
Adding to this substantial challenge is the scheduled implementation of ICD-10-CM diagnostic codes. The delayed implementation of ICD-10 underscores the magnitude of change and the amount of preparation required for an efficient transition. Furthermore, practices are having to implement HEDIS and PQRS (P4P) Measurements to meet Quality of Care Regulations.
Adding to this substantial challenge is the scheduled implementation of ICD-10-CM diagnostic codes. The delayed implementation of ICD-10 underscores the magnitude of change and the amount of preparation required for an efficient transition. Furthermore, practices are having to implement HEDIS and PQRS (P4P) Measurements to meet Quality of Care Regulations.
To take the
guesswork out of this complex system and lead reimbursement teams in a smooth
and effective changeover to ICD-10, AccuChecker Online offers an Internet
database subscription service that covers:
·
Procedures
– CPT, Category II and HCPCS codes.
·
Diagnoses
codes (ICD-9-CM, ICD-10-CM and ICD-10-PCS).
·
Converter
of ICD9 to ICD10.
·
Medicare
fee schedules including OPPS rates in radiology.
·
Coding
techniques like:
o
Corrective
Coding Initiative (CCI)
o
Medical
Necessity - procedures matching diagnoses.
o
Medicare’s
LCD and NCD.
o
Surgical
modifiers outlining coding guidelines.
o
Global
period for surgical services.
New For 2014:
HEDIS Module
PQRS Module
AccuChecker OnLine CLASSIC
is available in two (2) versions:
State Version - Fee
Schedules for the State ONLY.
National Version - Fee
Schedules for the entire nation –for each zip code.
[ HEDIS and PQRS are separate modules ]
The
HPP-AccuChecker Management Team developers of the AccuChecker Product Line is
moving into the new frontier in healthcare reimbursement the Pay-for-Performance
(P4P) alternative, the new way how healthcare providers receive their
compensation, where HEDIS, PQRS and other reporting systems become intrinsic
modules of our software reimbursement applications.
For more details, a Free Trial or
Webinar call : 305-227-2383 or
1-877-938-9311
Be Part of Our Sites
Our Social Sites - Please feel free to Join:
Yahoo Group: https://groups.yahoo.com/neo/groups/accuchecker/info
No comments:
Post a Comment