RT Welter
Medical News

Enter your email address to receive weekly content updates including free medical quickinars, upcoming events, useful tips and industry related news updates. Free medical knowledge delivered straight to your inbox… Register now!

Club Fed!

R41.0 — Delirium.
S06.0X2D – Concussion with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter.
W16.032D – Fall into swimming pool striking wall causing other injury, subsequent encounter.
Y92.146 – Swimming pool of prison as the place of occurrence of the external cause.

Read More

Celebrate Independent Physicians

They say Private Practice is dying! They say the independent physician is a dinosaur! I say private practice is changing, becoming more efficient, more flexible and much more capable! I think the dinosaur in the room (apologies to the elephant) is the ‘everything for everyone 24/7 huge hospital’ which is constantly scrambling to fill beds!…

Read More

2016 CPT Changes and Updates!

By Toni Woods, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer The new CPT changes take effect January 1st. Understanding the new codes is crucial to obtaining the proper reimbursement for your services while also staying compliant with current coding and billing requirements. The changes for 2016 address a number of interrelated issues. Clinical practice has evolved and…

Read More

Third Party Payer Update – COLORADO

The Triple Aim: Improving the patient experience Improving the health of populations Reducing per-capita cost The Triple Aim is on all the payer’s minds these days. These three tenants are now being woven into many of the decisions being made about cost, quality, reimbursements, network size, etc.   Using these three items in your contracting strategy…

Read More

Final Colorado Workers' Compensation Medical Fee Schedule Issued

The Colorado Division of Workers’ Compensation (DOWC) recently issued final utilization standards and the final Colorado Workers’ Compensation Medical Fee Schedule that affect all workers’ compensation billing, and will go into effect January 1, 2016. Among several significant changes are that these rules and regulations require payers to adopt Medicare’s Resource-Based Relative Value Scale (RBRVS)…

Read More

Colorado Providers – New Credentialing Standards for Pinnacol Assurance!

As part of the ongoing effort to educate providers about the most effective treatment protocols for workers’ compensation, Pinnacol Assurance is amending their SelectNet network credentialing standards for nurse practitioners and physician assistants practicing in the following urban counties:  Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Elbert, Garfield, Jefferson, Larimer, Mesa, Pueblo, and Weld. Mid-level providers in…

Read More

Colorado Medicaid Begins Provider Credentialing Revalidations!

Colorado Medicaid and CHP+ Provider Revalidation & Enrollment Begins September 15, 2015 New federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening and revalidation for all Medicare, Medicaid, and CHP+ providers. Beginning September 15, 2015, all Colorado providers who want to continue, or begin, providing services to Medicaid and…

Read More