The PUSH program: ICD-10 Performance Measures: Ensure Success! The ICD-10 PUSH program was designed to evaluate provider performance with the ICD-10-CM code set. This program will assist in identifying utilization and accuracy as well as areas for improvement related to ICD-10. Post ICD-10 Implementation Evaluation: ICD-10-CM documentation evaluation of 20 encounters selected by the provider…
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.
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!…
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…
R46.2 – Strange and inexplicable behavior.
R46.1 – Bizarre personal appearance.
F10.921 – Alcohol use, with intoxication delirium.
W22.02XA – Walked into lamppost, initial encounter.
Y90.7 – Blood alcohol level of 200-239 mg/100 ml or more.
R51 – Headache.
R46.6 – Undue concern and preoccupation with stressful events.
Z63.1 – Problems in relationship with in-laws.
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…
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)…
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…
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…