ICD-10 PUSH Training for Physicians and Hospitals from RT Welter & Associates

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…


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.


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!…

2016 CPT Changes and Updates!

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…

Final Colorado Workers' Compensation Medical Fee Schedule Issued

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)…

Colorado Providers – New Credentialing Standards for Pinnacol Assurance!

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…

Colorado Medicaid Begins Provider Credentialing Revalidations

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…