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Healthcare Information Services (HIS) December Orthopedic Newsletter


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Healthcare Information Services (HIS) December Orthopedic Newsletter

  1. 1. DECEMBER 2012 Inside IN THIS ISSUE 1.1 UNDERSTANDING THE OFFICIAL GUIDELINES FOR ICD-10 CODING & REPORTING 1.2 Understanding the Official Guidelines for MINIMIZING YOUR AUDIT RISK ICD-10 Coding & Reporting 2.3 ICD-10 Coding and Reporting guidelines are provided by WHAT ORTHOPEDISTS CAN EXPECT FROM A National Center for Health Statistics (NCHS) and Centers for QUALITY EHR Medicare and Medicaid Services (CMS) - agencies within the 2.4 Department of Health and Human Services (HHS) of US 7 THINGS YOU NEED TO Federal Government. The guidelines are aimed to be used as KNOW ABOUT GEMS (GENERAL a guide for the official version of ICD-10-CM (Clinical EQUIVALENCE Modification) to classify reasons for visits and diagnoses in MAPPINGS) health care settings and ICD-10-PCS (Procedure Coding System) which relates to in-patient hospitals only. How is ICD-10 different from ICD-9? Click here to continue reading. Minimizing Your Audit Risk Recent changes with CMS audits have certainly caused a good deal of attention. CMS is now using a very large magnifying glass, searching earnestly for any signs of fraud from upcoding. Additionally, Recovery Audit Contractors (RAC) audits now include office visit claims and E and M coding. Much of this F I R T Y increased scrutiny comes from suspicions from CMS that EHR programs have contributed to rising Medicare costs because (855) RING-HIS it’s easier to charge more for services using them. 350 S. Northwest Highway Suite 200 Why Has Upcoding Become Such a Problem? Click here to Park Ridge, IL 60068 learn more now. www.healthinfoservice.comHEALTHCARE INFORMATION SERVICES, L.L.C
  2. 2. DECEMBER 2012 What Orthopedists Can Expect from a Quality EHR Theres been a lot of talk of EHR solutions and concerns, about how its expected to completely overhaul the medical field. It is true that these systems will impact practices, especially orthopedists that face unique challenges seeing a high-volume of patients. It would be unacceptable for an EHR to slow you down resulting in lost patient volumes and revenue. If you partner with a system that understands your specialty and has a proven track record in Orthopaedics, you may see the overall benefits of implementing the right EHR in three main areas. Learn more about what you can expect from a quality EHR. 7 Things You Need to Know About GEMs (General Equivalence Mappings) General Equivalence Mappings or GEM as it is popularly called comes into use if you are looking to translate lists of codes, coded data or code tables while converting a system or any other application containing ICD-9-CM.  GEM is developed as an essential tool to assist conversions of ICD-9-CM (International Classification of Diseases, 9th Edition, Clinical Modification) to ICD-10 (International Classification of Diseases, 10th Edition) and vice-versa.  Read more now. Have Questions? We’re happy to help. Healthcare Information Services (HIS) (855) RING-HIS 350 S. Northwest Highway, Suite 200 Park Ridge, IL 60068 F I R T YHEALTHCARE INFORMATION SERVICES, L.L.C