ICD 10 Implementation: Challenges and Strategies

ICD 10 implementation is as much about being flexible and able to adjust as it is having a solid plan. Many clinics got off to the right start by creating a team or leader to instigate, support, and monitor the ICD 10 changeover that was required on October 1st. Other strategies to tackle this challenge…


ICD 10 Grace Period: How Does it Work?

The ICD 10 grace period isn’t a myth, but it isn’t a magical fix either. So, what is it exactly? The grace period simply affords a little more time for learning the new coding system because, let’s face it, there are bound to be mistakes. That being said, your practice should be actively learning, whether…


The Problems and Importance of Reporting Medicare Fraud

Reporting Medicare fraud helps protect and maintain not only the original medical practice involved, but all other practices around the country. State-to-state communication has been convoluted and not as closely monitored and, up until the Affordable Care Act (ACA) in 2010, fraudulent doctors who have billed inappropriately have continually slipped through the net of reporting…


Understanding the Anti-Kickback Statute

Enacted in 1972, the Anti-Kickback Statute protects both patients and federal healthcare programs from abuse, including fraud. The statute was a part of the Social Security Amendments of 1972, which were followed closely by the 1977 Medicare and Medicaid Anti-Fraud and Abuse Amendments. Fraud was no longer considered a misdemeanor but rather a felony with…


Top 5 Risks of ICD-10 Conversion

ICD-10 conversion seems daunting in sheer numbers. With over 50,000 diagnosis codes, the possibility for error looms larger than ever. And that could mean substantial fines come the October 2015 deadline. The good news is that the general risk is smaller for smaller medical practices. After all, a smaller practice often gives more specific care…


Avoiding a Medicare Part D Penalty

Posted On: 26th Mar, 2015 | Under: Compliance, Medicare | Tagged:
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To appreciate the Medicare Part D Penalty and help patients avoid it, one must first understand what Medicare Part D involves. Here are the points to keep in mind for your medical office, and it’s patients: Medicare Part D consists of a drug coverage plan that has a list of specific covered drugs, called a…