This week’s PracticeSuite digest
Dr. Daniel Goodman describes the business structures that must be in place to make the successful transition from paper records to electronic ones. Goodman’s initial hesitance against EHR systems was primarily due to a lack of patient interaction, maintaining that there is a lack of face-to-face interaction, it takes away from learning, visits are more focused on preventing clerical mistakes. Among other things, Goodman suggests turning off the phones during ERH training sessions and not loading data from old charts into the system.
Lisa Rock of National Medical Billing Services says coders should be looking at how healthcare exchanges, quality reporting, the revised CMS 1500 form, and CPT code changes will affect them. She mentions that healthcare providers should be extremely prepared and ready for potential billing and coding software glitches and possible cash flow disruptions occurring during this unprecedented healthcare transition to ICD-10. This is mentioned with a level of caution because nearly half of payers are not expected to be prepared and set to go on October 1, 2014 when the switchover happens.
Optum Coding’s clinical technical editor writes that about 25% of the 2014 CPT code changes occur in the digestive chapter. The purpose is to better represent advancements in endoscopic techniques in the upper gastrointestinal area. More specific codes, verbiage changes, and new coding notes are included in the revised chapter.
Don’t overdo it with computer-assisted coding, study says
Government Health IT reports that one of the problems identified during the ICD-10 National Pilot Program is medical coders relying too heavily on computer-assisted coding (CAC) applications. Although CAC can increase consistency and create an audit trail, the study found CAC doesn’t improve accuracy or productivity.
CPA Jill Franks says physicians should keep a closer eye on expenses and income in light of the Affordable Care Act. She suggests finding your revenue sources, knowing your payer mix, reviewing your contracts, adjusting your fee schedule, and analyzing your schedule before building your budget. She specifically warns against copying last years numbers and increasing revenue by 5%.
Last Updated on November 24, 2020