The Medicare and Medicaid EHR incentive programs are well under way at this point. The federal Medicare incentive program began issuing payments earlier this year, and many states have already done so as well for the Medicaid program.
It's almost that time of year again, when holidays abound and people's lives tend to get even more hectic than normal. As a manager, it means planning holiday parties, dealing with requests for time off, and a myriad of other tasks.
Over the course of the past 30 years in the HIM field, I have observed much trial and error on the part of HIM managers who have been pioneers in the EHR journey.
Gloryanne Bryant, RHIA, RHIT, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) for Kaiser Permanente in Oakland, compiled a sample list of some of the terms coders are likely to see when coding for wound care. Consider sharing this reference tool with your coding staff.
With 46% of survey respondents anticipating revenue losses from the ICD-10 transition, it may appear illogical that only 3% of healthcare leaders say they are already prepared to make this transition. However, the reason behind the unpreparedness is quite understandable. With mounting mandates and competing priorities, healthcare leaders say they cannot free up the manpower or financial resources needed to get this initiative under way.
CMS finalized a documentation and coding adjustment (DCA) of -2% for fiscal year (FY) 2012, according to the inpatient prospective payment system (IPPS) final rule. CMS originally proposed a year-over-year reduction of 0.5% in payments to acute care hospitals, including a DCA of -3.15%. However, CMS finalized a cut of 2%, a decrease from 2.9% in FY 2011, which translates to $1.13 billion more in hospital payments in FY 2012 than hospitals received the previous year.
No industry or profession is immune to the budget crunch. Unfortunately, many coding departments fall into a routine and neglect to assess their costs and look for innovative ways to save money.
