Industry News

Stay on top of the business of healthcare. Check this page often for published articles, trends and revenue cycle research studies.

What’s the Diagnosis for ICD-10-CM?

By Jennifer Bishop - VitalWare | June 19, 2018

The ICD-10-CM diagnosis code additions, deletions and revisions for FY 2019 have been released! These code changes will be effective October 1, 2018.

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ICD-10 Allows Non-Physician Documentation of Social Determinants

By Health IT Analytics | June 18, 2018

Recent guidance around ICD-10 states that non-physician documentation is an appropriate source for coding the social determinants of health. Healthcare organizations concerned about how to record data on patients’ social determinants of health are allowed to use non-physician documentation to support ICD-10 coding for common socioeconomic issues, says the American Hospital Association (AHA).

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The 2019 diagnosis code changes are here: 6 things to know

By Becker's ASC Review | June 13, 2018

The CDC published the ICD-10-CM code changes June 11 for fiscal year 2019. Here’s what you should know:

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Hospitals Wait 16 More Days for Late Payments from Claim Denials

By RevCycle Intelligence | June 12, 2018

Delayed payments stemming from claim denials are significantly impacting hospital revenue cycles, taking an average 16.4 more days to pay compared to claims that have not been denied, a new analysis from Crowe Horwath revealed.

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CMS publishes procedural coding changes — 392 new codes for 2019

By Becker's ASC Review | May 30, 2018

CMS released ICD-10-PCS updates for hospital inpatient coding professionals to use for discharges from Oct. 1, 2018 through Sept. 30, 2019. ICD-10-CM diagnosis code changes for 2019 have not yet been published.

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Coding tip of the day: Use denial tracking as an educational opportunity

By Becker's ASC Review | May 15, 2018

Tracking denials after a case is billed can help pinpoint coders’ and surgeons’ areas for improvement, according to Pinnacle III’s Bethany Bueno, Specialty Billing Solutions billing operations director.

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5 new executive roles, coming to a hospital near you

By Becker's Hospital Review | May 7, 2018

Healthcare faces constant change: CMS rules are updated regularly, state and federal policies are revised or added often, and new technologies are implemented daily, promising to improve patient outcomes.

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CMS proposal for hospitals to publish prices raises tricky issues

By Modern Healthcare | April 26, 2018

Patients with high-deductible plans increasingly were asking St. Clair Hospital in Pittsburgh to tell them in advance how much their care would cost them out of pocket.

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Put Chargemaster Online by 2019, Says CMS Proposal

By Media Health Leaders | April 25, 2018

The IPPS proposal calls for greater price transparency from hospital providers. Hospitals will be required next year to publish their standard list of prices online in a machine-readable format, if the Centers for Medicare & Medicaid Services finalizes a proposed rule announced Tuesday afternoon.

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CMS releases 2019 IPPS proposed rule: 10 things to know

By Becker's Hospital CFO Report | April 25, 2018

CMS filed its annual Medicare inpatient payment update April 24, which would increase payments to hospitals next year and follow through on some of the administration’s top healthcare promises, including more price transparency for patients, reduced administrative burden on providers and a greater emphasis on interoperability.

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