Nearterm Blog
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Get CMS ICD-10 Coding Guides for Medical Specialties
To help physician specialists and other providers get quickly up to speed, CMS has launched the ICD-10 Clinical Concepts Series for medical specialties. Each comprehensive guide in the series compiles key information from the Road-to-10 online tool in an interactive PDF format that can be readily shared, emailed, posted to websites, and printed. The specialty…
Read MoreCMS ICD-10 Coding Resources to Help You Get Ready
CMS published this information in its August 7 Newsletter. We hope you will find it useful. List of Valid ICD-10-CM Codes CMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles in the 2016 Code Descriptions in Tabular Order ZIP file on the 2016 ICD-10-CM and GEMs web page. See…
Read MoreCMS to Reimburse Physicians Despite ICD-10 Coding Mistakes
The CMS has made a concession in the transition from ICD-9 to ICD-10 that allows for reimbursement despite ICD-10 coding mistakes in claims, so as long as the physician used a valid code from the right family. This allows for flexibility in the claims auditing and quality reporting process and allows reimbursement to be made…
Read MoreIs Co-Sourcing the New Outsourcing Solution for RCM?
Co-sourcing your revenue cycle management (RCM) professional resources can get you the best of both an all-in-house or an entirely-outsourced RCM solution, according to a recent article written by Carrie Pallardy for Becker;’ Hospital CFO. With the entirely-outsourced revenue cycle management consulting firm solution you can get good service that handles it all, but you lose…
Read MoreWinning Over the “Consumer” Patient
In his article, “Why the Billing Experience Matters,” Tomer Shoval provides a clear overview of the expectations of the recent phenomenon known as the “consumer” patient. That is, the patient as consumer expects cutting edge quality care and “a simple, easy-to-read medical bill that they can pay as easily as they do other bills.” “Many studies…
Read MoreHFMA TXGC Newsletter Features Nearterm Principal
Nearterm is honored to have our Jim Matthews featured in the HFMA TXGC’s April-May-June Newsletter entitled The Top 15 Influential People in the Healthcare Financial Management Association of the Texas Gulf Coast Chapter. “We invite you to read in this newsletter the most influential people of Healthcare Financial Management Association Texas Gulf Coast Chapter ….How they…
Read MoreClinical-Financial Alignment Simplifies Revenue Cycle for Patients
According to Jeff Hurst, the senior vice president of finance at Florida Hospital, the revenue cycle trend hospitals should be moving towards is the integration of financial and clinical operations, in an effort to create a more consumer-friendly revenue cycle. “Historically, the healthcare industry has done a good job advocating for patients in a…
Read MoreBilling backlog, collection backlog, posting backlog – what is the right option?
There is no “cookie cutter” solution because the factors contributing to processing backlogs vary. Here are just a few: System conversion Limited labor pool Space constraints Volume increase Training deficits Ineffective work flow design Change in payor requirement IT problems The first step is to understand the root cause of the backlog and establish (a)…
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