Nearterm Blog

Remote work claim edits from Nearterm

Work claim edits remotely – a great idea for many hospitals Controlling health care costs, keeping employers and providers satisfied, and maintaining optimum profit margins—medical providers must continually balance these competing objectives, and that means processing claims as efficiently and accurately as possible. As health care costs continue to soar while profits stagnate, some of…

Read More

Hospitals have adapted many different coding models. Most are designed around contributing factors that differ from one facility to the next. However, there are three models that arguably prevail. The following is a summary of each; MODEL I-INTERNAL All coding functions are managed and performed by internal staff/employees. The function is generally housed at the…

Read More

Do you have a medical coding backlog? Are you behind on your coding audits? Need a Coding Audit Program? Never fear, Nearterm is here! We help healthcare organizations meet their coding and coding audit needs as part of our overall 360 RCM Managed Services.  Our national client base includes hospitals, clinics and other provider types.…

Read More

NEARTERM WILL KEEP YOU DRY On October 1st, of this year a deluge of over 5,000 new CM and PCS medical codes and other changes are coming your way! CMS opens the dam to release the five-year hold on these codes and a one year reprieve for unspecified codes. ICD-10 CM will have 1,943 new…

Read More

As a Medical Coding managed services provider, Nearterm sees a lot of growth in the future of medical coding. The need for medical coders is expected to grow by 22% between 2012 and 2022, a rate much faster than average for other occupations. Source: CareerStep. There are four main reasons for this. ICD-10 & -11…

Read More

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 More

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 More

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 More
Medicare

In response to a letter to the Centers for Medicare & Medicaid Services (CMS), which expressed concern regarding the potential for an accumulation of millions of dollars in unpaid Medicare claims following the ICD-10 implementation, American Medical Association (AMA) President Robert M. Wah is urging physicians to prepare their billing cycles for the transition. The…

Read More