Medical Coding Services
Remote Work Claim Edits – Solutions for Hospitals 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
Should Hospitals Leverage Outsourced Coding or Keep It Internal?
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
Medical Coding Managed Services
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
A Deluge of ICD-10 CM/PCS Codes is Coming to All Healthcare Facilities: What to Do?
On October 1st of this year, a deluge of over 5,000 new ICD-10 CM/PCS medical codes and other changes are coming to hospitals and clinics nationwide. The stakes are high so it is important to get it right the first time. Errors may lead to delayed or denied claims, negatively impacting the revenue cycle management process…Read More
Are you Ready for the ICD-10 CM & PCS Deluge?
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
Medical Coding is Here to Stay
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
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 More
CMS 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 More
CMS 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 More
AMA President Urges Physicians to Prepare Billing Cycles for ICD-10 Implementation
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