All MedFocus Articles

Wednesday, September 1, 2010

On October 1, 2013, claims for services provided must use ICD-10 codes for medical diagnosis and inpatient procedures.  This transition will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance...

Wednesday, September 1, 2010

Sixty Regional Extension Centers (RECs) have been funded around the country by the Office of the National Coordinator for Health Information Technology (ONC) to assist in the adoption of electronic medical record systems.   

 

"The goal of the RECs is to provide...

Tuesday, August 31, 2010

The Certification Commission for Health Information Technology (CCHIT), Chicago, Ill. and the Drummond Group Inc. (DGI), Austin, Texas, were named today by the Office of the National Coordinator for  Health Information Technology (ONC) as the first technology review bodies that have been...

Tuesday, August 17, 2010

Effective with date of service 11/1/2010, all PacificSource providers will be required to obtain an order number from American Imaging Management (AIM) before scheduling any of the following non-emergent advanced diagnostic services performed in an outpatient setting:

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Tuesday, August 17, 2010

Effective 11/9/2010, Lifewise will require a written waiver from the member for non-medically necessary services.  Without the waiver, it is considered a provider write-off.  If there is a possibility that the service being provided may be...

Sunday, August 1, 2010

"Two new industry standard edits are included with the October claims editor upgrade. These new edits may cause reduced reimbursement and will be applied no sooner than 90days after the date of this mailing.
 

Deny    Add-On  ...

Sunday, August 1, 2010

"Washington Childhood Vaccine Program Billing Changes
In March, Governor Gregoire signed a law allowing the state to continue the universal Washington Childhood Vaccine Program.  The law requires private health plans and other payers to pay the state a dosage-based assessment (DBA)...

Sunday, August 1, 2010

"We want to notify you of some important information that applies to claims for Premera Blue Cross and LifeWise Health Plan of Washington fully insured membership and many self-insured employer group beneft plans.

 

"Effective Nov. 9, 2010, we will be updating our claims...

Sunday, August 1, 2010

The American Recovery and Reinvestment Act, signed into law on February 17, 2009, includes an provision known as the Health Information Technology for Economic and Clinical Health Act, or "HITECH" Act. 

 

This act set into motion a number of programs to promote the...

Thursday, July 15, 2010

Medicare is reprocessing claims paid at the 21.3% decrease  for DOS between 6/1 and 6/25.  Per the OIG, providers are allowed to waive the additional co-insurance owed by the patient on these claims.  This is part of the "Preservation of Access to Care for Medicare...

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