April 10, 2013

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ICD-10 Implementation:  Are You Fit To Be The Champion?

Change always needs a champion.

Sometimes we get dragged into change clutching desperately to familiar habits.  Other times, a champion emerges to create some enthusiasm and expectation about a new and better way.  ICD-10 is the new and better way.  According to a number of industry experts, ICD-10 addresses critical gaps and operating flaws inherent in ICD-9.  Further, ICD-10 will allow for the capture of the disease specificity, severity, laterality and better supports exchange of health data between other countries and the United States.

However, the coding change will affect almost every area of the medical practice from scheduling to cash flow. Successful implementation will require extensive planning and coordination so that the many details, such as staff education, contract renegotiation and documentation improvement, can go on without workflow disruption. Implementation is further complicated by the need to continue to use ICD-9 for non-HIPAA entities such as workers compensation and auto insurance. Despite many cautionary articles, many industry experts report that most practices do not yet understand the scope of next year’s transition to ICD-10. . . .

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AppealLettersOnline.com Featured Letters

Some carriers have different levels of reimbursement for emergency care and triage care.  However, carriers are not always forthcoming with information about how the care was assessed and the qualifications of the emergency care reviewers.  We have added an appeal letter to assist with appeals related to emergency care/triage downcoding.  See the following new letter under the AppealLettersOnline.com topic Medical Necessity and the subcategory Lack of Precertification/Emergency Care:

Request for Clinical Criteria for Emergency Care and Triage – new letter!

A number of state-specific letters are also listed which may assist with demanding review of emergency care in compliance with state definitions of emergency care.

Access the appeal letters at AppealLettersOnline.com


ICD-10 Now! How and Why
3 Hour Workshop on a Simple Step-by-Step ICD-10 Transition

Learn how and why to engage doctors now on the benefits of ICD-10.

Learn the office processes that must change or be addressed and simple solutions for ICD-10 compliance.

Learn what to ask payers and vendors and what exactly you need to renegotiation with your payers to protect reimbursement under ICD-10.

Understand how to start now in order to reduce your overall ICD-10 transition costs.

Get the simplest solutions for the upcoming challenge and go home an ICD-10 champion for your organization.

Appeal Solutions has partnered with CPR in order to bring you a low cost ICD-10 Transition seminar which covers everything necessary to get you started on successful implementation.

For a limited time, you can reserve your seminar registration in a city near you for only $59.  Visit http://www.cpticdpros.com/icd10-seminars.html for dates and cities.  Use our coupon code, TT001, and receive an additional $10 discount from the listed price.  Please note, the seminar pricing is currently priced at a discounted introductory price and will likely increase in the near future.

Tammy Tipton, President of Appeal Solutions, will be presenting on ICD-10 transition in a number of cities.  Tipton is part of a team of ICD-10 transition experts which include practice management, billing, motivational and adult education experts who have collaborated with CPR in order to develop a best practices approach to ICD-10 transition.

"This is an outstanding value for any organization which needs to get started and wants to proceed with an organized, step-by-step implementation process," said Tipton.  "I am very excited to present CPR's excellent transition material which I believe will allow practices to capitalize and thrive in the upcoming ICD-10 environment."

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