Outsourcing vs In-House

How do I decide if I want to keep our billing in-house or to outsource? Because of the recent ICD-10 changes, many EMS services are considering whether they should keep billing in-house or if they should outsource. Typically, internal billing and collection...

Clearinghouses: Front-End Payer Rejection Rates Low

The healthcare clearinghouse industry has not seen a substantial increase in call volume or cases related to the recent implementation of ICD-10, but as a group, the Cooperative Exchange anticipates that as activities ramp up over the next few weeks, this may change....

The Hate Factor: Convention A. 11

I have told you about some of my pet peeves before, and below is another. How many of you reading this article hate Convention A.11 when it comes to PCS guidelines? Come on and admit it: you are silently chuckling about it now! What is A.11? As it states: “Many of the...

ICD-10’s Impact on Critical Access Hospitals

It has only been a month since ICD-10 has officially been implemented, and there is clearly much at risk for rural health entities that deliver healthcare services for more than 72 million people. I believe that at least half of the more than 1,300 critical access...

ICD-10 Impact on a Hospice: A Case Study

Here are some lessons learned over the last year as we have prepared for an organization-wide approach to implementing ICD-10 across a very large health system in San Diego. There are three specific areas that should be considered when implementing a new coding...