Policy and Regulation

If you've ever been on the billing and coding side of a medical practice, chances are you've heard a version of this question: "what do we call this for billing?" On the other hand, during peer-to-peer conversations, healthcare practitioners seem to explain clinical scenarios very well. What happens in this daily process that converts such a detailed description into something like "unspecified abdominal pain”?

 

We decided to dig a little deeper into the forces behind the transition to ICD-10. Not surprisingly, one of the largest proponents of the new codes were government organizations. However, non-governmental organizations like insurance companies, patient advocacy groups, and health information technology associations also played a large role in the shift.  Let's take a look.

 

Often times in medicine, or even life in general, we might be required to revisit the origin of a popular belief, phrase, or “common-sense” piece of knowledge. Through numerous transmissions, these concepts can stray far from their original meanings and transform into something entirely different and even erroneous. Unfortunately that seems to be happening with HIPAA. Speak the words among providers and you’ll likely invoke thoughts of uptight regulators in suits and extraordinarily hefty fines issued to those foolish enough to have loads of data on a unsecured laptop computer.

Nov 26, 2014

This is the type of story that seems to indicate there’s something really wrong with healthcare as we know it: Madison, Wis., resident Megan Rothbauer, 30, suffered a heart attack a year ago followed by the treatment required to fully recover during her hospital stay. The story starts with her being taken to the emergency room at St. Mary’s Hospital in September 2013. The hospital was not in-network for her insurance plan, but three blocks away was Meriter Hospital, which was in-network

The Patient Protection and Affordable Care Act (ACA) is an immense piece of legislation. This early in the ACA's life, it is difficult to estimate what effects it will have on any part of healthcare, such as reimbursements and revenue cycle management. While there are no absolute conclusions, one thing is for certain: The ACA is changing healthcare in enormous ways.

Mar 07, 2014

NueMD is conducting a survey to gauge healthcare professionals’ attitudes toward the ICD-10 transition. We’re aiming to evaluate the general perception of ICD-10 as well as anticipated effects it will have on specific business areas (finance, operations, etc.).

Oct 25, 2013

Did you get a kick out of watching the NueMD team get knocked out in our Miley Cyrus parody? Well check out the full blooper reel to see who took the most hits. Our professional in-house actors are dedicated to making it look just right!

Oct 23, 2013

We recently produced the Miley Cyrus "Wrecking Ball" parody to help our clients and friends have a laugh. But we also wanted to address the difficulties small medical practices are facing. The video satirized this by showing doctors getting knocked out by a 'wrecking ball' masquerading as government regulation and payer obstacles (insurance companies) doctors face everyday.

What would Miley Cyrus say about the future of practicing medicine? Check out our parody of Wrecking Ball to find out! 

Credits:

Vocals: Alex Veal
Lyrics: Kevin McCarthy 

We treat, we save, our patients rave 
We work, never asking why
We tried, to play, do things your way
A game, no one can deny 

Jun 24, 2013

The CMS Medicare E-Prescribing (eRx) Incentive Program aims to promote the adoption and use of e-prescribing, but also penalizes those who do not comply. Medicare providers have until June 30 to send and report 10 e-Rx Medicare claims in order to avoid a 2 percent Medicare deduction in 2014. Physicians already using e-prescribing are ahead of the game. All they need to do to comply is file the CMS-1500 Medicare claims with a G8553 G-code for 10 encounters with at least one e-prescription.

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