Transition to ICD-10: Here it comes

Medcare MSO is Here To Make It Work

Medical Billing is in the foremost phase of transition from ICD-9 to ICD-10. The change will spur the development of the most dynamic, efficient and intelligent software that the medical billing industry has seen.

These changes will not only benefit healthcare payers and providers but increase the effectiveness of office administration.

Identifying need of transition:
The current medical billing ICD-9-CM system lacks the flexibility to organize the codes with an appropriate level of specificity, with each three-digit category only having 10 subcategories.

Technology milestones combined with higher level of specific ICD 10 codes will help to ensure a better analysis on diagnosis, prognosis and treatment outcomes that can improve medical care. It also aids in the collection of statistical analysis for developing better prevention plans by the government.

ICD-10 medical billing and coding is similar yet simpler than ICD-9. Professionals with hands on experience with ICD-9 CM should be able to make the transition to ICD-10 CM. The job of replacing the secondary diagnosis in ICD-9 can now be changed with a single code that reports a disease and its current manifestation. (i.e., type II diabetes with diabetic retinopathy).

CMS has announced that by Oct 1st, 2014; ICD-10 CM will be implemented into X12 version 5010.

At Medcare MSO we make sure that we provide quality medical billing and coding services that are ready for changes being pushed forward through ICD-10 implementation. We work with top PMS vendors that are current with 5010 compliance.

Call us today at 800-640-6409 and schedule a training Webinar with one of our training support specialists and stay up to date with all current updates in ICD-10.

Payer Contracting: Have You Reviewed?

A payer contract might be harming your practice. The content and verbiage of the contract itself should be able to protect you from amendments that the payer can suddenly implement. There are many ways this could harm you and unfortunately many physicians frequently overlook this important component. There are many changes in the contract that can constitute the breaking of a deal. So you have to be aware of what your practice might be getting into with a payer contract.

Is your collections rate about 95% or more? You should be receiving at least that amount for the medical billing at your office. Many practices bleed money because there is not a proper understanding of payer contracts. To bill accurately you need to understand who you are working with.

Medcare MSO offers:
A fee schedule
A ruled payment
Measurable criteria
Submission time frames
The Payer Contract Dissected

As a physician you understand that many insurance companies often standardize the contacted rate based on the area in which you are providing services. The language of the contract should of course reflect this. But, it should also be able to portect you with changes that might happen when the payer decides to suddenly shift gears.
What You Need To Walk Away From:

Changes in the number of permissible visits and the service dates
The procedure reduction and changes

When the payer is not working with you correctly that should be a red flag. Medcare MSO’s medical billing service begins with the contract not the first submission, so ensure that you have evaluated these contracts completely before you have signed off on them.

Contact Medcare MSO today to get your free demo!

Cost Effectiveness is EHR

Pediatricians are up to date on using many technologically advanced tools to ensure that patients are receiving the best practice that they could possible get. Items like scales, sphygmomanometers and more are often employed on a well check . However, in a recent study the Seattle Children’s Hospital has found that many pediatricians are seriously lacking when it comes to effective computer and IT systems.

In fact, the most recent findings conducted in November of 2012 only 3 percent of pediatricians were using a system that was functional and pediatric supportive. This is the lowest rate of all of the medical specialists. Compare the 3% rate to the self respited rate of 41% by other medical services and you can see that many pediatricians need to adopt the EHR use. According to Michael Leu, MD of the study “Even if the pediatricians are adopting the systems that they’re adopting don’t have the features that would really make the practice easier.”

The study also found:
3% of Pediatricians use EHR
19% use a basic system
6% only use a fully functional EHR

The largest factor for pediatricians was the financial barrier, but with Medcare MSO’s easily applied systems the cost is significantly lower.

The answer is easy Medcare MSO offers pediatricians what they need to ensure that they are using the most effect EHR systems. Staff at Medcare MSO are highly trained and consistently ready to answer questions.

Contact Medcare MSO today at to schedule a free demo.