Tag: transition
ICD-10: Providers brace for disruptions from physicians, payers
September 18, 2015Tracy Orzel
YARMOUTH, Maine - About half of the respondents to a recent HME NewsPoll (55%) say they're ready for the transition to ICD-10 on Oct. 1. The bigger question: Are physicians and payers?A whopping 70% of respondents say they expect some disruption in cash flow as physicians and payers navigate the new code set.“(The transition) won't disrupt cash flow through our fault, but who knows what will happen at the insurance companies,” said Janet Tersoff, billing supervisor at New Hampshire Pharmacy...
Confusion permeates RAC transition
March 21, 2014Theresa Flaherty, Managing Editor
YARMOUTH, Maine - The first few weeks of CMS's wind-down of audits by the current group of recovery audit contractors (RACs) have brought confusion to some providers.
Provider Ron Evans says, although the volume has declined in March, he's still receiving additional documentation requests (ADRs).
“We've gotten about 20 pre-pay reviews for oxygen and complex medical reviews for CPAP,” said Ron Evans, owner of Valley Respiratory Services in Phoenix, Ariz. “They are...
ICD-10 lurks in shadows
March 21, 2014Liz Beaulieu, Editor
WASHINGTON - It may not be the documentation change grabbing headlines, but the transition to ICD-10, scheduled for Oct. 1, will still muck up the process for HME, industry consultants say.The biggest misconception that providers have about ICD-10, they say: that there will always be an easy, one-to-one transition from ICD-9 to ICD-10.“If we think we can just pick a code in the crosswalk, we can't,” said Sarah Hanna, president of ECS Billing & Consulting North. “It will be important...