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Are you receiving reimbursements owed to you?

Jun 06, 2014
Encourage your staff to register for the fully online Associate of Applied Science in Healthcare Information Technology –specializing in Coding, a program of the BHS School of Health Professions.

With ICD-10 delayed by yet another year, it may be a good time to polish your ICD-9 late effects coding skills. Not only will this help improve your reimbursement when addressing and treating late effects, but it will also teach you coding conventions that you’ll have to know under ICD-10 as well. But choosing late effects codes isn’t always an easy task.

Strategies such as using keywords to detect late effect, assigning secondary diagnoses, following other rules for stroke coding, describing unnamed CVA conditions - can support your physician’s services more accurately and therefore increase the odds to collect your full fee.

Moreover, in its May 12 Federal Register posting, the OIG proposed changes to the Civil Monetary Penalties regulations to add penalties, assessments and exclusions for five additional reasons. This means that you could potentially face financial penalties, or even exclusion, if the OIG requests your records and you don’t submit them in a timely manner.

The OIG’s proposal also suggests increasing the amount that you’ll be fined if you fail to report an overpayment within the later of A) 60 days after the date the overpayment is identified or B) the date of any corresponding cost report due. The proposed default penalty for this in the OIG’s new document is listed as “up to $10,000 for each day a person fails to report and return an overpayment by the deadline.” (Adam Allen, Coding Institute.org., June 2, 2014)

An educated well-trained professional workforce is the best defense.

Baptist Health System School of Health Professions (member of Tenet family). Enrollment for Fall Semester is open now! Please visit www.bshp.edu for more information and to apply.

If you are a member of the News Media, please contact Ashley Cardenas, Director of Public Relations at 210-297-1000 (office) or 210-837-2983 (cell).