Claims Processing

Conventional wisdom says that too many ICD-10 codes will make it harder for clinicians and medical coders to do their jobs. Some studies suggest a 50 percent or more drop in productivity. But is this an underestimation of the problem?

A disconnect occurring in the fraud identification process used by CMS could mean that legitimate claims may be flagged as possible fraud.

If you haven't figured out an ICD-10 transition budget yet, it may be too late. But it's a good idea to get a handle on what it will cost you. Better late then never.

Abbott Laboratories has agreed to pay the United States $5.475 million to resolve allegations that the company violated the False Claims Act by paying improper kickbacks to induce doctors to use some of its products.

While the past year was relatively tame regarding ICD-10, at least in regard to the mad scramble some expect leading up to October 1, 2014, there were some significant developments.

Administrative errors resulting from adjusting to new policies has led to an increase in the improper payment rate for Medicare, the Department of Health and Human Services disclosed in its annual financial report.

I don't mean to pick on healthcare IT vendors, but they're going to be in for some tough criticism in 2014, according to the results of a Workgroup for Electronic Data Interchange ICD-10 survey.

Deborah Essex of Aspen Valley Hospital explains how incentives led to increased patient collections for the Colorado-based facility.

"This is only a test" is one of those phrases meant to put people at ease. But when it comes to ICD-10 testing, maybe healthcare providers shouldn't be at ease.

If hospitals and health systems do not get buy-in from their physicians, the ICD-10 transition may be hazardous to the health of the organization. Here are five tactics that will help.