Reflecting the increasing complexity of hospital/private practice relationships, this case study is based on true events, modified to protect the innocent. Does your practice find itself in a similar situation as our main characters?
As many practices move from planning for to actually implementing the new code set for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), a few things are strikingly apparent. The transition from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to ICD-10-CM is not about the coders, it is not about ensuring that your software vendor has loaded the new code set.
Drawing closer to the end of my professional career, I have watched the world change dramatically with the onset of the space age, computers, calculators, and much more. But after watching all of these changes for decades, I don’t believe that all of them have given us the best results, for the average human brain, with respect to thinking.
Oncology is being actively managed by many entities, and in quite different ways. How will oncology practices and practice managers adapt, compete, and succeed in this fractured world? The first step is to look at the specialty through these many prisms and understand what gaps you might be able to fill.
The healthcare market has begun to redefine or change the qualifications of the care coordinator/manager. This new definition is not being driven by the new care models, service changes, or qualifications. Simply put, it is because of financial reimbursement, government regulation, and subsidies.
The recent decision by the Centers for Medicare and Medicaid Services (CMS) to broaden coverage of fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) imaging in patients who have been treated for tumors has been welcomed by many in the oncology community, although the decision is not without its critics.
Outsourcing your billing can be a great decision.
We all know that the federal government is back in business, but what is less clear is the long-term impact the shutdown may yet have on the oncology community. The House and Senate recently passed a continuing resolution to fund the government through January 15, and raise the debt ceiling until February 7.
A practice manager is a key point person for relaying information on clinical trials to the physicians, nurses, and navigators in the oncology practice.
The following sections will assist healthcare professionals and payers by providing appropriate coding and billing information associated with the treatment of prostate cancer.
Effective September 23, 2013, your practice (whether hospital- based or private) is now required to have adopted changes to your current Health Insurance Portability and Accountability Act (HIPAA) policies and procedures.
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