1. DECEMBER 2012
Inside
IN THIS ISSUE
1.1
UNDERSTANDING THE
OFFICIAL GUIDELINES
FOR ICD-10 CODING &
REPORTING
Understanding the Official Guidelines for
1.2
MINIMIZING YOUR ICD-10 Coding & Reporting
AUDIT RISK
ICD-10 Coding and Reporting
2.3
WHAT ORTHOPEDISTS guidelines are provided by National
CAN EXPECT FROM A Center for Health Statistics (NCHS)
QUALITY EHR and Centers for Medicare and
Medicaid Services (CMS) - agencies
2.4
7 THINGS YOU NEED TO within the Department of Health and
KNOW ABOUT GEMS Human Services (HHS) of US Federal
(GENERAL Government. The guidelines are
EQUIVALENCE
MAPPINGS)
aimed to be used as a guide for the
official version of ICD-10-CM
(Clinical Modification) to classify
reasons for visits and diagnoses in
health care settings and ICD-10-PCS (Procedure Coding System) which
relates to in-patient hospitals only. How is ICD-10 different from
ICD-9?
Click here to continue reading.
Minimizing Your Audit Risk
Recent changes with CMS audits have
certainly caused a good deal of attention.
CMS is now using a very large
magnifying glass, searching earnestly for
any signs of fraud from upcoding.
Additionally, Recovery Audit Contractors
F I R T Y (RAC) audits now include office visit
claims and E and M coding. Much of
(855) RING-HIS
this increased scrutiny comes from
350 S. Northwest Highway
suspicions from CMS that EHR programs
Suite 200
have contributed to rising Medicare costs because it’s easier to charge
Park Ridge, IL 60068
more for services using them.
www.healthinfoservice.com
Why Has Upcoding Become Such a Problem? Click here to
learn more now.
HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com

2. DECEMBER 2012
What Orthopedists Can Expect from a Quality EHR
There's been a lot of talk of EHR solutions and concerns, about
how it's expected to completely overhaul the medical field. It is
true that these systems will impact practices, especially
orthopedists that face unique challenges seeing a high-volume of
patients. It would be unacceptable for an EHR to slow you down
resulting in lost patient volumes and revenue.
If you partner with a system that understands your specialty and
has a proven track record in Orthopaedics, you may see the
overall benefits of implementing the right EHR in three main
areas.
Learn more about what you can expect from a quality EHR.
7 Things You Need to Know About GEMs
(General Equivalence Mappings)
General Equivalence Mappings or GEM as it is popularly
called comes into use if you are looking to translate lists of
codes, coded data or code tables while converting a system
or any other application containing ICD-9-CM. GEM is
developed as an essential tool to assist conversions of
ICD-9-CM (International Classification of Diseases, 9th
Edition, Clinical Modification) to ICD-10 (International
Classification of Diseases, 10th Edition) and vice-versa.
Read more now.
Have Questions? We’re happy to help.
Healthcare Information Services (HIS)
(855) RING-HIS
350 S. Northwest Highway, Suite 200
Park Ridge, IL 60068
www.healthinfoservice.com
F I R T
Y
HEALTHCARE INFORMATION SERVICES, L.L.C www.healthinfoservice.com