ICD-10 Implementation Train Wreck

health care providers must be proactive in understanding a strategy to avert potential disasters in their reimbursement system. With the thin margins that most hospitals already operate on, we believe this will be one of the most important aspects of implementing ICD10. ICD-10 is not just a new diagnostic system of coding; it is more importantly a new reimbursement system.

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Skilled Nursing Facility Reimbursement is Dependent on Resource Utilization Groups

The Balanced Budget Act of 1997 included the implementation of a Medicare Prospective Payment System (PPS) for skilled nursing facilities (SNFs) and hospitals with a swing bed agreement, consolidated billing,…

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