New ICD-10 code set and Oncology practices

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New ICD-10 code set and Oncology practices
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Title
Todays oncology practice works with
patient-facing services with not just medical
knowledge but also with much awareness and
compassion. This requires time and effort from
the attending physician. Thus besides delivering
medical care, physicians have a facility to run
and for this, revenue cycle management is
critical.
www.medicalbillersandcoders.com
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Title

• With healthcare reforms, new and challenging
  medical guidelines and changing codes, compliance
  is becoming a major hurdle to patient care and
  revenue generation.
• Moreover, reimbursement for medical and radiation
  oncology is also under attack by CMS and other
  payers.
• In addition to this is the scrutiny by CMS and
  OIG related to intended or non-intended
  overpayments, which is all leading to increased
  costs and risks associated with oncology billing
  and coding services.

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Title

• Certain precautionary measures are advised for
  oncologists to help maintain a steady revenue
  cycle
• Play close attention to pre authorizations
• Payer medical Policies
• Validation of medical necessity denials
• When documenting- laterality when coding needs to
  be now coded, including identification of certain
  diagnoses that need additional coding to further
  explain symptoms, history of the disease or
  origin.
• Careful review of the proposed fee schedule
  besides specific EM codes or procedure codes

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info_at_medicalbillersandcoders.com
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