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1. DECEMBER 2012
Inside
IN THIS ISSUE
1.1
UNDERSTANDING THE
OFFICIAL GUIDELINES
FOR ICD-10 CODING &
REPORTING
1.2 Understanding the Official Guidelines for
MINIMIZING YOUR
AUDIT RISK
ICD-10 Coding & Reporting
2.3 ICD-10 Coding and Reporting guidelines are provided by
WHAT ORTHOPEDISTS
CAN EXPECT FROM A National Center for Health Statistics (NCHS) and Centers for
QUALITY EHR Medicare and Medicaid Services (CMS) - agencies within the
2.4 Department of Health and Human Services (HHS) of US
7 THINGS YOU NEED TO Federal Government. The guidelines are aimed to be used as
KNOW ABOUT GEMS
(GENERAL a guide for the official version of ICD-10-CM (Clinical
EQUIVALENCE Modification) to classify reasons for visits and diagnoses in
MAPPINGS)
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 (RAC) audits now
include office visit claims and E and M coding. Much of this
F I R T Y increased scrutiny comes from suspicions from CMS that EHR
programs have contributed to rising Medicare costs because
(855) RING-HIS it’s easier to charge more for services using them.
350 S. Northwest Highway
Suite 200
Why Has Upcoding Become Such a Problem? Click here to
Park Ridge, IL 60068
learn more now.
www.healthinfoservice.com
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