GLMS News is a monthly
publication of the Greater
Louisville Medical Society
101 W. Chestnut Street,
Louisville, KY 40202
(502) 589-2001
Fax (502) 581-9022
www.glms.org.
GLMS News reserves the
right to make the final
decision on content and
advertisements.
GLMS NEWS STAFF
RESIDENTS CONTINUED
Gregory Jones, MD, of Kentucky Recovery spoke
about the dangers of high stress and what to look
for in fellow physicians who might be suffering
or abusing substances. Campus Mental Health
Services Executive Director Gordon Strauss, MD,
followed, talking about some of the outdoor activities and artistic opportunities Louisville has
to offer. The new residents also heard from other
speakers including House Staff Council President
Dr. Matt Bertke.
KMA President and Lexington physician David
Bensema, MD, echoed Dr. Couch’s sentiments
about the value of organized medicine saying,
“Your voice is stronger when it joins with your
colleagues across the state.”
He encouraged each incoming physician to be a
leader in their practice, hospital and community.
“These associations stand for our profession and
you can make a statement when you join that we
are stronger together than apart. It has been a
joy to be in organized medicine. I hope it will be
for you as well. Physician led, now and always,
welcome to the team.”
Following the orientation, 100 residents signed
up for GLMS and KMA membership.
Lelan Woodmansee, CAE
Executive Director
[email protected]
Bert T. Guinn, MBA, CAE
Associate Executive Director
[email protected]
Kate Williams
Communications Designer
[email protected]
Aaron Burch
Communications Specialist
[email protected]
ADVERTISING:
Cheri K. McGuire
Director of Marketing
[email protected]
MEMBERSHIP
STATUS
As of June 2015, active GLMS
membership numbered
1,936, which is 79 percent
of physicians practicing in
Jefferson County.
View Additional Photos from
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Find Kudos about Member
Achievements:
www.glms.org.
Click Media, then Kudos.
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ICD-10 REMINDERS AND TIPS
Physicians and office staff have heard over and
over that you must use only ICD-10 codes for dates
of service on or after October 1, 2015. Here is a list
of some things you might not know about ICD-10
implementation:
1. Workers Compensation, property and casualty, and auto claims payers are not covered
entities under HIPAA, so they do not have to
transition to ICD-10 although they are encouraged to do so since ICD-9 will no longer
be updated.
2. Identify the most-used and most critical ICD9 codes for your practice and develop a list
of corresponding ICD-10 codes. While it is
true that there are around 68,000 ICD-10-CM
codes, your practice will not be using all of
them.
3. Review current clinical documentation to ensure it meets ICD-10 requirements. Claims
without proper ICD-10 coding will be pended,
denied or rejected. A large number of ICD-10CM codes only differ in one parameter such
as etiology, anatomic site, manifestation, severity, laterality, episode of care or trimester.
Complete and accurate physician documentation must be recorded in the medical record
in order for the proper code to be selected.
4. Conduct end-to-end testing with software
vendors, health plans, clearinghouses and
billing services. Monitor the results of the testing and correct any issues identified. Providers that still submit paper claims to a clearinghouse for conversion to an electronic format
may want to contact them to determine if/
how the claim submission workflow will be
impacted by the switch to ICD-10.
5. Test the pre-authorization process for all payers. Some of the larger payers are already
accepting pre-authorization requests for
services scheduled after October 1. Providers will need to ensure this process is able to
be completed using ICD-10 codes or identify
changes that need to be made in the process
before implementation begins.
6. Track and monitor reimbursements closely after October 1. Conduct periodic coding audits
to ensure required information is being captured through the process. In reality, providers
may experience a loss of productivity, staffing issues (loss, overtime, etc.) and problems
from vendors or payers resulting in decreased
cash flow. Practices should determine if there
are opportunities to improve revenue cycle
management to create a cash safety net. Experts are recommending a contingency plan
that prepares for at least a three month payment delay. It may be a good idea to secure
lines of credit for payment interruptions. This
is not the time to approve bonuses or raises.
Wait until after January 2016 to review.
7. CMS announced that as long as PQRS, Value
Based Payment Modifiers or Meaningful Use
codes are submitted from the appropriate
“family” of ICD-10 codes, providers will not
be penalized for the first year that ICD-10 is
in place.
GLMS MISSION - Promote the science, art and profession of medicine; Protect the integrity of the patient-physician
relationship; Advocate for the health and well-being of the community; Unite physicians regardlessGLMS
of practice
setting
2
NEWS
JULYto
2015
achieve these ends.