Internal ICD-10 Readiness Plan

Per our Internal ICD-10 Readiness Plan, all of TCN’s coders are ICD-10 ready as of October 1, 2015. To accomplish this goal, TCN has used approximately 24 AHIMA certified ICD-10 trainers since December 31, 2014. These trainers have helped to teach our coding team as well as provide them with a resource should they confront any challenges in the new coding landscape.

All TCN coders are required to take both an AAPC ICD-10 overview class and the AAPC’s class for their specific specialty, if available. For the 40+ other specialties for which the AAPC does not offer training modules, TCN has either created our own specialty-specific content or looked to AHIMA and others for additional specialty courses. TCN coders certified by the AAPC were required to pass their ICD-10 Proficiency Assessment by March 31, 2014. Going forward, TCN coders will be utilizing Optum’s EncoderPro ICD-10 modules to verify coding and to reinforce our coders’ efforts.

TCN has been coding selected batches of our clients’ services using both ICD-9 and ICD-10 in the 1st Quarter of 2014. The batches are used for training and ICD-10 quality assurance purposes.  We will continue this process every month through September 30, 2015.

Latest Blog Posts:

  • mitchell-and-residents-730x564

Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims

November 5th, 2017|Comments Off on Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims

On July 21st, 2017, Jahan Imani, M.D., and Intermountain Medical Management, P.C., (IMM), a Utah based pain management specialist and his practice, entered into a $399,895.92 settlement agreement with OIG. This resolves allegations that IMM, […]

  • New York Spine and Wellness Center

Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services

November 1st, 2017|Comments Off on Syracuse Area Medical Practice Improperly Billed for Moderate Sedation Services

New York Spine and Wellness Center (under the umbrella of New York Anesthesiology Medical Specialties, P.C.) agreed today to pay $1,941,850.29 to resolve allegations that it improperly billed for moderate sedation services.

Read the full story […]

  • wachler-associates

Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target

September 5th, 2017|Comments Off on Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target

An announcement came back in back in October 2016 from the Centers for Medicare & Medicaid Services (CMS). It announced that it had awarded to various entities the next round of contracts to serve as […]

  • GenericFraudHFN_27

Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million

September 1st, 2017|Comments Off on Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million

Along with 14 of its member shareholders, Fredericksburg Hospitalist Group has agreed to pay nearly $4.2 million to settle a federal False Claims Act case brought under the qui tam whistleblower provisions of the FCA.

Read […]