5010 in the Rearview Mirror | AdvancedMD

Features Navigation

Live Chat (800) 825-0224 Live Demo

← Back

5010 in the Rearview Mirror

Public Policy

I have spent the past couple months reflecting, watching claim statistics across our client base and reading the latest of industry news. It never surprises me that planning and statistics can only take the pursuit of knowledge so far. There is no replacement for hands on, in the trenches, experience.

A discovery over the last month or so was that the claim statistics for exclusions (clearinghouse), rejections (carriers) and denials (carriers) across our client base were holding within pre-5010 ranges. While encouraging news, I couldn’t quite get thoughts on paper to post to this blog.

As it happened a quarterly meeting with our Product Advisory Group was scheduled in April, so we put the topic on the agenda to show the advisors the statistics and get their thoughts. It was apparent early on in the conversation that while the day to day claim submissions are statistically back to normal, in the trenches of the day to day, there is still ongoing cleanup. The providers submitting the claims for their services are left with above average clean-up and claim chasing as a result of all healthcare parties adjusting their systems/edits during the transition to 5010. I estimate that those in the trenches won’t feel relief/settling for another month. If you are still in the middle of the claim chase, stay with it, there is an end in sight. Just in time for summer vacations!



Topic: Public Policy


Other Resources Related to This Topic


Public Policy

HIPAA Compliance: Simple ways to protect your practice

In this recorded webinar, we’ll explore simple ways to protect your practice from a data...

MACRA/MIPS

MACRAnyms

Learn the most common acronyms used in the MACRA final rule. More than 75 of...

MACRA/MIPS

MACRA/MIPS 2021 Overview: What you need to know in 5 minutes

MACRA and MIPS are important parts of the overall compensation picture for many physicians. And...

“The money I have invested in AdvancedMD is miniscule compared to the return. I have never been more efficient – ever – in my professional life as I am now.”

Jed Shay, MD
The Pain Care Center

Read the story  ›

“[Our] patients are very well-educated and well-informed, and they want to see results quickly. The practice has to run extremely efficiently and be accessible to them. The nice thing about [AdvancedMD] is it has allowed me to be more efficient both in and out of the office. Now I don’t have to come back into the office, which is great for my family and everything else. It saves me a lot of time – probably an hour a day on the three days I work in the second office.”

Keith Berkowitz, MD
Center for Balanced Health

Read the story  ›

“The best thing I ever did in private practice was getting AdvancedMD—it has liberated me.”

Estaban Lavato, MD
La Loma Medical Center

“Having integrated practice management and EHR is absolutely wonderful, you don’t have to flip back and forth between systems—all of your information is at hand when needed.”

Raju Raval, MD

Read the story  ›