Welcome to Five Minute Practice Fix, featuring instructional videos by physician and business of medicine expert Neil Baum, M.D. These videos are 5 minutes (this one is a bit longer) in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices.
Today's episode focuses on fine-tuning your practice's operations to get it functioning perfectly, or at least almost perfectly.
About Neil Baum, M.D.
Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana. Dr. Baum is the author of Marketing Your Clinical Practice-Ethically, Effectively, and Economically, which is in its 4th edition, has sold over 175,000 copies and has been translated into Spanish. He has also written The Complete Business Guide to a Successful Medical Practice, which was published in 2015. He has written a book, What’s Going on Down There? which has served as a guide for women’s health. He has written ten books on practice management and the business of medicine.
Dr. Baum was the columnist for American Medical News for more than 25 years. Dr. Baum wrote the popular column, The Bottom Line, for Urology Times for more than 20 years. He has authored or co-authored over 250 articles that have appeared in peer-reviewed medical publications on various urologic topics as well as articles on practice management.
Dr. Baum has recently published a book, The Business Basics of Building and Managing a Healthcare Practice,(Springer 2019), which emphasizes the importance of being involved in the business of a medical practice.
New ICD-10 codes to know before October
What are the new documentation codes for 2023?
Answer: The Centers for Disease Control and Prevention (CDC) issued the 2023 ICD-10-CM code updates on June 9, 2022, which include 1,176 new, 28 revised, and 287 deleted codes to be used for patient encounters and discharges occurring from October 1, 2022 through September 30, 2023. They apply to all insurers, whether you’re billing Medicare, Medicaid, Tricare or a commercial payor.So let’s breakdown the revisions, deletions, and additions to help you get prepared.
New Dementia Codes
An expansion of the dementia codes came from a request in the Centers forDisease Control’s (CDC) September 2021 ICD-10-CM Coordination and Maintenance Committee Meeting, the National Minority Quality Forum (NMQF) requested an expansion of the dementia codes to include the stage and severity and identification of behavioral and psychological symptoms of dementia.According to the NMQF, “Both of these clinical elements are major factors in patient management strategies.”As a result, the 2023 ICD-10 code set now includes nearly 100 new codes related to dementia.You’re now able to report conditions like vascular dementia (F01.5-F01.C4), dementia in other diseases (F02.8-F02.C4), and unspecified dementia (F03.9-F03.C4).
new guidelines for reporting dementia emphasize that providers must clearly document the severity of the patient’s condition. If the documentation is incomplete, the coder should query the provider or default to the appropriate unspecified code. The updated guidelines also instruct that if a patient with dementia is admitted to an inpatient facility and gets worse during their stay, the coder should assign the highest severity level reported during the stay.
the CDC meeting, the Committee gave the following clarifications to help determine the dementia stage.
Mild dementia: “Clearly evident functional impact on daily life, affecting mainly instrumental activities. No longer fully independent/requires occasional assistance with daily life activities.”
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