ICD-10 Transition and Medical Policy

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ICD-10 Transition and Medical Policy

ICD-10 creates special challenges for the business rules of health plans.  Core business rules based on ICD-9 must be re-expressed in ICD-10.

This presentation addresses ICD-10 issues in a way that helps elevate the conversation from translating codes to translating policy.  For health care providers, understanding ICD-10 and medical policy of health plans can help in contracting discussions.

By | 2017-05-04T04:06:54+00:00 August 29th, 2011|ICD-10, ICD-10 Assessment, ICD-10 Implementation, ICD-10-CM|0 Comments

About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, Stanford Medical School - Biomedical Informatics, Harvard Law School - Bioethics.
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