Enabling Borderless Health Care
During our year-end strategic planning session we broadened our company's footprint to more accurately describe what we do. We explain the current market landscape and how we as well as…
Health Care Reform Violates U.S. Constitution, CMS Rules Still Apply
The law's requirement for most Americans to carry insurance is unconstitutional, and is not within Congress' power to punish American citizens who do not comply. That was the decision by…
Accountable Care, HEDIS Quality Measures and ICD-10
The U.S. Department of Health and Human Services and CMS provided incentives which will improve the top line reimbursements starting 2012, but to realize this benefit, HEDIS Star Quality Rating…
Politics, Medicaid, and Mandates for ICD-10 Implementation
In light of new regulatory measures, health plans and providers need smart strategies comply with ICD-10 and the underlying EDI standard HIPAA 5010. An Assessment and Implementation plan developed by your in-house team in collaboration with experienced advisors is one good way to reduce the risk of spending more than you have to to meet these mandates by October 1, 2013.
First Federal Case Challenges Health Care Reform, ICD-10 Implementations Pick up Momentum
Work is begging to pick up steam, as more payers and providers initiate ICD-10 assessments.
Private Equity Investment in ICD-10 Solutions and Vocabulary Services Firm
No World Borders, Inc, a leading healthcare management and IT consulting company closed its second private equity investment round led by Palos Verdes Venture Partners (PVVP) based in Los Angeles, CA.
ICD-10 Implementation and Medical Management
Medical management under ICD-10 will require a new view of clinical data and an audit trail from ICD-9 to ICD-10. Implementing ICD-10 is more than just an IT effort.
ICD-10 Implementation Train Wreck
health care providers must be proactive in understanding a strategy to avert potential disasters in their reimbursement system. With the thin margins that most hospitals already operate on, we believe this will be one of the most important aspects of implementing ICD10. ICD-10 is not just a new diagnostic system of coding; it is more importantly a new reimbursement system.
ICD-10 Implementation Best Practices
Revenue impact of ICD-10
ICD-10 Diagnosis Codes & Procedure Codes
Benefits of using ICD-10 procedure codes, review of ICD-9 procedure codes and the issues for health care providers and payers
Skilled Nursing Facility Reimbursement is Dependent on Resource Utilization Groups
The Balanced Budget Act of 1997 included the implementation of a Medicare Prospective Payment System (PPS) for skilled nursing facilities (SNFs) and hospitals with a swing bed agreement, consolidated billing,…
Health Care Reform Updates at the Federal and State Level
Federal Health insurance firms organized meetings with the Federal government to discuss the pending HHS program to waive the annual limit requirements under PPACA for certain qualifying plans. Without such…