ICD-10 Transition and Medical Policy
ICD-10 creates challenges for health plans who want to transition successfully from ICD-9 with respect to defining and redefining medical policy. This presentation addresses best practice approaches
ICD-10 Global Lessons, More on Parallels with Canada and Australia
ICD-10 under the U.S. health system is new, so many are looking for parallels and lessons learned from other countries. In a recent blog, we noted that there are many reasons that the U.S. implementation of ICD-10 will be different. In particular ICD-10 CM is larger than the WHO version of ICD-10, and in the U.S., ICD-10 will serve as a new reimbursement paradigm, unlike Canada. However, as we noted there is one big similarity - more planning is always better.
Skilled Nursing Resource Utilization Group Classifications
The Resource Utilization Group Skilled Nursing Standard (RUG, or currently RUG-IV) classification system has eight major classification categories: Rehabilitation Plus Extensive Services, Rehabilitation, Extensive Services, Special Care High, Special Care…
ICD-10 Transition Training and Consulting – Speaking from Experience
ICD-10 assessments should start with a thorough understanding of how to communicate, educate, train at all levels. Here are some topics our team can speak to for your organization including “ICD-10 Organization Strategy” and “ICD-10 and Business Continuity Planning” We have given many presentations throughout the US in the past year.
ICD-10 Implementation and Risk Planning
ICD-10 implementations, ICD-10 implementation consulting and ICD-10 risk management have been more popular topics on our blog so I am sharing an excerpt of slides I prepared for a recent industry conference near Washington DC the Workgroup for Electronic Data Interchange (WEDI).