ICD-10 Benefits Pharmaceutical and Medical Device Companies

ICD-10 (International Classification of Diseases version 10 developed by the World Health Organization or WHO) code set has the potential to bring new analytical capability to pharmaceutical and medical device…

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ICD-10 and DSM-5 for Behavioral Health

There are relatively few increases in ICD-10 codes in behavioral health relative to high impact specialties such as Orthopedics. There are 27 ICD-9 codes for Anxiety Disorders and 47 codes under ICD-10 for example, vs. thousands of code changes in some specialties. Therefore, some behavioral health providers assume in error that because there are fewer codes that the ICD-10 transition has little impact on their organization, which is not true.

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ICD-10 Impacts Case Management and Case Management Reporting

When thinking about ICD-10 program governance, one of the key areas for both traditional Fee for Service (FFS) medicine and the transition to episodic (short-term) and longitudinal data for comparative effectiveness medicine in the Affordable Care Act is the Case Management process and supporting software and reports.

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ICD-10 impacts to providers – Scheduling : Preauthorizations and Certifications

Does your organization have Standard Operating Procedures (SOPs) that use ICD-9 CM diagnosis or ICD-9 procedure code information? If so, those procedures and systems need to be evaluated as part of the ICD-10 Impact Assessment.

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ICD-10 for Orthopedics – Fracture Concepts, Specificity, Laterality and Documentation

ICD-10 for Orthopaedics ICD-10 for orthopedics includes the most number of codes, however, orthopedics concepts such as laterality (left, right) type of fracture, the severity of the fracture, issues such…

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ICD-10 Consulting Must Be More than IT and Training – Clinical Documentation, Physician Engagement Key

ICD-10 consulting - clinical documentation should start with analytics that look retrospectively at ICD-9 CM and ICD-9 procedure codes to see how DRGs, documentation of medical necessity are working today.

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Get Ready for Obamacare

On October 1, 2013 Health Insurance Exchanges (aka Insurance Marketplaces or HIX) will start operating. Here is an overview of some of the things consumer can expect. Click the "play" icon to view a presentation from Kaiser Family Foundation. "Obamacare" is short for the Patient Protection and Affordable Care Act. Our firm specializes in Obamacare HIX and Accountable Care Organization (ACO) Strategies, and healthcare economics related to disruptive standards such as ICD-10, Meaningful Use of Electronic Health Records, and CORE Operating Rules.

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