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…
ICD-10 Training Leaves Health Care Leaders “Shell Shocked”
Many health care leaders believe that their organizations have the move to the new medical coding standard ICD-10 under control. Then they attend a training session. "When we complete the training, many organizations are shell shocked," said an executive with a leading ICD-10 training firm. Most have completely under estimated the time, cost, and skills required to perform the ICD-10 conversion and implementation.
Patient Protection and Affordable Care Act (PPACA) Will Not Save Costs
The Patient Protection and Affordable Care Act (PPACA) contains many beneficial provisions but that will not help solve the problem of rapidly rising costs any time soon.
HIPAA Privacy, Security, and Enforcement Rules
Modifications to the HIPAA Privacy, Security, and Enforcement Rules Under the Health Information Technology for Economic and Clinical Health Act The Department of Health and Human Services (HHS) is issued…
Health Care Reform Legislation Costs – PPACA
While health care reform will help achieve a historic increase in access to health care services for millions of Americans, this public policy advance comes at a cost. Mercer, the benefits consulting…
Health Care Reform is a Journey Not an Event
The recent passage of national health care reform legislation is an important milestone in the process of moving toward providing millions of Americans with access to health insurance. However, significant…
ICD-10 Implementation – CMS Says “All States at High Risk”
Today at the WEDI ICD-10 Forum in Fairfax Virginia, Robert L. Guenther, Technical Director for the U.S. Department of Health and Human Services at the Centers for Medicare and Medicaid Services concluded that "All States are at high risk" in terms of their ability to complete CMS requirements at a state level to implement ICD-10. The key issue will focus not on technical, IT oriented approaches but on leadership
Meaningful Use Final Rule Offers Some Changes and Flexibility
Health and Human Services (HHS) released the final rule on meaningful use on Tuesday July 13, 2010. The 864-page final rule, which is many weeks late from the expected delivery…
Health Care Reform Update: Consumer Portal Launched, Consumer Concerns Grow
With the first of many key health reform implementation dates arriving on July 1, The New York Times noted that the health care overhaul's beginnings were earning high reviews from some constituencies. The Obama Administration celebrated the…
Meaningful Use Final Rules Go to ONC
Meaningful use health care IT rules go from CMS to ONC for review
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