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.

Continue ReadingICD-10 Impacts Case Management and Case Management Reporting

ICD-10, Case Management, Revenue Cycle Management, RAC Audits, and Dual Eligbles

Case Management should benefit the entire system, bridging clinical and financial ares of healthcare. Underlying Case Management processes are a number of functions. Case Management also relies on specific diagnosis codes. If hard-coded information or ICD-9 specific methods of capturing this information are in Case Management Systems, they will need to be remediated or replaced to support ICD-10.

Continue ReadingICD-10, Case Management, Revenue Cycle Management, RAC Audits, and Dual Eligbles