Value Based Care Regulations Yield Physician Discontent, No Change in Behavior

Clinicians are in a knowledge management crisis – massive amounts of data but getting the right information to clinicians, IT personnel and others at the right time is the challenge. What was missing from the RAND report were biomedical informatics perspectives.

Continue Reading Value Based Care Regulations Yield Physician Discontent, No Change in Behavior

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.

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

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.

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

ICD-10 Readiness Compromised by ICD-10 Revenue Cycle, Analytics Vendors

We find that most analytics and revenue cycle companies are ignoring the future role coordinated medical coding will have, the transition to ICD-10, and the clinical documentation and processes on the revenue cycle. The ICD-10 transition will re-write the book on revenue cycle management (RCM). RAC audits and Electronic Medical Records (EMRs) will be subject to a new paradigm with ICD-10.

Continue Reading ICD-10 Readiness Compromised by ICD-10 Revenue Cycle, Analytics Vendors