ICD-10 Consulting Shift to Testing and Revenue Impacts

ICD-10 consulting will shift to testing and revenue cycle impacts in the next few months. Testing is the only way to ensure business continuity.

Continue ReadingICD-10 Consulting Shift to Testing and Revenue Impacts

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…

Continue ReadingICD-10 Benefits Pharmaceutical and Medical Device Companies

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

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…

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

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

ICD-10 Financial Risk Assessment and Data Quality – Why You Need it and How to Get Started

Summary financial risk information Financial impact data by physician, coder , facility, specialty, to prioritize training and staffing decisions Encounter-level analytics to prioritize clinical documentation improvement process, testing, and compliance activities Payor contract data organized by reimbursement variations Code-level analysis to drive remediation Trending and ICD-10 financial risk benchmarks

Continue ReadingICD-10 Financial Risk Assessment and Data Quality – Why You Need it and How to Get Started

ICD-10 and Oncology – How ICD-10 CM Impacts Cancer Registries – Commission on Cancer Participants

If you are in a CoC hospital registry, you are also collecting complications and co morbidities, which are ICD-9-CM codes. These codes will be replaced by ICD-10-CM.

Continue ReadingICD-10 and Oncology – How ICD-10 CM Impacts Cancer Registries – Commission on Cancer Participants

ICD-10 date confirmed for October 1, 2014 – Move Ahead with ICD-10 Implementations

Finally, uncertainty about ICD-10 is lifted. "...rule changes the compliance date for the ICD-10-CM and ICD-10-PCS medical data code sets (hereinafter "code sets") from October 1, 2013 to October 1, 2014."

Continue ReadingICD-10 date confirmed for October 1, 2014 – Move Ahead with ICD-10 Implementations

ICD-10 – Let’s Get On With It

We do not support a delay in ICD-10. The delay hurts not only those who have invested dutifully to meet the CMS mandate on time, but it hurts independent contractors, small businesses, and Healthcare IT vendors who fill knowledge gap in Covered Entities who don't have the staff internally to meet this mandate.

Continue ReadingICD-10 – Let’s Get On With It

ICD-10, Electronic Medical Records, Analytics May Work Only 65% Of the Time – Or Not at All

Health care providers should ensure that the EMR vendor is on track toward ICD-10 compliance, however they should not rely on their EMR vendor as the panacea. Most hospital systems we work with have many more ancillary systems in radiology, etc. that are also impacted, and the EMR isn't the core system of record (yet) for everything that goes on in a hospital.

Continue ReadingICD-10, Electronic Medical Records, Analytics May Work Only 65% Of the Time – Or Not at All