Global Lessons: Planning and Preparation are Keys to ICD-10 Success
Here is a summary of lessons learned from the Canadian experience with ICD-10 implementations and also importantly where the two implementations differ.
Headline News in Healthcare is About Cost, Paperwork Reduction Rules Expected
This is a first step toward implementation of an Affordable Care Act provision that cuts red tape in the health care system. HHS estimates this will save $12 billion over ten years. Whether a patient is eligible for coverage The status of a health care claim submitted to a health insurer
EHR Interoperability Standards
Electronic Health Records (EHR) or Electronic Medical Records (EMR) integration approaches depend on the strategy and priority in exchanging patient information between various healthcare applications, and the standards available:
ICD-10 Implementation Approaches: Penny Wise and Pound Foolish
Some health care organizations are now looking for "...A good ICD-10 project manager..." to lead the ICD-10 effort. This appears for some to be budget driven. Rather than retain an…
Medical Loss Ratio Provision of the Affordable Care Act – Less For ICD-10 and Other Reform Issues
on November 22, 2010 the Obama Administration's regulation implementing new standards for the “medical loss ratio” provision of the Affordable Care Act will make the insurance industry more transparent and is intended to enable consumers to purchase health insurance that provide more value for every dollar paid for premiums.
ICD-10 Implementation and Medical Management are Co-mingled with Revenue Cycles
Implementing ICD-10 is more than just IT. Medical management under ICD-10 will require a new view of clinical data and an audit trail from ICD-9 to ICD-10. An ICD-10 assessment from a knowledgeable company can help show where opportunities are for your company.
ICD10 – Don’t Delay, Make Sure You Do an Assessment
Many providers and hospitals are putting off ICD-10 conversions, because they are already struggling with EHR and meaningful use. Funding is another challenge. Durel has heard from people who don't think ICD-10 is a big deal. He thinks otherwise. "... if you don't get it right, you're not going to get any bills out after Oct. 1, 2013," Durel said.
Healthcare
Y2K Problem
ICD10 – Companies To Gain From Health Care’s ‘Y2K’ Problem
"Some venture-backed companies that serve hospitals and health insurers are getting a boost from what analysts call the “Y2K” of health care. [ ICD10 ]
ICD-10 Software Selection for Health Care Coding
If you are shopping for a tool for converting ICD-9 to ICD-10 diagnosis and procedure codes, make sure that you include subject matter experts in the area on your selection team, and create challenges for the vendors to overcome that represent real-world clinical scenarios - not canned demonstrations.
Concern persists for HIPAA 5010, ICD-10 non-compliance fines | Healthcare Finance News
Although no official word has been handed down regarding exactly what fines our federal government may slap against healthcare organizations that fail to comply with HIPAA 5010 or ICD-10, it…
ICD-10 Helps Accountable Care (ACO)
An Accountable Care Organization (ACO), is a physician-led entity – consisting of hospitals, primary care physicians, and specialists – responsible for managing the full continuum of care and accountable for the overall costs and quality of care for a defined population, that is partnered with their health plan. CMS mandates such as ICD-10 are separate from health care reform and were mandated before health care reform became law.
Enabling Borderless Health Care
During our year-end strategic planning session we broadened our company's footprint to more accurately describe what we do. We explain the current market landscape and how we as well as…