Get ready for the widespread organizational change that will occur for healthcare providers and payors by ICD-10 conversion with this guide from McKesson Practice Consulting.
A McKesson Perspective for Physicians: ICD-10-CM/PCSrmsspeciality
Your health information management and medical billing systems are foundational to your revenue cycle and ICD-10 transition. Ensure these foundational systems are updated and fully tested. Learn more about the ICD-10 transition from McKesson.
Preparing and Implementing a Comprehensive ICD-10 Testing StrategyCognizant
This paper describes a testing strategy that, if healthcare organizations begin now, can help ensure compliance without endangering critical business operations.
[Webinar] Re-Strategezing for a Successful ICD-10 / 2015 TransitionPhoenix Health Systems
In this 45-minute webinar, You will hear from top members of our ICD-10 team, Thomas Grove, Principal and D’Arcy Guerin Gue, Executive Vice President, as they discuss how to ensure the smoothest possible conversion, by restructuring your strategy in eleven critical areas.
Find the recording here - http://landing.phoenixhealth.com/icd-10-2015-webinar
Icd 10 remediation for provider practices – key challenges and mitigation str...Apoorv S
On October 1, 2014, the U.S. healthcare system will transition from the Ninth Edition of the International Classification of Diseases (ICD-9) set of diagnosis and inpatient procedure codes to the Tenth Edition of those code sets (ICD-10). Provider systems are impacted across the value chain due to ICD-10 remediation and significant changes are required across the value chain and provider business functions. This article focuses on the key challenges being faced by providers in their ICD-10 remediation journey and the mitigation approaches that providers can adopt to address them.
A McKesson Perspective for Physicians: ICD-10-CM/PCSrmsspeciality
Your health information management and medical billing systems are foundational to your revenue cycle and ICD-10 transition. Ensure these foundational systems are updated and fully tested. Learn more about the ICD-10 transition from McKesson.
Preparing and Implementing a Comprehensive ICD-10 Testing StrategyCognizant
This paper describes a testing strategy that, if healthcare organizations begin now, can help ensure compliance without endangering critical business operations.
[Webinar] Re-Strategezing for a Successful ICD-10 / 2015 TransitionPhoenix Health Systems
In this 45-minute webinar, You will hear from top members of our ICD-10 team, Thomas Grove, Principal and D’Arcy Guerin Gue, Executive Vice President, as they discuss how to ensure the smoothest possible conversion, by restructuring your strategy in eleven critical areas.
Find the recording here - http://landing.phoenixhealth.com/icd-10-2015-webinar
Icd 10 remediation for provider practices – key challenges and mitigation str...Apoorv S
On October 1, 2014, the U.S. healthcare system will transition from the Ninth Edition of the International Classification of Diseases (ICD-9) set of diagnosis and inpatient procedure codes to the Tenth Edition of those code sets (ICD-10). Provider systems are impacted across the value chain due to ICD-10 remediation and significant changes are required across the value chain and provider business functions. This article focuses on the key challenges being faced by providers in their ICD-10 remediation journey and the mitigation approaches that providers can adopt to address them.
What ASC Professionals Know, ICD-10 Impact and Preparation: 5 Tips for ASCs, Why Cloud Computing Makes sense for ASCs, How one ASC Improved reimbursement rates, reduced expenses, while saving time, Achieving Connectivity through automation
Powerpoint presentation explaining the scope of Redwert Incident Management and Risk Analytics software for hospitals.
We integrated high-end technologies like AI and an algorithm for future prediction of events and its control measures.
Cognosante’s ICD-10 Policy Transformation and Remediation solution helps our customers make the ICD-10 transition smoothly by reducing potential risks and preventing oversights.
The recent extension of the ICD-10 deadline was greeted with mixed reactions throughout the healthcare industry. Some favored an extension, while others preferred to move ahead with the change. In this webinar, we look at the pros and cons of the delay and how it will affect providers and patients. Reactions from other vendors are also presented.
Integrated Drug Safety Business and Technology Solution Delivers Operational ...Covance
A leading specialty pharmaceutical medicines company were rethinking their safety technology and operations strategy and needed an end-to-end safety technology solution that would include the expertise of medical information, a contact center, case processing, aggregate reporting, signal management and risk management.
McKesson Quality eMeasures™ calculates and submits meaningful use quality measures to the Centers for Medicare & Medicaid Services (CMS) and the states, providing an integrated approach to meeting reporting requirement. It is part of the McKesson Enterprise Intelligence portfolio of solutions.
Aggressive Audits are Here to Stay: Radiology Practices Must Proactively Prep...mckessonrms
Find out how to take a proactive stance to reduce the likelihood of costly and disruptive radiology billing and coding compliance issues for practices.
Aggressive Audits are Here to Stay: Radiology Practices Must Proactively Prep...mckessonrms
Find out more about the government push to uncover reimbursement errors, fraud, waste and abuse across medicare and Medicaid programs and how practices can prepare for the new radiology billing and compliance enforcement environment - from McKesson.
What ASC Professionals Know, ICD-10 Impact and Preparation: 5 Tips for ASCs, Why Cloud Computing Makes sense for ASCs, How one ASC Improved reimbursement rates, reduced expenses, while saving time, Achieving Connectivity through automation
Powerpoint presentation explaining the scope of Redwert Incident Management and Risk Analytics software for hospitals.
We integrated high-end technologies like AI and an algorithm for future prediction of events and its control measures.
Cognosante’s ICD-10 Policy Transformation and Remediation solution helps our customers make the ICD-10 transition smoothly by reducing potential risks and preventing oversights.
The recent extension of the ICD-10 deadline was greeted with mixed reactions throughout the healthcare industry. Some favored an extension, while others preferred to move ahead with the change. In this webinar, we look at the pros and cons of the delay and how it will affect providers and patients. Reactions from other vendors are also presented.
Integrated Drug Safety Business and Technology Solution Delivers Operational ...Covance
A leading specialty pharmaceutical medicines company were rethinking their safety technology and operations strategy and needed an end-to-end safety technology solution that would include the expertise of medical information, a contact center, case processing, aggregate reporting, signal management and risk management.
McKesson Quality eMeasures™ calculates and submits meaningful use quality measures to the Centers for Medicare & Medicaid Services (CMS) and the states, providing an integrated approach to meeting reporting requirement. It is part of the McKesson Enterprise Intelligence portfolio of solutions.
Aggressive Audits are Here to Stay: Radiology Practices Must Proactively Prep...mckessonrms
Find out how to take a proactive stance to reduce the likelihood of costly and disruptive radiology billing and coding compliance issues for practices.
Aggressive Audits are Here to Stay: Radiology Practices Must Proactively Prep...mckessonrms
Find out more about the government push to uncover reimbursement errors, fraud, waste and abuse across medicare and Medicaid programs and how practices can prepare for the new radiology billing and compliance enforcement environment - from McKesson.
ICD-10 Implementation for Physicians WhitepaperMarie Bunch
Many providers are operating with blinders on, completely unaware of the magnitude of the conversion and potential train wreck ahead for their reimbursement. Support your physicians through the difficult change ahead by helping them take the right steps forward to make their transition as efficient and painless as possible.
Regardless of the size of the practice, training for any implementation – especially for one as complex and far reaching as ICD-10 – can be costly and difficult to deliver. With only a year remaining to complete the transition, providers and their staff must step up to planning, training, software/system upgrades/replacements, as well as other necessary investments. ICD-10 will require a significant education investment in order to ensure accurate coding and minimize productivity loss. While large organizations may have the resources to purchase training materials or send staff to training sessions, smaller organizations may have to depend on special societies or share resources to provide the needed training.
Start the conversation with your physicians now. Help them through the transition with resources designed to get them on board with the transition now. Practice Management Institute® (PMI) is already helping practices adapt to the change with classes especially focused on the transition steps for medical offices, hosted by leading hospitals across the country. PMI’s Professional Services Department and Faculty Team is committed to providing the most up-to-date information on implementation guidelines, coding conversion steps and staff training fulfillment.
About PMI
PMI is the nation’s leading provider of continuing education for medical office professionals, with a broad curriculum of educational workshops that address the office training needs for private practice physicians. Classes are presented in leading hospitals, health care systems, and medical societies. For more than 30 years, physicians have relied on PMI to provide the latest information on managing an efficient and compliant practice.
What is the status on ICD-10? In this Infographic I bring you the facts you always wanted to know & 6 foundation blocks for successful ICD-10 implementation
The extended deadline for ICD-10 implementation has drawn mixed responses from healthcare providers. The article looks at the Pros and Cons of ICD-10 delay.
How to Leverage Increased Data Granularity in the ICD-10 Code SetPerficient, Inc.
A webinar designed for healthcare professionals. We explore how to leverage the increased data granularity in the ICD-10 code set. While there are risks, a properly executed ICD-10 implementation will deliver plentiful rewards.
ICD-10 is an unknown terrain that the country is going toward. No one knows what to expect. Some expect productivity to decrease by as much as 50% due to its implementation. Some predict this new system will result in a shortage of coders. Is any of this true? This presentation will investigate the impacts – both foreseen and unforeseen – that ICD-10 implementation will have on radiology billing companies and radiology groups.
Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, We Provide rendering cost-effective consolidated
Capitalizing on the ICD-10 Coding System: What Healthcare Organizations Need ...Cognizant
Having transitioned successfully to the ICD-10 coding system, healthcare organizations must now look beyond simply achieving compliance, and employ the system to identify and eliminate financial divergence, reduce revenue leaks, improve quality ratings, and drive competitive advantage.
US Federal Government, which has earmarked October 1, 2013 as the deadline, has sought to replace the 30-year-old ICD-9 with the radical ICD-10 – believed to be harbinger of sweeping changes across all facets of healthcare organizations: providers, staff, processes, insurance carriers, and systems and technology.
Icd 10 and icd10 medical policy health plan under hipaaMichael Arrigo
ICD-10 creates challenges for health plans who want to transition successfully from ICD-9 with respect to defining and redefining medical policy. This presentation addresses best practice approaches.
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Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
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Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
Accelerate your Kubernetes clusters with Varnish CachingThijs Feryn
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Dev Dives: Train smarter, not harder – active learning and UiPath LLMs for do...UiPathCommunity
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See how to accelerate model training and optimize model performance with active learning
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GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
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Software Delivery At the Speed of AI: Inflectra Invests In AI-Powered QualityInflectra
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Get Ready for Industry Wide Impact of ICD-10
1. Get Ready for Industry-Wide Impact of ICD-10
By Bess Ann Bredemeyer, BSN, RN, CHC, CPC, PCS
Director of Compliance Consulting
Preparing for Widespread care by indicating more precisely the detail in clinical documentation that will
Organizational Change diagnosis, and will better match the identify and support the diagnosis or
payment for care to the care delivered. procedure.
While some hospitals, practices and In time, it will promote greater
vendors are focused exclusively on the efficiencies in care documentation and The specificity and expanded data
heavy lift of qualifying for stimulus claims processing. will enable improved analysis of care
funds and achieving meaningful use, delivery for quality and regulatory
foundational regulatory change is on In some cases, providers will receive reporting. Increased detail for analysis
its way. The change to an expanded more appropriate reimbursement for also can be leveraged for process
code set for diagnoses and procedures, complex procedures that couldn’t be improvement and pay for performance.
ICD-10-CM and ICD-10-PCS, will bring differentiated with the previous ICD-9
sweeping changes to the processes code set. What used to be one code The Centers for Medicare & Medicaid
and IT solutions used by providers and in ICD-9 may be multiple or even Services (CMS) reports that coding
payers, clearinghouses and software many codes in ICD-10 that provide professionals are advising organizations
vendors. The Oct.1, 2013 mandate greater clinical specificity and can to begin training six months prior to the
will affect all aspects of a provider’s better indicate levels of complexity. For compliance date. The American Health
operations since the provision of care, example, the codes differentiate body Information Management Association
along with the appropriate diagnosis parts, surgical approaches and devices (AHIMA) suggests starting three to six
and procedure codes, drive the delivery used. months prior to the date.
and business of healthcare.
There should be fewer requests for All Care Stakeholders
Benefits from the Change to more procedure information to validate Will Be Affected
an ICD-10 Code Set reimbursement because of the greater
specificity of the code set. However, The ICD-10 code set will have far-
Already in use by other developed knowledge and application of the reaching impact on inpatient and
countries around the world, the code correct code becomes even more ambulatory provider processes and
sets are expanding from an approximate critical. Protecting reimbursement will departments — admissions, eligibility
total of 20,000 to more than 155,000 require extensive training not only of checking, medical necessity, contracting,
— almost an eight-fold increase. The coders, but also of physicians and other care delivery, ancillary services, billing,
expansion may benefit the delivery of code users, who must provide the claims, super bills, encounter forms
2. and quality reporting. Payor processes healthcare data. CMS is requiring an 4. Create a project plan detailing
will be affected extensively, including update of the 4010/4010A transactions essential components for success:
medical policy, contracts and claims to the new ANSI X.12 Version 5010, Key components would include
adjudication. All stakeholders must which among other things will support communications, training and a
prepare to transmit transactions using the ICD-10 codes. ANSI 5010 must be software roadmap.
the new 5010 format. in use by Jan. 1, 2012.
5. Identify clinical documentation
The health IT systems that support See the 10 Steps for Providers to Get required for coding: Reinforce the
the care stakeholders and processes Ready for ICD-10 below for a high level requirements in your organization’s
will be affected — wherever there is a checklist to assess your readiness. policies and procedures.
diagnosis or procedure code entered,
6. Schedule and implement
processed or transacted (visible or 10 Steps to Prepare for ICD-10 updated IT solutions: Ensure
invisible), changes must be made.
your implementation schedule
These 10 steps will help you get ready
provides time to perform any system
Because of the magnitude of the for the transition to the ICD-10 code
sets. You may want to forward this upgrades, test releases and install
difference in the number of codes
to those in your organization who are updates. Determine when and how
in the sets, many times there will be
working on this initiative. long you need dual coding systems.
no “crosswalks” with a one-to-one
match. Software mapping tools will 7. Train coders on new code sets:
provide an equivalency of one-to- 1. Establish governance and
Review coder experience – the
one, one-to-many, many-to-one, etc. responsibility: Identify a project
new code set will require increased
The government is providing General manager. For larger groups and
familiarity with medical procedures,
Equivalency Mappings to help in the hospitals set up a multidisciplinary
anatomy and pharmacology.
development of these tools. team and governance steering
committee. Communicate the 8. Train physicians on new
financial ramifications of not being documentation requirements:
The Timeline for Change ready to gain buy-in and funding
— Start Yesterday Educate physicians on areas
from the executive team. that require increased clinical
What’s the timeline? The date for use of documentation.
2. Launch your ICD-10 compliance
the new code set is any service date or initiative: Hold your kick-off
discharge date on or after Oct.1, 2013. 9. Perform service line assessments
meeting and communicate timelines and potential impact to cash
And contrary to the hope and belief of and impacts of the change to all
many healthcare organizations, CMS flow: Review coding that supports
staff. Ensure coders, physicians and your key service lines and most
doesn’t appear to be backing off from other billing staff understand the
that date. Because some encounters commonly assigned and highly
impact on reimbursement and days reimbursed DRGs.
will still be in process for previous in accounts receivable for claims
service dates, it is anticipated that both that are not properly coded or 10. Use enterprise intelligence
provider and payer systems will need substantiated. analytical tools and reporting
to support both the ICD-9 and ICD-10 to monitor compliance and
code sets for a period of time. 3. Conduct a readiness assessment: financial performance: Check
Assess the impact to policies and first-time submission claims success
CMS is laying the foundation for the procedures, payor contracts, training rate, reimbursement turnaround
change by requiring an update of needs, staff augmentation or time, days in AR, source of claim
systems that support the electronic outsourcing and determine software edits, source of denials and staff
distribution of information (EDI) of vendor readiness. compliance/productivity.