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.
ICD-10 Presentation to Bays Medical Society January 2014Florida Blue
Collaboration between physicians, payers and others across the health care industry is critical to a successful ICD10 implementation. Florida Blue is here with resources and expertise as you begin your ICD-10 journey, but the time to act is now! Visit our site to get started: http://ow.ly/sGVfF
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
ICD-10 Transition: What Health Lawyers Need to KnowPYA, P.C.
PYA Principal Denise Hall, along with Senior Corporate Counsel Julie Chicoine of Ohio State University Wexner Medical Center, presented “ICD-10 Transition: What Health Lawyers Need to Know” at the AHLA 2015 Institute on Medicare and Medicaid Payment Issues.
ICD-10 Presentation to Bays Medical Society January 2014Florida Blue
Collaboration between physicians, payers and others across the health care industry is critical to a successful ICD10 implementation. Florida Blue is here with resources and expertise as you begin your ICD-10 journey, but the time to act is now! Visit our site to get started: http://ow.ly/sGVfF
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
ICD-10 Transition: What Health Lawyers Need to KnowPYA, P.C.
PYA Principal Denise Hall, along with Senior Corporate Counsel Julie Chicoine of Ohio State University Wexner Medical Center, presented “ICD-10 Transition: What Health Lawyers Need to Know” at the AHLA 2015 Institute on Medicare and Medicaid Payment Issues.
The Homecare Intelligence (HCI) Solution - ProvidersIris Fung
If you own or operate a home care agency in a one payor system - there's a new way to manage the way you do business.
At critical junctures such as this, it is incumbent upon both the private and public sector to collaborate to find real innovation that DELIVERS on its promise to generate efficiencies and savings. No longer are antiquated means sufficient to meet the ever increasing demands for adult and social care / home care. Technologies are only "good" IF their promises are supported by evidence, and they can truly deliver on their promises!
10 Steps to Prepare for ICD-10
These 10 steps will help you get ready
for the transition to the ICD-10 code
sets. You may want to forward this
to those in your organization who are
working on this initiative.
For more information visit http://sites.mckesson.com/practiceconsulting/
AdvancingDialysis.org CMS Kidney Care Choices (KCC) Voluntary Payment ModelAdvancingDialysis.org
This presentation reviews the payment mechanisms, bonus and penalty structure, and the timing of the KCC model's impact on a Physician's group practice. This resource also explains the two core voluntary model designs; the Comprehensive Kidney Care Contracting (CKCC) and the Kidney Care First (KCF).
Medical Necessity-- What it Means and 2018 UpdatePYA, P.C.
This presentation addresses the concerns for instituting best practices in tackling medical necessity denials. Including what it means and what it affects, an update on 2018 CMS medical necessity determinations and new initiatives, and details regarding the types of, and criteria for, medical necessity determinations. Admission criteria for skilled nursing facilities and inpatient rehabilitation facilities, as well as the use of Advanced Beneficiary Notification and Hospital-Issued Notice of Non-Coverage (including the outcomes and penalties for not using ABNs or HINNs) are also discussed.
Attend this hard hitting session where Rebecca Wiedmeyer, President of Vela Consulting Group will share her experiences helping hundreds of covered entities understand and address MU 2. In addition she will provide answers to the complexity of addressing ICD 10.
Panelists:
Rebecca Wiedmeyer, President of Vela Consulting Group
Moderator:
Marc Haskelson, President, The Compliancy Group LLC.
Prepping for CCJR: Lessons Learned in Physician Alignment and Bundled PaymentsWellbe
With CMS’ recent announcement of its Comprehensive Care for Joint Replacement (CCJR) payment model and its plan to implement in seventy-five geographic areas, hospitals must be prepared to manage the entire episode of care from the time of surgery through ninety days after discharge. CCJR presents both opportunities and challenges for hospitals. In order to achieve success, organizations must manage their system of care delivery, ensure they are aligned with their physicians and post acute providers, and master the analytics necessary for driving high quality, low cost care.
MedAssets has worked with numerous providers to implement alignment models that bring hospitals and their physicians together, evaluate, identify, and implement changes to the care delivery system to improve quality and decrease cost across the continuum, and employ meaningful analytics for managing an episode of care.
Kevin Lieb, Senior Director for MedAssets’ Physician Alignment Solutions division, will share examples demonstrating how organizations have successfully implemented Episodes of Care. Mr. Lieb will also share examples from both hospital led and specialist led programs and provide lessons learned from these experiences.
This webinar will enable attendees to do the following:
• Identify alignment models within bundled payments and understand their applicability to your organization
• Understand the analytic capabilities necessary for success in a bundled payment environment
• Identify opportunities and strategies for cost reduction and quality improvement
About the Speaker:
Mr. Lieb has more than 20 years of healthcare-related experience focusing on quality improvement, market development and cost reduction initiatives for the hospital provider market. Mr. Lieb has worked for a number of well-known healthcare companies including GE Medical Systems, HCIA and LBA in Denver, Colorado. His responsibilities included healthcare consulting with a focus on process improvement and quality initiatives.
Regulatory Outlook: Knock MACRA Out of the ParkKareo
Review the latest changes to the regulatory landscape, including HIPAA, MACRA, and the NC HIE. Learn how these changes impact your clients and your business.
This presentation reviews ETC participant assessment, aggregation, and payment mechanisms, including achievement benchmarks for measurement years 1-, 2-, and 3-.
Providing and Billing Medicare for Transitional and Chronic Care ManagementPYA, P.C.
PYA Principal Martie Ross co-presented “Providing and Billing Medicare for Transitional and Chronic Care Management,” along with Robert Jarrin, Government Affairs Director of Qualcomm Life at the AHLA 2015 Institute on Medicare and Medicaid Payment Issues program. Together they:
Briefly summarized research regarding advantages of care management services.
Explained the history of Medicare policy regarding care management services.
Provided detailed explanation of billing rules for transitional care management and level of reimbursement.
Provided detailed explanation of billing rules for chronic care management and level of reimbursement.
Highlighted unique arrangements for providing centralized care management services.
Making CJR Work for You: A Roadmap for Successful Implementation of Medicare ...Wellbe
This presentation will describe a structured approach to successfully launching a program for the Comprehensive Care for Joint Replacement (CJR) Model. Based on years of experience with bundled programs, this roadmap provides the basis for developing a targeted plan for your organization as the April 1, 2016 deadline for CJR rapidly approaches.
Key topics to be addressed include:
• Overview of CJR rules and program requirements
• CJR implications for your organization
• Bundle evaluation – financial and clinical issues
• Gainsharing considerations with program collaborators
• Designing an effective post-acute care network
• Using analytics to develop and monitor your program
• Key “must-dos” for an April 1, 2016 launch
Learning Objectives:
1. Describe the rules and requirements of CJR
2. Assess the key success drivers in bundle performance
3. Evaluate where and why organizations fail in bundles
4. Develop strategies and tactics to create a post-acute partnership
5. Illustrate risk stratification factors in bundle design
About the Speaker:
Sheldon Hamburger is an Alternative Payment Model advisor for hospitals and healthcare firms nationally. With a focus on program implementation, he brings extensive knowledge and experience gained from more than 25 years of healthcare financial consulting, technology design and development, and sales & marketing strategy for Fortune 1000 clients. He is a frequently sought-after speaker and writer on regulatory and technology trends affecting hospital operations, provider reimbursement issues, BPCI / CJR, programs and regulations, medical expense strategies and payer-provider dynamics. Residing in Raleigh, he is an active member of HIMSS, HFMA, & ACHE. He earned his B.S.E. in Computer Engineering from the University of Michigan.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
In some ways, 2014 turned out to be not quite as cataclysmic as expected. However, maintaining a strong road map for the future remains critical especially with the ever shifting regulatory landscape. Learn four simple things to focus on for the remainder of 2014.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
The Homecare Intelligence (HCI) Solution - ProvidersIris Fung
If you own or operate a home care agency in a one payor system - there's a new way to manage the way you do business.
At critical junctures such as this, it is incumbent upon both the private and public sector to collaborate to find real innovation that DELIVERS on its promise to generate efficiencies and savings. No longer are antiquated means sufficient to meet the ever increasing demands for adult and social care / home care. Technologies are only "good" IF their promises are supported by evidence, and they can truly deliver on their promises!
10 Steps to Prepare for ICD-10
These 10 steps will help you get ready
for the transition to the ICD-10 code
sets. You may want to forward this
to those in your organization who are
working on this initiative.
For more information visit http://sites.mckesson.com/practiceconsulting/
AdvancingDialysis.org CMS Kidney Care Choices (KCC) Voluntary Payment ModelAdvancingDialysis.org
This presentation reviews the payment mechanisms, bonus and penalty structure, and the timing of the KCC model's impact on a Physician's group practice. This resource also explains the two core voluntary model designs; the Comprehensive Kidney Care Contracting (CKCC) and the Kidney Care First (KCF).
Medical Necessity-- What it Means and 2018 UpdatePYA, P.C.
This presentation addresses the concerns for instituting best practices in tackling medical necessity denials. Including what it means and what it affects, an update on 2018 CMS medical necessity determinations and new initiatives, and details regarding the types of, and criteria for, medical necessity determinations. Admission criteria for skilled nursing facilities and inpatient rehabilitation facilities, as well as the use of Advanced Beneficiary Notification and Hospital-Issued Notice of Non-Coverage (including the outcomes and penalties for not using ABNs or HINNs) are also discussed.
Attend this hard hitting session where Rebecca Wiedmeyer, President of Vela Consulting Group will share her experiences helping hundreds of covered entities understand and address MU 2. In addition she will provide answers to the complexity of addressing ICD 10.
Panelists:
Rebecca Wiedmeyer, President of Vela Consulting Group
Moderator:
Marc Haskelson, President, The Compliancy Group LLC.
Prepping for CCJR: Lessons Learned in Physician Alignment and Bundled PaymentsWellbe
With CMS’ recent announcement of its Comprehensive Care for Joint Replacement (CCJR) payment model and its plan to implement in seventy-five geographic areas, hospitals must be prepared to manage the entire episode of care from the time of surgery through ninety days after discharge. CCJR presents both opportunities and challenges for hospitals. In order to achieve success, organizations must manage their system of care delivery, ensure they are aligned with their physicians and post acute providers, and master the analytics necessary for driving high quality, low cost care.
MedAssets has worked with numerous providers to implement alignment models that bring hospitals and their physicians together, evaluate, identify, and implement changes to the care delivery system to improve quality and decrease cost across the continuum, and employ meaningful analytics for managing an episode of care.
Kevin Lieb, Senior Director for MedAssets’ Physician Alignment Solutions division, will share examples demonstrating how organizations have successfully implemented Episodes of Care. Mr. Lieb will also share examples from both hospital led and specialist led programs and provide lessons learned from these experiences.
This webinar will enable attendees to do the following:
• Identify alignment models within bundled payments and understand their applicability to your organization
• Understand the analytic capabilities necessary for success in a bundled payment environment
• Identify opportunities and strategies for cost reduction and quality improvement
About the Speaker:
Mr. Lieb has more than 20 years of healthcare-related experience focusing on quality improvement, market development and cost reduction initiatives for the hospital provider market. Mr. Lieb has worked for a number of well-known healthcare companies including GE Medical Systems, HCIA and LBA in Denver, Colorado. His responsibilities included healthcare consulting with a focus on process improvement and quality initiatives.
Regulatory Outlook: Knock MACRA Out of the ParkKareo
Review the latest changes to the regulatory landscape, including HIPAA, MACRA, and the NC HIE. Learn how these changes impact your clients and your business.
This presentation reviews ETC participant assessment, aggregation, and payment mechanisms, including achievement benchmarks for measurement years 1-, 2-, and 3-.
Providing and Billing Medicare for Transitional and Chronic Care ManagementPYA, P.C.
PYA Principal Martie Ross co-presented “Providing and Billing Medicare for Transitional and Chronic Care Management,” along with Robert Jarrin, Government Affairs Director of Qualcomm Life at the AHLA 2015 Institute on Medicare and Medicaid Payment Issues program. Together they:
Briefly summarized research regarding advantages of care management services.
Explained the history of Medicare policy regarding care management services.
Provided detailed explanation of billing rules for transitional care management and level of reimbursement.
Provided detailed explanation of billing rules for chronic care management and level of reimbursement.
Highlighted unique arrangements for providing centralized care management services.
Making CJR Work for You: A Roadmap for Successful Implementation of Medicare ...Wellbe
This presentation will describe a structured approach to successfully launching a program for the Comprehensive Care for Joint Replacement (CJR) Model. Based on years of experience with bundled programs, this roadmap provides the basis for developing a targeted plan for your organization as the April 1, 2016 deadline for CJR rapidly approaches.
Key topics to be addressed include:
• Overview of CJR rules and program requirements
• CJR implications for your organization
• Bundle evaluation – financial and clinical issues
• Gainsharing considerations with program collaborators
• Designing an effective post-acute care network
• Using analytics to develop and monitor your program
• Key “must-dos” for an April 1, 2016 launch
Learning Objectives:
1. Describe the rules and requirements of CJR
2. Assess the key success drivers in bundle performance
3. Evaluate where and why organizations fail in bundles
4. Develop strategies and tactics to create a post-acute partnership
5. Illustrate risk stratification factors in bundle design
About the Speaker:
Sheldon Hamburger is an Alternative Payment Model advisor for hospitals and healthcare firms nationally. With a focus on program implementation, he brings extensive knowledge and experience gained from more than 25 years of healthcare financial consulting, technology design and development, and sales & marketing strategy for Fortune 1000 clients. He is a frequently sought-after speaker and writer on regulatory and technology trends affecting hospital operations, provider reimbursement issues, BPCI / CJR, programs and regulations, medical expense strategies and payer-provider dynamics. Residing in Raleigh, he is an active member of HIMSS, HFMA, & ACHE. He earned his B.S.E. in Computer Engineering from the University of Michigan.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
In some ways, 2014 turned out to be not quite as cataclysmic as expected. However, maintaining a strong road map for the future remains critical especially with the ever shifting regulatory landscape. Learn four simple things to focus on for the remainder of 2014.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
Medicare Advantage is one of the few areas your clinic can generate risk scores. Learn the basics of the program, strategies to increase your reimbursement processes to monitor compliance with 5 star and tools available on the market to help your physicians.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
End of Life Planning - Directives by DesignBen Quirk
Learn about Directives by Design, a culturally sensitive tool to guide patients through end of life choices and create a living will as required for hospitals in MU2.
Our Insights webinar this week tackles a little-known program that will have a big impact on fee-for-service Medicare providers. The Value-Based Payment Modifier (or Value Modifier for short) is something every Medicare provider should know about as soon as possible. One way or another, providers will wind up on either the incentive or penalty side of this legislation. Take advantage of our webinar for in-depth information on this complex and far-reaching topic.
Data Conversions - Convert with ConfidenceBen Quirk
Data Conversions (DC) are necessary to ensure availability of Meaningful Use (MU) data, increased quality of care, and overall improved performance. Transferring data from an old system to a new or current one requires care and a knowledgeable project team to meet all standards of the organization for their go-live.
By 2015, group physician practices of 10 or more eligible Medicare providers will be required by the Centers for Medicare and Medicaid Services to participate in the value-based modifier program. Is your practice prepared to participate? This Quirk Healthcare Solutions Insights webinar provides a solid overview of the impending rollout.
Overcoming the Struggles of Small PracticesBen Quirk
Small practices face many struggles on the road to success. This webinar overviews the top obstacles they face, addresses the reasons behind the decline in numbers of independent practices, and provides solutions for them to remain successful despite the challenges.
Medicare Advantage is a well-known program, but perhaps not so well-known in its details. In this webinar, we get into the nuts and bolts of how the program works, including a case study with practical examples. If you’d like to offer or improve a Medicare Advantage plan at your facility, this is a good place to start.
Ben Quirk spoke to the South Florida medical group community about the impact of ICD-10 on the healthcare industry. It was a very informative talk that covered a lot of need-to-know details, including how ICD-10 relates to Meaningful Use and SNOMED.
This webinar covers Health Information Technology (HIT) topics that are very much on everyone's mind today. From ICD-10 and SNOMED coding to MU and PQRS regs, this webinar will fill you in on the background and details you need to know. And if you're currently using an older version of NextGen/KBM, you'll find the upgrade info on those systems especially useful. Take advantage of this free information from Quirk Healthcare Solutions.
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.
[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
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.
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.
We feature experts Stanley Nachimsom of Nachimsom Associates and Michael Palatoni of Athena Health to review WEDI survey results and share small practice/physician update on ICD-10 implementation. Visit floridablue.com/icd-10, your complete ICD-10 resource.
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.
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
On Thursday, September 24, 2015, the Medicare Advantage Value-Based Insurance Design Model team hosted a webinar. Attendees received an overview of the model as well an opportunity for questions and answers about the model.
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Get Ready for Industry Wide Impact of ICD-10mckessonrms
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.
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
This episode continues our COVID-19 COVID-19 Insights Webinar discussing CMS changes, available grants and loans, existing opportunities in telehealth, and more state openings for elective surgeries.
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Does it feel like you’re falling behind on the latest CMS regulatory updates? You’re not alone. The CareOptimize COVID-19 Insights webinar is designed to keep you informed of everything going on with CMS as healthcare practices continue to adjust. Along with CMS updates, this webinar goes over SBA loans and Fee-for-service Advance/Accelerated Medicare payments.
CareOptimize COVID-19 Webinar series episode 2 continues with the most up-to-date news from CMS along with other regulatory changes affecting the healthcare industry. The primary focus is on a trio of distinct provider models and how each of them is managing their practices while adapting to the challenges of the pandemic. We also go over the technology CareOptimize has developed aimed at streamlining COVID-19 monitoring and reporting.
MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar covers:
Rule clarification and changes that have occured since January 1st.
Measure clarification and changes that have occured since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year.
How we can help support unique workflows and provider documentation.
In the day and age of value based medicine, it is critical to optimize your reimbursements with more accurate coding.This webinar uses specific examples to demonstrate the intricacies of accurate coding and how you can actually benefit. Questions answered include:
• How is global service reporting changing?
• What procedures require reporting?
• Who is required to report?
• When do new requirements take effect?
MACRA is quickly approaching year 2. CMS recently released their 2018 Proposed Rule, and there are some significant changes everyone should be aware of.
Rather than wading through the 1,058 pages of the Proposed Rule, join CareOptimize for a look at the most important takeaways.
In less than 30 minutes, you'll learn:
Are any of your clinicians now exempt?
What is a Virtual Group, and will it save you money?
Are your practice's priorities aligned with the newly weighted categories?
How can the Proposed Rule increase your 2018 bonus?
Accountable Care Organizations (ACOs) have been part of the healthcare landscape for a while and remain an integral part of the move toward value-based medicine. CMS recently introduced a new model in the MSSP (Medicare Shared Savings Program), ACO Track 1+.
This presentation gives a broad overview of ACOs and explains the basics of the new Track 1+ model. Topics include:
- ACOs and their role in MACRA/MIPS
- Meeting or exceeding the standards
- Why the risk might be worth it
MIPS is here. Are You Ready? CareOptimize Is.
See how the MIPS Management Solution empowers practices like yours to:
1. Know provider scores in real-time and compare those to your peers across the country
2. Provide scorecards for each MIPS category
3. Model different scenarios to determine your highest MIPS score
4. Automatically submit to CMS
5. Choose which level of assistance is best for your organization
... And More!
Let's face it, changes are coming. Healthcare is about to undergo another big shift once the new administration comes in. Between the sure things and the big questions, CareOptimize has found a bit of clarity. Join us to learn what our experts advise you to do to stay on top of it all.
Are you:
Keeping up to date with your risk scoring?
Missing out on reimbursement premiums?
Ensuring accurate health profiles for your patients?
Proper risk adjustment is important, not only to ensure your patients' quality of care, but also to improve your bottom line. This CareOptimize presentation will take you from the basic tenets of risk adjustment to specific ways you can increase your risk scores and get the highest premium payments.
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
Meaningful Use is not dead!
MIPS may be just around the corner, but MU is still very much in the picture. There is enough time, however, for your practice to optimize 2016 reporting and increase 2018 payments and avoid penalties.
This presentation takes you through the steps needed to successfully attest for 2016 and be prepared for upcoming changes.
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
1. ICD-‐10
Delay
Wednesday,
January
29,
2014
Disclaimer:
Nothing
that
we
are
sharing
is
intended
as
legally
binding
or
prescrip7ve
advice.
This
presenta7on
is
a
synthesis
of
publically
available
informa7on
and
best
prac7ces.
2. • 1893
-‐
Ber7llon
Classifica7on
of
Causes
of
Death
• 1900
-‐
Interna7onal
Classifica7on
of
Causes
of
Death
•
Version
6
Interna7onal
Sta7s7cal
Classifica7on
of
Diseases,
Injuries
and
Causes
of
Death
• 1948
-‐
The
World
Health
Organiza7on
assumed
responsibility
to
maintain
• 1975
-‐
adopted
the
3
character
classifica7on
to
maintain
some
consistency
-‐
Interna1onal
Classifica1on
of
Diseases
• Many
modifiers
and
adapta7ons
along
the
way
• 1992
-‐
ICD-‐10
was
published
• 2017
-‐
ICD-‐11
will
be
published
ICD
History
3. • The
ICD-‐10
code
sets
are
NOT
simply
increased
and
renumbered
ICD-‐9
code
sets.
• The
ICD-‐10
code
sets
include
greater
detail,
changes
in
terminology,
and
expanded
concepts
for
injuries,
laterality,
and
other
related
factors.
• The
complexity
of
ICD-‐10
provides
many
benefits
because
of
the
increased
level
of
detail
conveyed
in
the
codes
–
American
Medical
Associa1on
What
is
ICD-‐10
5. • Protec1ng
Access
to
Medicare
Act
(H.R.
4302)
• “DOC
FIX”
-‐
The
Sustainable
Growth
Rate
(SGR)
was
set
to
reduce
Medicare
physician
payment
rates
by
24%
on
April
1,
2014.
• SGR
was
set
by
the
Centers
for
Medicare
and
Medicaid
Services
(CMS)
to
control
Medicare
spending
on
physician
services.
• Congress
introduced
"doc
fix"
included
a
provision
to
delay
the
ICD-‐10
compliance
date
to
October
1,
2015.
• The
House
passed
the
bill
to
postpone
the
SGR
and
delay
ICD-‐10
on
Thursday,
March
28,
2014,
and
the
Senate
passed
the
same
bill
on
Monday,
March
31,
2014.
The
ICD-‐10
Delay
6. What
does
this
mean....
The
Good:
• Our
clients
don't
need
to
undertake
the
financial
hit
of
ICD10
while
also
absorbing
the
reduced
Medicare
fee
schedule
and
the
Affordable
Care
Act
(which
is
leading
to
higher
pa1ent
pays
and
Medicaid
enrollment).
The
Bad:
• Everyone
must
s1ll
upgrade
this
year
on
all
EHRs.
The
2011
cer1fica1ons
expired
on
12/31/13
and
new
2014
cer1fied
systems
are
needed
for
both
MU1
and
MU2.
Clinics
should
be
looking
to
upgrade
now
and
ahest
no
later
than
Q3
(or
look
into
the
new
hardship
exemp1ons).
To
sum
it
up:
• ICD-‐10
delay
at
this
point
is
a
good
tac1c,
but
part
of
a
bad
strategy.
If
we
are
going
to
change
the
en1re
landscape
of
healthcare,
let’s
do
the
sensible
thing
and
spread
it
out
over
a
period
of
years,
not
a
period
of
months.
-‐Ben
Quirk
Quirk
Response
7. • Retes1ng
• Training
and
implementa1on
already
set
up
• Shortcuts
that
prevented
more
thoughkul
changes
in
order
to
meet
the
deadline
• Students
in
medical
coding
currently
enrolled
are
preparing
for
ICD-‐10
and
some
do
not
have
ICD-‐9
exposure
• Budgeted
expenses
already
allocated
for
execu1on
• May
slow
sales
• May
delay
upgrades
• The
reduc1on
of
24%
in
payments
will
increase
if
a
permanent
fix
is
not
implemented
• Many
vendors
have
acted
in
good
faith
and
invested
significant
1me,
energy,
and
resources
to
comply
with
the
deadline.
CMS
es1mates
that
a
one-‐
year
delay
of
ICD-‐10
could
cost
between
$1
billion
and
$6.6
billion
Nega1ve
Cri1cism
of
the
Delay
8. • Avoiding
Cash
Flow
disrup1on…for
now
• The
Centers
for
Medicare
and
Medicaid
Services
(CMS)
es1mates
that
in
early
stages
of
implementa1on,
denial
rates
will
rise
by
100
to
200
percent,
and
that
days
in
accounts
receivable
will
grow
20
to
40
percent.
• Migra1on
to
ICD-‐10
carries
a
risk
due
to
incomplete
or
inaccurate
transla1on
of
exis1ng
policies,
benefits,
and
payment
rules
within
payer
systems.
• Delays
in
payments
can
also
occur
because
of
challenges
in
claim
processing
in
the
ICD-‐10
environment.
• Programmers
look
at
it
as
a
“longer
runway”
or
1me
to
“get
it
right”
• Others
feel
it
is
a
good
1me
to
focus
on
MU2
and
ACO
programs
• Physicians
avoiding
up
to
a
24%
reduc1on
in
re-‐imbursement
rates
• Allocated
funds
can
be
invested
as
reserves
and
earn
interest
Posi1ve
Cri1cism
of
the
Delay
9. • Increased
focus
on
clinical
documenta=on
improvement
(CDI).
s1ll
a
cri1cal
component
to
quality
repor1ng
and
improving
cash
flow.
• Develop
long-‐term
coder
strategy.
Regardless
of
a
delay
decision,
you
will
need
a
strategy
to
retain
and
incen1vize
coders
• Op=mize
your
revenue
cycle
performance.
The
delay
provides
an
opportunity
to
perform
a
“deep
dive”
that
will
explore
and
improve
exis1ng
• Evaluate
Computer
Assisted
Coding
(CAC).
You
can
use
the
delay
to
do
a
search
and
selec1on
and
evaluate
how
a
CAC
op1on
can
help
achieve
transi1on
goals
while
reducing
costs
and
increasing
coder
produc1vity.
• Con=nue
dual
coding
and
training.
The
delay
will
provide
you
with
more
1me
to
iden1fy
poten1al
risk
areas/issues
between
ICD-‐9
and
ICD-‐10
codes
• Comprehensive
system
remedia=on
&
tes=ng.
You
now
have
1me
for
a
more
comprehensive
plan
to
ensure
all
IT
systems
and
partners
are
capable
of
receiving
and
producing
ICD-‐10
codes
for
billing
and
internal/external
repor1ng
purposes.
•
Focus
on
physician
educa=on
(employed
and
ancillary).
It’s
important
that
you
con1nue
as
planned
with
CDI
training
for
physicians.
The
addi1onal
training
will
allow
the
physicians
more
1me
to
both
learn
and
adopt
the
increased
documenta1on
requirements.
-‐Beacon
Partners
Posi1ve
Cri1cism
of
the
Delay
10. What
the
vendors
are
saying…
Prac1ce
Fusion
• As
a
result
of
this
one
year
delay,
Prac1ce
Fusion
providers
will
not
be
required
to
use
ICD-‐10
codes
in
healthcare
claims
this
year.
However,
ICD-‐10
is
s1ll
coming,
so
it’s
important
for
all
stakeholders
in
the
healthcare
industry
to
become
familiar
with
ICD-‐10.
• Prac1ce
Fusion
was
prepared
to
help
providers
customers
to
meet
the
2014
deadline,
and
despite
the
delay,
we
will
con1nue
to
help
our
providers
prepare
well
in
advance
of
October
1,
2015.
Keep
on
the
lookout
for
more
blog
posts,
webinars,
in-‐product
tools,
and
other
educa1onal
resources
to
help
with
the
ICD-‐10
transi1on.
-‐Ryan
Donovan
|
VP
Corporate
Communica1ons
11. What
the
vendors
are
saying…
Allscripts
• The
ICD-‐10
delay
does
not
change
Allscripts
plans.
We’ve
informed
our
clients
that
everything
is
s1ll
on
schedule
and
have
encouraged
them
to
upgrade
as
they
originally
planned
to
ensure
they’re
prepared.
-‐Ariana
Nikitas
|
Director
of
Client
Communica1ons
-‐Russ
Cobb
|
VP
of
Marke1ng
and
Communica1ons
For
the
full
statement,
please
visit:
h4p://www.allscripts.com/en/resources.html
12. What
the
vendors
are
saying…
Greenway
All
I
know
is
that
we
are
in
full
deployment
mode
and
nothing
has
changed
on
our
side.
We
encourage
clients
to
focus
on
exis1ng
programs
that
create
a
strong
founda1on
for
evolving
and
future
value-‐based
and
alterna1ve
payment
incen1ve
models,
such
as
accountable
care
organiza1ons
(ACOs)
and
pa1ent-‐centered
medical
homes
(PCMHs).
-‐Jus1n
Barnes
|
VP
of
Government
Affairs
13. What
the
vendors
are
saying…
Athenahealth
Guaranteed
success
with
or
without
the
delay
or
your
money
back.
They
feel
like
there
are
no
impacts
to
their
system.
“It
is
unfortunate
that
the
government
has
once
again
chosen
to
delay
ICD-‐10.
athenahealth
and
its
clients
are/were
prepared
for
the
ICD-‐10
transi1on,
and
in
fact
we
have
na1onal
payer
data
showing
that
78
percent
of
payers
are
currently
proving
readiness
in
line
with
the
2014
deadline.”
-‐Ed
Parks|COO
For
the
full
statement,
please
visit:
h4p://www.athenahealth.com/blog/
2014/03/31/icd-‐10-‐dismay/