HCL provided services to help a large Blue Cross Blue Shield health insurer client comply with the ICD-10 regulatory requirement and transition to ICD-10 with minimal business impact. HCL created custom code maps, remediated medical policies with domain experts, and performed analysis to maintain clinical equivalence and payment neutrality during the transition. HCL brought strong healthcare domain knowledge, a dedicated ICD center of excellence with over 500 experts, and proprietary tools to help the client manage the complex mapping scenarios and identify impacts across business and IT applications.
A unique, powerful “on-the-go” communications platform that helps healthcare providers and payers improve patient care and clinical outcomes while reducing overall healthcare costs. This intuitive app allows patients to collect data from different sources and wearable devices and share them with their doctors. They can also communicate and consult their doctors from anywhere using this app.
Above presentation describes about Medical billing and coding, what do medical billers and coders do, trends in the industry and a brief overview about the company Keizer Solutions Inc.
A unique, powerful “on-the-go” communications platform that helps healthcare providers and payers improve patient care and clinical outcomes while reducing overall healthcare costs. This intuitive app allows patients to collect data from different sources and wearable devices and share them with their doctors. They can also communicate and consult their doctors from anywhere using this app.
Above presentation describes about Medical billing and coding, what do medical billers and coders do, trends in the industry and a brief overview about the company Keizer Solutions Inc.
How can healthcare organizations effectively use and manage services and the cloud? This presentation outlines:
- Benefits you should expect;
- Risks to manage;
- Evaluating which managed services model fits best;
- Common factors that lead to successful achievement of goals.
Bhadale group of companies services catalogue for health and lifescience sectorVijayananda Mohire
This is our offerings for the Healthcare and Life-science industry. We focus on applying AI / ML to this industry and offer value added services for modernization of the engineering and IT systems
This is a presentation and pitch deck that introduces my ideas, its technical and business views for the investors and companies.Projects proposed: Job Cafe, AI Lawyer, AI wearable, & AI based food tester
This is our first draft copy of the ERP plan that help better operations, management, visibility of our internal and external activities that will allow us for ISO 9000 QMS assessment .
We're heading towards an integrated future where BI & analytics, performance, financial forecasting, asset modelling & planning and strategic investment modelling are all intrinsically linked - how do we embrace this?
Business Intelligence: Create Valuable Insights Enterprise DataRolta
Rolta provides Business Intelligence Solutions for access to critical data which helps in efficient decision making with cost effective methods. It removes all the hurdles that businesses face in terms of decision and planning and hence improves performance.
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.
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.
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.
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.
How can healthcare organizations effectively use and manage services and the cloud? This presentation outlines:
- Benefits you should expect;
- Risks to manage;
- Evaluating which managed services model fits best;
- Common factors that lead to successful achievement of goals.
Bhadale group of companies services catalogue for health and lifescience sectorVijayananda Mohire
This is our offerings for the Healthcare and Life-science industry. We focus on applying AI / ML to this industry and offer value added services for modernization of the engineering and IT systems
This is a presentation and pitch deck that introduces my ideas, its technical and business views for the investors and companies.Projects proposed: Job Cafe, AI Lawyer, AI wearable, & AI based food tester
This is our first draft copy of the ERP plan that help better operations, management, visibility of our internal and external activities that will allow us for ISO 9000 QMS assessment .
We're heading towards an integrated future where BI & analytics, performance, financial forecasting, asset modelling & planning and strategic investment modelling are all intrinsically linked - how do we embrace this?
Business Intelligence: Create Valuable Insights Enterprise DataRolta
Rolta provides Business Intelligence Solutions for access to critical data which helps in efficient decision making with cost effective methods. It removes all the hurdles that businesses face in terms of decision and planning and hence improves performance.
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.
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.
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.
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.
Learn about health plan integration hub solution from IBM that provides a modular, flexible approach to support migration to ICD-10. It is built on a com-prehensive platform for code and policy translation and is designed to be a single trusted source of healthcare information. For more information on IBM Systems, visit http://ibm.co/RKEeMO.
Visit http://bit.ly/KWh5Dx to 'Follow' the official Twitter handle of IBM India Smarter Computing.
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.
Discover How Allscripts Uses InfluxDB to Monitor its Healthcare IT PlatformInfluxData
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Join this webinar to learn about:
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In this webinar we cover the new and exciting product innovations from the Centricity EDI team. We also share how our customers have improved their A/R and collection rates with the use of these solutions.
optum360.comOptum360 powers HIM and CDI modernizationE.docxvannagoforth
optum360.com
Optum360 powers HIM and CDI modernization
Experience matters
Since 1999, Optum has expanded its
LifeCode NLP technology based on
success driven by the performance of
its clients. The depth of experience
spans across health care settings,
medical specialties and varying
encounters covering both physician-
and hospital-based services.
The only patented NLP
technology on the market today
Decision-makers are facing the need to transition to value-based care with pressure to move toward
metrics around quality, safety and outcomes, in addition to optimizing reimbursement. Reliable and
accurate capture of information in these areas is growing the expectations of traditional HIM operations
to work in concert with colleagues in CDI, case management and compliance. NLP technology that can
accurately capture information at the concept level to refl ect the complete health story of a patient is key to
meeting these expectations today in CAC, and tomorrow across settings.
LifeCode NLP technology is uniquely suited to meet this market need through its patented capabilities
that allow recognition of precise clinical details along with content, syntax and multiple semantic
attributes. It does this through an integration of linguistic analysis with a knowledge base of more
than 10 million medical facts.
Better together: A comprehensive solution
The Optum Enterprise Computer-Assisted Coding (CAC) and Optum CDI 3D platform bring together the
power of LifeCode NLP with the tools needed to streamline operations and the partnership to ensure your
ongoing success. Powerful technology combined with a team of experts armed with comprehensive analytics
ensures your organization is positioned for success in today’s ever-changing health care environment.
Optum Enterprise CAC leverages LifeCode NLP to identify code-able facts.
With Optum Enterprise CAC, coders leverage the encoder, logic, workfl ow and NLP code assignment
functionalities to ensure more complete and accurate coding, while providing the traceability and
operational tools to ensure cases are coded in a timely manner.
Optum CDI 3D leverages LifeCode NLP to identify gaps in documentation.
Optum CDI 3D takes documentation improvement opportunities to the next level, with intuitive, intelligent
and clinically based case-fi nding technology that allows CDI specialists to concentrate effort on the right
cases at the right time. In addition, the Optum CDI Program offers the education, preparation and support
to drive the successful growth in your program.
By the numbers:
• Approximately 500 Enterprise CAC clients
sites now using Enterprise CAC, with 100
more scheduled for implementation
• Nearly 200 sites now using CDI 3D, with
100 more scheduled for implementation
• Successful integration with 30+ hospital
EHR and revenue cycle systems
• 1 billion unique clinical documents
processed by LifeCode annually
• Proprietary NLP approach supported by
fi ve pat ...
Accountability in Healthcare: Collaboration and Analytics are Key
Icd flyer case study-1
1. Value Delivered
• Provided the client with a clear understanding of ICD-10 code
usage and complexity associated in the key medical policies
for different functional areas
• Created a repeatable process for code mapping and
governance
• Data analytical services using payer’s historical claim data
• A variety of assessment reports, from multiple perspectives,
for the financial neutrality impact analysis
• Consulting services for Neutrality-provider reimbursements,
medical policy management and benefits management
HCL’s Strength
• Strong Domain knowledge in healthcare space
• Already offering ICD-10 consulting services to large number
of Payers
• Dedicated ICD COE with 500+ SME’s
• Tools and Accelerators
• Testing, Technology COEs
Case Study 1
Leading Blue Payer
Client An independent licensee of the Blue Cross Blue Shield
Association offering benefits and services to members through
its array of indemnity and managed care products
Business Problem
• Comply with ICD-10 regulatory requirement
• Impact to multiple Business and IT application workflows
• Managing complex mapping scenarios with minimal impact
• Identifying impacts to various medical policies
• Maintaining clinical equivalence and payment neutrality for
minimal ICD-10 transition impact
• Maintaining Benefit neutrality and updating various business
artifacts
• Ensuring no impact to operational stability
Solution
HCL proposed its proprietary ICD-10 tool suite comprising of
consulting frameworks, mapping tool, testing frameworks and
testing tool. The highlights of solution provided by HCL include
• Experienced Medical coders and clinicians to perform
mapping of complex scenarios
• Creation of custom maps to achieve clinical equivalence
• Medical Policy Remediation with the help of Domain experts
and medical coders
• DRG Shift analysis to address payment neutrality
Hello, I’m from HCL! We work behind the scenes, helping our customers to shift paradigms and start revolutions.
We use digital engineering to build superhuman capabilities. We make sure that the rate of progress far exceeds
the price. And right now, 90,000 of us bright sparks are busy developing solutions for 500 customers in 31 countries
across the world. How can I help you?
www.hcltech.com
For more information contact healthcare@hcl.com
ICD Transformation
for a Blue Payer
