On this Open Line Friday call with experts from Mayo Clinic, Baptist Health South Florida, Tampa General Hospital and others, we share the results of a survey Florida Blue conducted on the state of readiness for ICD-10 implementation.
Our Open Line Friday panelists discussed how medical practices can use the official ICD-10 compliance date as a target for their preparedness. Remember to visit floridablue.com/icd-10 for a complete list of resources.
Seven Months to ICD-10: Useful Guidance for the CountdownFlorida Blue
Twelve months ago, it may have been too early to engage individual physicians and small medical practices in ICD-10 preparations. However, six months from today, it may be too late! Today's session will focus on practical tips for getting your organization ready for the ICD-10 conversion.
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.
March 2015 ICD10: Preparation for Physicians and Small PracticesFlorida Blue
March: ICD-10 Preparation for Physicians and Small Practices. Covers survey findings from WEDI and PAHCOM and points out the ICD-10 training costs were much lower than previously though.
ICD-10: A Payer Update with Aetna & United Health GroupFlorida Blue
Our November 2014 Open Line Friday call brings you updates from three major payers on their ICD-10 testing: Aetna, United, and Florida Blue. Follow our live tweeting of the call @FLBlue, or go to www.floridablue.com/icd-10 for a comprehensive list of resources.
ICD-10 Open Line Friday Meeting December 2014Florida Blue
Open Line Friday goes social as we invite two esteemed guests to our panel of experts: Joe Lavelle and Steve Sisko. They'll share how social media can help engage more providers in being educated on the issues surrounding ICD-10 implementation. Visit floridablue.com/icd-10 for a complete directory of resources.
Our Open Line Friday panelists discussed how medical practices can use the official ICD-10 compliance date as a target for their preparedness. Remember to visit floridablue.com/icd-10 for a complete list of resources.
Seven Months to ICD-10: Useful Guidance for the CountdownFlorida Blue
Twelve months ago, it may have been too early to engage individual physicians and small medical practices in ICD-10 preparations. However, six months from today, it may be too late! Today's session will focus on practical tips for getting your organization ready for the ICD-10 conversion.
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.
March 2015 ICD10: Preparation for Physicians and Small PracticesFlorida Blue
March: ICD-10 Preparation for Physicians and Small Practices. Covers survey findings from WEDI and PAHCOM and points out the ICD-10 training costs were much lower than previously though.
ICD-10: A Payer Update with Aetna & United Health GroupFlorida Blue
Our November 2014 Open Line Friday call brings you updates from three major payers on their ICD-10 testing: Aetna, United, and Florida Blue. Follow our live tweeting of the call @FLBlue, or go to www.floridablue.com/icd-10 for a comprehensive list of resources.
ICD-10 Open Line Friday Meeting December 2014Florida Blue
Open Line Friday goes social as we invite two esteemed guests to our panel of experts: Joe Lavelle and Steve Sisko. They'll share how social media can help engage more providers in being educated on the issues surrounding ICD-10 implementation. Visit floridablue.com/icd-10 for a complete directory of resources.
This month we tackle the issue of the real cost to implement ICD-10 at the physician practice level. We are pleased to feature two testimonials from Harbor Oaks Eye Associates and Advance Medical of Naples, LLC. Stanley Nachimson also shares his expertise. Visit floridablue.com/icd-10 for your comprehensive list of resources.
Open Line Friday: The Importance of Data for ICD-10 SuccessFlorida Blue
ICD-10 is an enormous change for healthcare providers, particularly with all of the mandates we’re now facing. This may be why so many physicians consider the ICD-10 mandate burdensome. In this session of Open Line Friday, Florida Blue meets with our panel of experts and gets insights from special guests, Dr. Joseph Nichols, orthopedic surgeon and WEDI co-chair. With preparation and collaboration, we can overcome the burden. Want to join us for our next Open Line Friday? Details here: http://ow.ly/sEZRe
ICD-10 Readiness: Another Practice Testimonial Florida Blue
Join us as we hear from guest Lori Ann Martell with Advance Medical of Naples, LLC on how their practice is working towards ICD-10 implementation. Our regular panel of experts from Availity, Secure EDI, Mayo Clinic, Florida Blue and others will provide the latest information in this, our monthly Open Line Friday teleconference. How can Florida Blue help you with ICD-10? Visit us at http://floridablue.com/icd-10.
ICD-10 Open Line Friday Presentation March 21, 2014Florida Blue
Today's ICD-10 Open Line Friday presentation provides the latest regulatory updates, testing schedules and more. Hear from experts at The Mayo Clinic, Secure EDI, Availity and more. Visit floridablue.com for a complete repository of ICD-10 tools and resources to help with your conversion.
With the vote to delay ICD-10 implementation to 2015, many in the industry are left to wonder whether to continue with plans to implement in 2014 or not. Our Open Line Friday call with panelists from Mayo Clinic, Secure EDI, Availity and more will explore the implications of the recent decision to delay the implementation of ICD-10, and to rethink YOUR options most effectively.
A Provider View on ICD-10 and the 2015 DelayFlorida Blue
How are providers coping with the delay of the ICD-10 implementation to 2015, when many had established budgets and training for being live 2014? Guests from Prime Health Physicians LLC and Harbor Oaks Eye join our Open Line Friday panel to share their experience. Visit floridablue.com/icd10 for a complete repository of tools and information.
We're pleased to present Rhonda Buckholtz, VP of ICD-10 Education and Training for the American Association of Professional Coders (AAPC), as our June Open Line Friday guest. Rhonda will explain the approach the AAPC has taken with the delay of ICD-10 to 2015. Visit http://www.bcbsfl.com/wps/portal/bcbsfl/w/providers/providerdetails/SA_ToolsResources/SA_ICD10 for your comprehensive list of ICD-10 resources.
Rhonda Buckholtz, VP with the American Association of Professional Coders, shares the results of a survey they conducted on the state of provider readiness for a 2014 ICD-10 implementation. She participated in our June Open Line Friday call. Find more here: www.
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
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.
[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
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
This month we tackle the issue of the real cost to implement ICD-10 at the physician practice level. We are pleased to feature two testimonials from Harbor Oaks Eye Associates and Advance Medical of Naples, LLC. Stanley Nachimson also shares his expertise. Visit floridablue.com/icd-10 for your comprehensive list of resources.
Open Line Friday: The Importance of Data for ICD-10 SuccessFlorida Blue
ICD-10 is an enormous change for healthcare providers, particularly with all of the mandates we’re now facing. This may be why so many physicians consider the ICD-10 mandate burdensome. In this session of Open Line Friday, Florida Blue meets with our panel of experts and gets insights from special guests, Dr. Joseph Nichols, orthopedic surgeon and WEDI co-chair. With preparation and collaboration, we can overcome the burden. Want to join us for our next Open Line Friday? Details here: http://ow.ly/sEZRe
ICD-10 Readiness: Another Practice Testimonial Florida Blue
Join us as we hear from guest Lori Ann Martell with Advance Medical of Naples, LLC on how their practice is working towards ICD-10 implementation. Our regular panel of experts from Availity, Secure EDI, Mayo Clinic, Florida Blue and others will provide the latest information in this, our monthly Open Line Friday teleconference. How can Florida Blue help you with ICD-10? Visit us at http://floridablue.com/icd-10.
ICD-10 Open Line Friday Presentation March 21, 2014Florida Blue
Today's ICD-10 Open Line Friday presentation provides the latest regulatory updates, testing schedules and more. Hear from experts at The Mayo Clinic, Secure EDI, Availity and more. Visit floridablue.com for a complete repository of ICD-10 tools and resources to help with your conversion.
With the vote to delay ICD-10 implementation to 2015, many in the industry are left to wonder whether to continue with plans to implement in 2014 or not. Our Open Line Friday call with panelists from Mayo Clinic, Secure EDI, Availity and more will explore the implications of the recent decision to delay the implementation of ICD-10, and to rethink YOUR options most effectively.
A Provider View on ICD-10 and the 2015 DelayFlorida Blue
How are providers coping with the delay of the ICD-10 implementation to 2015, when many had established budgets and training for being live 2014? Guests from Prime Health Physicians LLC and Harbor Oaks Eye join our Open Line Friday panel to share their experience. Visit floridablue.com/icd10 for a complete repository of tools and information.
We're pleased to present Rhonda Buckholtz, VP of ICD-10 Education and Training for the American Association of Professional Coders (AAPC), as our June Open Line Friday guest. Rhonda will explain the approach the AAPC has taken with the delay of ICD-10 to 2015. Visit http://www.bcbsfl.com/wps/portal/bcbsfl/w/providers/providerdetails/SA_ToolsResources/SA_ICD10 for your comprehensive list of ICD-10 resources.
Rhonda Buckholtz, VP with the American Association of Professional Coders, shares the results of a survey they conducted on the state of provider readiness for a 2014 ICD-10 implementation. She participated in our June Open Line Friday call. Find more here: www.
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
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.
[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
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
ICD-10 Is Really Here: What Does That Mean To Compliance Officers?PYA, P.C.
PYA Principal Denise Hall presented “ICD-10 Is REALLY Here: What Does that Mean to Compliance Officers?” at the THA 2015 Fall Compliance Conference. The presentation helps providers get “in tune” with the latest in ICD-10 compliance:
* A brief discussion of ICD-10 and its impact on healthcare.
* Compliance risks with the transition to the ICD-10 system.
* Mitigation of compliance risk and denial activities during and post-implementation.
* ICD-10’s impact on value-based purchasing and quality-based payment models.
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.
PYA Consultants Linda ClenDening and Jennifer Kastner participated in an ICD-10 panel presentation, “Operational Successes & Challenges.” As featured presenters, they discussed the operational specifics of ICD-10. The panel also addressed questions related to payers’:
Testing to-date.
Claims denial policies on insufficient specificity.
Grace periods.
Published policies.
Future use of ICD-10 codes for outcome-based, population-health-focused data.
Preparation is the Key to Meaningful Use SuccessIatric Systems
To help hospitals and eligible providers navigate the changing landscape of Meaningful Use, we created an educational webcast.
This session provides valuable Meaningful Use information including:
• Recent updates from CMS
• Keys to audit preparation
• How to identify and correct gaps in your Meaningful Use plan
• How to ensure IMO data terminology mapping is completed accurately and on-time
United Health Care ICD-10 Testing Results November 2014Florida Blue
Shirley Reynolds, Senior Product Manager with United Health Group, shared testing results and lessons learned for ICD-10 on our November 21 Open Line Friday call. Be sure to visit www.floridablue.com/icd-10 for a comprehensive list of ICD-10 resources and archived content.
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.
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.
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.
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.
Similar to Latest ICD-10 Readiness Surveys and Testing Results (19)
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Latest ICD-10 Readiness Surveys and Testing Results
1. Open Line Friday: ICD-10
Who’s on First:
Latest ICD-10 Readiness Survey’s
and Testing Results
January 17, 2014
9:30 a.m. – 10:30 a.m. EST
Dial Toll-Free: (800) 882-3610
Conference Passcode: 6829655#
900-0000-0114
900-3571-0213
2. Open Line Friday: ICD-10
Agenda
January 17, 2014
•
ICD-10 Regulatory and Florida Blue Updates
•
ICD-10 Readiness Survey’s and Key Findings:
•
WEDI’s October 2013 ICD-10 Industry Progress Survey
•
Florida Blue’s 2013 ICD-10 Provider Pulse Survey #2
•
Florida Blue’s Provider Testing Approach and Outcomes to-Date
•
Next Steps
2
3. Open Line Friday: ICD-10
We are here for you.
Do we have your correct email address?
Please register and regularly update your email address with us.
•
You can add, update or delete your email address and contact information
at any time using Availity's secure website.
•
1Availity,
Log on to Availity®1 at www.availity.com; select Payer Resources, Florida Blue
and Update “My Email Information with Florida Blue”; then follow the prompts.
ICD-10 Open Line Friday email list: Send us your email by contacting us at
floridablueopenlinefriday@floridablue.com
LLC is a multi-payer joint venture company. For more information or to register, visit Availity’s website at www.availity.com.
3
4. Open Line Friday: ICD-10 Panelists
Lee Ratliff
Gale Scott
Clinical Business Technology Consultant
Baptist Health South Florida
EDI Regulatory Compliance Administrator
Tampa General Hospital
Laurie Darst
Deborah Stewart, MD
Revenue Cycle Regulatory Advisor
Mayo Clinic (MN)
Medical Director
Florida Blue
Mary Rita Hyland
Matthew Ketterman
CPO and VP Regulatory Affairs
The SSI Group, Inc.
Director, Business Solutions
Availity®
Joseph Gonzalez
VP of Business Development
Secure EDI
Diana Brijbag
George Vancore
Senior Manager,
Delivery Systems Mandates and Compliance
Florida Blue
CMM, CPC, CCP, CMSCS
Office Manager
The Springs Family Medical Center
4
5. Open Line Friday: ICD-10
Objectives
1. Increase collaboration, communication and coordination between providers,
payers and electronic trading partners.
2. Expand your understanding of the current state of ICD-10, recent regulatory
decisions and industry perspectives.
3. Raise your awareness and understanding of the unique challenges that ICD-10
brings to the entire health care industry including providers, payers and
electronic trading partners.
4. Provide you with tools, techniques, best practices and helpful hints from your
peers that can be used as you begin and continue your ICD-10 journey.
**** Please remember that during the call all attendees must be on “mute”
except for any guest speakers and all panelists. If you have a question, please
email it to FloridaBlueOpenLineFriday@FloridaBlue.com.
5
6. Open Line Friday: ICD-10
Regulatory and Health Care Industry Update
•
The ICD-10 regulatory compliance date of October 1, 2014 remains in effect.
•
CMS has re-launched their ICD-10 teleconferences and industry-wide communications
across physicians, providers and electronic trading partners (www.cms.gov/ICD10).
•
Medicare has announced their plans for ICD-10 Testing for the first week of March 2014;
please see http://medicare.fcso.com/ICD-10/265670.asp or Medicare Learning Matters MM8645 for
more details at www.cms.gov/ICD10.
•
NUCC recently announced changes to the CMS 1500 professional paper claim form to
accommodate ICD-10 (www.nucc.org); the following is the recommended transition timeline:
•
January 6, 2014: Payers begin receiving and processing paper claims submitted
on the revised 1500 Claim Form (version 02/12).
•
January 6 through March 31, 2014: Dual use period during which payers
continue to receive and process paper claims submitted on the old 1500 Claim
Form (version 08/05).
•
April 1, 2014: Payers receive and process paper claims submitted only on the
revised 1500 Claim Form (version 02/12).
6
7. Open Line Friday: ICD-10
Regulatory and Health Care Industry Update (continued)
•
Industry workgroups (I.e. WEDI) and health care industry trade associations (I.e. AHA:
HBMA; PAHCOM; HIMSS; HFMA; etc.) are accelerating their outreach efforts to their
constituents on ICD-10.
•
CMS previously announced an ICD-9 and ICD-10 code set freeze which has been in
effect since October 1, 2013.
•
Testing ICD-10 continues to be a significant challenge across the health care industry.
•
ICD-10 readiness survey’s are accelerating across all health care industry segments;
key findings indicate various levels of preparedness with the “small to mid-sized
physician practices showing slow adoption and action toward ICD-10
engagement”.
7
8. Open Line Friday: ICD-10
Florida Blue Update
•
Our overall ICD-10 initiative is proceeding on plan and we have successfully completed
our Compliance Level 1 (internal preparedness) work; as a reminder, Florida Blue is
deploying a full remediation strategy to implement ICD-10.
•
Our Open Line Friday ICD-10 calls are now being recorded; recordings will be posted
out onto our ICD-10 landing page at www.floridablue.com/ICD-10.
•
Many thanks to those of you that completed our second ICD-10 Provider Pulse Survey;
a summary of results and findings will be shared later during this call.
•
We have successfully launched our ICD-10 End-to-End Testing Platform for external
use; a review of our ICD-10 testing strategy, approach and results to-date will also be
shared later during this call.
•
Florida Blue’s ICD-10 Provider Toolkit has recently been updated and is accessible at
www.floridablue.com/icd-10; this toolkit is for YOU and we appreciate any feedback you
may have to make it more useful as you begin or continue your ICD-10 journey.
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9. Open Line Friday: ICD-10
WEDI’s October 2013 ICD-10 Industry Progress Survey
(http://www.wedi.org/docs/news/icd-10-survey-results-summary.pdf?sfvrsn=0)
“Survey Results Indicate Healthcare Industry is Behind the Curve on ICD-10
Compliance Readiness”
CONCLUSIONS
•
•
•
•
•
Based on the survey results, all industry segments appear to have made some progress
since February 2013, but have not gained sufficient ground to remove concern over
meeting the October 1, 2014 compliance deadline.
Unless all segments move quickly forward with their implementation efforts, there will be
significant disruption on Oct 1, 2014.
There will not be enough time to do proper end to end testing in the CMS suggested
timeframes (start Oct 1, 2013), as most of the industry is not yet ready for that step.
WEDI offers our support to CMS to redouble efforts to assist the industry and, in
particular, small providers in moving forward.
WEDI will continue its efforts to move the industry forward and plans to conduct
additional surveys.
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10. Open Line Friday: ICD-10
Florida Blue’s 2013 ICD-10 Provider Pulse Survey #2
“The Florida-based healthcare industry is still behind the curve on ICD-10 compliance readiness”
Background
•
Florida Blue conducted its 2nd ICD-10 Provider Pulse Survey during the 4th quarter of
2013; the first survey was completed in the 4th quarter of 2012.
•
Survey included12 questions that are primarily intended to measure status vs. approach
to compliance; questions mirrored those in 2012 survey for a direct comparison.
•
Participation in this survey consisted of 388 respondents which is a 23% increase over
2012 where we had 244 responses.
•
These surveys were distributed to e-mail addresses on file at Florida Blue; key ICD-10
contacts and via various Medical Associations and Societies.
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11. Open Line Friday: ICD-10
Florida Blue’s 2013 ICD-10 Provider Pulse Survey #2 (continued)
Key Findings
•
Majority of survey respondents (70%) represent physician practices (across all specialties);
3% of respondents consisted of hospitals; remaining consisted of ancillary and other.
•
72% of physician practice respondents were small physician practices (1-9).
•
82% of physician practice respondents identified themselves as independent organizations;
7% were affiliated with a health system; remainder N/A.
•
Nearly 60% of survey respondents reported having contacted their system vendors,
clearinghouses and/or billing services to assess their ICD-10 readiness (a 20% increase
over 2012); 17% have not (a 20% improvement from 2012); 25% weren’t sure or felt it was
not applicable (same in 2012).
•
52% have an EMR system in place (49% in 2012); 14% are in the process of implementing
an EMR (11% in 2012); 32% reported they do not have an EMR (vs 36% in 2012).
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12. Open Line Friday: ICD-10
Florida Blue’s 2013 ICD-10 Provider Pulse Survey #2 (continued)
Key Themes
•
Uneasiness about getting started
•
Non-compliance and belief that ICD-10 will not happen*
•
Training and education*
•
Testing*
* Note: The last three themes are consistent with what we found in our 2012 survey
results; however, they are more prominent in our 2013 survey.
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13. Open Line Friday: ICD-10
Florida Blue’s 2013 ICD-10 Provider Pulse Survey #2 (continued)
Conclusions
•
•
•
To assist providers in preparing for ICD-10 implementation, Florida Blue must continue
and escalate its provider communication, collaboration and education initiatives.
These initiatives must be designed to help raise ICD-10 awareness, understanding,
acceptance and knowledge throughout Florida’s provider community.
Throughout 2014, Florida Blue will adapt and augment its ICD-10 physician and provider
outreach and engagement efforts through medical associations and societies, by
increasing deployment and usage of electronic and digital media, through our external
ICD-10 physician/provider testing approach and through the use of traditional
communication channels.
Detailed survey results will be available soon at www.floridablue.com/icd-10
“Indications remain that significant numbers of industry participants
have a considerable amount of work to do in a very short time.”
(Stanley Nachimson, Director of the NCHICA/WEDI timeline initiative)
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14. Open Line Friday: ICD-10
Florida Blue’s Provider Testing Approach and Outcomes to-Date
Florida Blue has developed an overarching 3-phased strategy and approach for ICD-10
Provider Testing:
Phase I: Code Validation
The primary objective of this phase is to help determine providers ICD-10 coding behaviors
through the sharing and reconciliation of common clinical scenarios and their associated ICD-10
diagnosis and procedure codes.
Note:
1. This phase will utilize a series of clinical scenarios that have been developed by Florida Blue
and will include any reasonable number of clinical scenarios that providers generate.
2. Providers will be asked to provide both ICD-9 and ICD-10 codes for their specialty against
these clinical scenarios.
3. If you are interested in ICD-10 testing with Florida Blue, please send an e-mail with your
contact information to FloridaBlueOpenLineFriday@FloridaBlue.com.
Value:
1. Helps introduce the complexity of coding ICD-10 using ICD-9 as a baseline against clinical
scenarios that are provider specialty-based.
2. Supports a collaborative learning approach that will help to validate and verify coding
behaviors and expectations between Florida Blue and providers.
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15. Open Line Friday: ICD-10
Florida Blue’s Provider Testing Approach and Outcomes to-Date
(continued)
Phase II: Internal End-to-End
The primary objective of this phase is to validate and verify Florida Blue’s internal system
readiness to successfully process an ICD-10 coded electronic transaction originating from the
provider using a test environment with time-stamped production data.
Note:
1. This phase will utilize previously processed ICD-9 transactions that have been modified by
the provider to their ICD-10 “equivalent”.
2. These ICD-10 enabled transactions will be sent to Florida Blue using existing electronic
transaction pipelines and protocols.
3. The provider will NOT receive any electronic or reporting results in this phase. However,
communication channels between Florida Blue and the provider will be maintained.
Value:
1. We will be able to establish a comparative baseline by using previously processed and
adjudicated ICD-9 transactions that have been ICD-10 enabled by the provider.
2. This phase will help validate and verify Florida Blue’s internal system ICD-10 readiness
without disrupting provider environments.
3. Using production data will not require data synchronization between electronic transaction
value-chain partners.
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16. Open Line Friday: ICD-10
Florida Blue’s Provider Testing Approach and Outcomes to-Date
(continued)
Phase III: Round Trip
The primary objective is to enable an electronic “round-trip” test between the provider and
Florida Blue of previously processed ICD-9 coded electronic transactions that have been ICD10 coded by the provider.
Note:
1. As noted in phase II, this phase will again utilize previously processed ICD-9 transactions
that have been modified by the provider to their ICD-10 “equivalent”.
2. These ICD-10 enabled transactions will be sent to Florida Blue where they will processed
and returned to the provider using existing electronic transaction pipelines and protocols.
3. The provider will receive all relevant electronic transaction and reporting results.
4. Communication channels between Florida Blue and the provider will be maintained.
Value:
1. Florida Blue and the provider will be able validate and verify the full round-trip processing of
electronic transactions between the clinical to the administrative environments.
2. This phase will help validate and verify the ICD-10 readiness of valued electronic trading
partners, vendors and business associates.
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17. Open Line Friday: ICD-10
Helpful Tools
There are several publicly available websites that can
help increase general awareness and understanding
of the ICD-10 mandate and its impact to the health
care industry; some recommendations include:
• www.cms.gov/ICD10
•
www.wedi.org
•
www.ama-assn.org
•
www.ahima.org/icd10
•
www.cdc.gov/nchs/icd/icd10.htm
•
www.fmaonline.org/HomePage.aspx
•
www.fha.org
•
www.FloridaBlue.com/ICD-10
•
www.Availity.com
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18. Open Line Friday: ICD-10
Next Steps
Next Steps and Some Contact Information
Join us in our next session, Friday Feb. 21, 2014 where we will feature a special guest from CMS.
Access Florida Blue’s ICD-10 Provider Toolkit and more at www.floridablue.com/ICD-10
Visit the Availity®1 Learning Center (www.availity.com/learningcenter) to access live and recorded ICD10 webinars including information about Ready10 - a popular ICD-10 project management tool (see
“There’s Ready and There’s Ready10”).
Add/update your email address so we can keep you informed via email (Bluemail)
• Add, update or delete your email and contact information at any time using Availity's secure website. Log on to
Availity at www.availity.com, select Payer Resources, Florida Blue and Update My Email Information with
Florida Blue then follow the prompts.
• ICD-10 Open Line Friday email list: send us your email by contacting us at
floridablueopenlinefriday@floridablue.com
Test ICD-10 with us. If you are interested in testing with us, visit
www.floridablue.com/icd-10 and select our “Test ICD-10” icon for more information.
Your testing questions may be emailed to ICD-10Testing@floridablue.com.
Send general ICD-10 questions and comments to floridablueopenlinefriday@floridablue.com.
Follow us on Twitter @FLBlue
1
Availity, L.L.C. is a multi-payer joint venture company. For more information or to register, visit Availity’s website at www.availity.com
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