Executive Guide For Mitigating ICD-10 Risks
|
|
- Kelly Cummings
- 6 years ago
- Views:
Transcription
1 Executive Guide For Mitigating ICD-10 Risks TELNET 2750 April 19, 2012 / 1-2 PM EDT
2 The Kiran Consortium Group LLC EXPERIENCE DELIVERY EXCELLENCE INTEGRITY Agenda Introduction: Mitigating ICD-10 Risks Risk Mitigation Approaches Conclusion Questions Bibliography Contact Information Notice: Reproduction, in full or in part, of this presentation is expressly prohibited without express written consent of The Kiran Consortium Group, LLC. 2
3 INTRODUCTION: Train HIPAA 5010 Remediation HIPAA Security Plan Assess HIPAA Privacy Educate Governance Contingency Planning System Upgrades Test ICD-10 MITIGATING ICD-10 RISKS 3
4 Introduction: Mitigating ICD-10 Risks We are told we are about to witness a perfect storm of various, U.S. healthcare initiatives. While this may be the case, we believe that each organization has the ability to address ICD-10 through consistent, careful, and continuous planning. An enterprise-wide, crossfunctional initiative requires both a strategic and tactical focus. Within this effort, know your risks and manage them. 4
5 Introduction: Mitigating ICD-10 Risks Mitigating potential risks related to the transition from ICD-9 to ICD-10 remains a formidable task for any healthcare organization. Begin efforts early to plan for the transition including the development of mitigation strategies to safeguard any potential deleterious effects throughout and across your organization. 5
6 Introduction: Mitigating ICD-10 Risks Where are we today? 6
7 Introduction: Mitigating ICD-10 Risks ICD-10 compliance is NOT a single functional or department effort or the responsibility of a few. ICD-10 compliance IS an enterprise-wide effort that requires Executive oversight and continuous support to mitigate potential risks. 7
8 Introduction: Mitigating ICD-10 Risks What is the actual scope of impact of ICD-10? Conceptual Model 8
9 Introduction: Mitigating ICD-10 Risks Sample: Comprehensive, Compliance Timeline with Key Initiatives 9
10 Introduction: Mitigating ICD-10 Risks Where does an Executive begin? Ten approaches for mitigating potential, ICD-10 risks: Cash Acceleration / Cash Release Plan, Plan and Plan Again Escalation Procedures Contract Review Learning Curves Technology: How much is required? Lessons from the World Information Management Contingency Planning / Contingency Funding Communication 10
11 RISK MITIGATION APPROACHES 11
12 1. Cash Acceleration / Cash Release To date, the anticipated financial impact of achieving ICD-10 compliance appears to be a subject of debate depending on the source of the information. An Advisory Board analysis projected that net revenue of a typical 250-bed hospital will decline by $1 million to $2.5 million in 2014 because of erroneous coding, payment errors and denials, and inadequate mapping to DRGs in contracts. The analysis puts the three-year impact at a loss of $2.5 million to $7.1 million in net revenue. Hospitals & Health Networks, September 2011 Note: Various investment estimates are found in the March 22, 2012 presentation. The next presentation, Developing an ICD-10 Budget, on May 10, 2012 will provide more information about how to draft a realistic compliance budge, Source: Morrissey, John. Your ICD-10 To-Do List, Hospitals & Health Networks, September, 2011, pp
13 1. Cash Acceleration / Cash Release Given the potential financial impact to every and any healthcare organization, the first mitigation approach is to focus on.. Cash Acceleration / Cash Release. What does this mean for us? Review all areas of Revenue Cycle Identify where improvements can be applied Determine whether improvements are derived from workflow, policies, procedures, Information Technology (IT), and/or selective, sourced options Monitor to metrics / Compare with industry benchmarks 13
14 1. Cash Acceleration / Cash Release What are the potential risks that this effort can mitigate? Claims Rejections / Claims Denials (e.g. due to technical issues or inappropriate ICD-10 coding) Potential Case Flow Delays Unexpected Changes in Payment Payer Contract Market Share Changes Due to Costs Flawed, Organizational Decision-Making Based on Information Shifts Regarding Service Lines, Reimbursement Versus Cost 14
15 1. Cash Acceleration / Cash Release Compliance is a Team Sport Even if your organization takes preventative measures to minimize risk related to Finances, any Business Partner can impact your efforts. Your Business Partners and You Clearinghouses Payers Information Technology Vendors Sourcing Vendors 15
16 1. Cash Acceleration / Cash Release Managing Revenue Risk As part of a holistic risk mitigation strategy, providers must understand and be able to forecast possible changes to cash flow and engage in advanced planning to protect revenue losses before, during, and post ICD-10 conversion. Healthcare providers must aggressively take advantage of the time remaining to diagnose and put in place a risk mitigation plan that will address any fluctuations from moving to ICD-10. As providers make this transition, they must consider several points in any review. Source: Mahan, Beth. ICD-10 revenue neutrality: 9 ways to protect your cash flow, Healthcare Payer News, November 14,
17 1. Cash Acceleration / Cash Release How to Achieve Revenue Neutrality 1. Discuss budgeting avenues for additional cash reserves if material delays in payment occur 2. Conduct financial modeling to understand financial implications moving from ICD-9 to ICD-10 and determining the revenue impact by provider or system facility, service line and geography 3. Review managed care contracts to negotiate protective language relevant to reimbursement in the event payment shifts occur that could have a negative impact on your bottom line 4. Engage with your high-volume payers to assess their readiness state to process your claims coded in ICD Conduct clinical documentation improvement reviews using ICD-10 code set Source: Mahan, Beth. ICD-10 revenue neutrality: 9 ways to protect your cash flow, Healthcare Payer News, November 14,
18 1. Cash Acceleration / Cash Release How to Achieve Revenue Neutrality (continued) 6. Develop a strategy for coding, billing and claim backlogs to improve cash flow 7. Determine strategy for denials management pre- and post-icd-10 conversion 8. Assess readiness state of external vendors who support coding, billing, follow up and denials 9. Review audits occurring that may be impacted by compliant use of ICD-10 over time These 9 considerations represent tactical efforts to work toward achieving revenue neutrality for your healthcare organization. Source: Mahan, Beth. ICD-10 revenue neutrality: 9 ways to protect your cash flow, Healthcare Payer News, November 14,
19 1. Cash Acceleration / Cash Release What is the anticipated amount of revenue impact? Survey conducted by HealthLeaders in July, 2011: 19
20 1. Cash Acceleration / Cash Release How long will revenue be impacted based on ICD-10 implementation? Survey conducted by HealthLeaders in July, 2011: 20
21 1. Cash Acceleration / Cash Release What reasons might contribute to projected decreased ICD-10 revenues? Survey conducted by HealthLeaders in July, 2011: Key to Types of Reasons: A Incomplete Physician Documentation B Payers will not be ready in time C Coding staff mistakes D Shift in DRGs E Delay in submission of bills F Our technology will not be ready in time G Not sure 21
22 2. Plan, Plan and Plan Again Planning is not a static exercise. Given the many functional areas and constituencies that will be impacted over the course of the ICD-10 compliance efforts, Planning will be an iterative process. Why? Multiple, internal areas of impact Multiple, external Business Partners Some information will not be immediately available either from internal sources or external sources 22
23 2. Plan, Plan and Plan Again Who will participate in the Planning effort? The Steering Committee that functions as the Governing Body for this enterprise-wide initiative. Tips for Planning Effort(s): Revisit the Plan routinely Update Plan as new information is made available and creates an impact on previously identified tasks / activities Ensure that each potential Risk is documented and specific tasks /activities are added to the Plan to manage, diminish and/or eliminate each Risk Inform Executives and Board of Director of substantive changes to the Plan and management of Risk(s) within the Plan 23
24 3. Escalation Procedures One important approach to mitigate potential risks on such an expansive program like ICD-10 compliance is establishment of an Escalation Procedure. Why? To ensure timely communication of challenges or concerns that a Work Group or other program participants cannot readily resolve To highlight a new or consequential risk that will negatively impact one or more compliance tasks 24
25 3. Escalation Procedures Value of Escalation Procedures Why? (continued) To secure decision-making by a core, Executive team, that can understand decision ramifications across disciplines, departments and the enterprise To prevent any undesired or unintended consequences from program participants that use their initiative to make required decisions To circumvent politics or personalities that are uncomfortable with prescribed ICD-10 compliance tasks and activities 25
26 4. Contract Review All contracts for Trading Partners / Vendors as well as Payers / Clearinghouses should be reviewed as part of a Communication Plan and documenting status of Compliance efforts with timeline. From an IT Perspective: Identify main contact for on-going communication about progress on ICD-10 Secure timeline as to when Vendors (IT and Sourced Services) will be releasing upgrades that are ICD-10 compliant Add anticipated effort, resources, and timelines for required implementation (Testing / Validation) Develop Contingency Plan(s) 26
27 4. Contract Review Health Plan Contract Review: Identify contract renewal dates Confirm whether current ICD-9 codes will be converted to ICD-10 Determine whether existing contracts will be converted to ICD-10 Validate method Health Plan will use to convert to corresponding ICD-10 codes Understand how Health Plans will approach reimbursement / Determine whether there are changes that require re-negotiation of contract Determine accuracy of reimbursement mapping from Health Plan Undertake proactive approach in ICD-10 mapping to better engage in provider/payer contracting efforts Confirm timelines: conversion, testing and validation (internal efforts required) Source: American Hospital Association. HIPAA Code Set Rule: ICD-10 Implementation, An Executive Briefing ; pp ncvhs.hhs.gov/091210p06b.pdf 27
28 14,000 Diagnosis Codes 4,000 Procedure Codes ICD-9 5. Learning Curves A Snapshot of Things to Come ICD-10 Requires Documentation Granularity 68,000 Diagnosis Codes 87,000 Procedure Codes ICD-10 Angioplasty (procedure code) 1 code Angioplasty (procedure code) 854 different codes 047K047 Specify body part, approach, and device Pressure Ulcer (diagnosis codes) 7 codes Show location but not depth No Equivalent ICD-9 Code Indicated through notes and other methods Pressure Ulcer (diagnosis codes) 125 different codes L Show specific location, depth, severity, occurrence Y71.3 Surgical Instruments, materials, cardiovascular devices associated with adverse incidents Source: Adapted from United Healthcare sicd10 Transition Playbook, May 25,
29 5. Learning Curves Given the magnitude of codes as compared to ICD-9, it is clear that a natural learning curve will exist for Coders and Physicians alike. Coding under ICD-10 requires a new level of knowledge for the coding professional, not only to support the basics of coding but also to become more engaged in an understanding of the patient s condition, the nature of procedure, and the pathophysiology and anatomy that relates to these conditions and procedures. Source: ICD-10: A New Dynamic in the Relationship Between Clinicians and Coders, 2012, AAPC. Joe C. Nichols, M.D., Principal, Health Data Consulting and Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC, Vice President - ICD-10 Education and Training at AAPC 29
30 5. Learning Curves Who will face ICD-10 learning curves? Coders Risk Managers Physicians Researchers Case Managers Executives Anyone who views reports based on ICD-10 data 30
31 5. Learning Curves What approach might we take to support the learning curves of healthcare professionals? Preparation: Update Current ICD-9 Skills Preparation: ICD-10 Classes Note: Graphic based on previous, ICD-10 compliance deadlines Transition Preparation: Dual Coding Go-Live Support Remediation Assistance/Training
32 5. Learning Curves Who will face ICD-10 learning curves? Physicians! The heart of ICD-10 is found in the need to improve Physician Clinical Documentation today in preparation for tomorrow. In the ICD-10 Plan confirm that there are training and education resources specific to Physicians A variety of training methods may be required to best support Physician learning preferences (e.g. virtual, face-to-face, structured classroom learning, peer-based training, etc.) Work with Physician executives to develop requirements and advance communication about this effort 32
33 5. Learning Curves What sources can assist with ICD-10 education and training? Professional Societies (e.g.. ACHE, AHA state level chapters, HFMA, AHIMA, AAPC, MGMA, AMA (Amer. Medical Association),CHIME, HIMSS, etc.) Internal Staff (e.g.. Chief Financial Officer, Health Information Manager, Revenue Cycle Manager, Chief Information Officer, etc.) Certified Staff (e.g.. ICD-10 Certified Trainer) ICD-10 Webinars and Workshops (e.g.. sponsored by various professional societies and industry firms) White Papers / Reports / Articles External Firms and Vendors 33
34 6. Technology: How Much Is Required? How will I know? Information Technology (IT) is a key tool to most healthcare organizations. Assessment of current IT environment / Requirement identified Inability of a vendor/business partner to update/upgrade their current software to be ICD-10 compliant Potential Scenarios: Upgrade existing IT (e.g. software, hardware, testing, implementation, etc.) Replace existing IT Acquire and implement new IT to support compliance 34
35 6. Technology: How Much Is Required? Current IT Landscape Proliferation of New Tools. Technologies and Applications in Support of ICD-10 Compliance: Data Modelling Crosswalks Simulator Tools Testing Tools Self-Assessment and Project Planning Tools No single product can provide 100 % accuracy for translation of ICD- 9 to ICD-10 codes via Crosswalks and/or Data Modelling. 35
36 7. Lessons From the World Many times we look to those who have paved the way before us to learn and apply these lessons toward our future success. Australia RAND Corporation Technical Report (2004): Australia s experience is similar [to that of Canada], although the change Australian coders went through was fairly modest: from 12,500 to 14,000 disease codes and from 3,600 to 6,000 procedural codes. As with Canada, introduction was staged Source: Rand Corporation. The Costs and Benefits of Moving to the ICD-10 Code Sets, March, 2004, Martin Libicki and Irene Brahmakulam, TR-132-DHHS.; page 16. Prepared for the Department of Health and Human Services. 36
37 7. Lessons From the World Canada Canada only uses ICD-10 for statistical purposes, not for billing Reports to date, both retrospective and prospective, suggest that for a medium to large acute-care facility, an initial productivity decrease in the neighborhood of 50 percent is to be expected According to reports published by the American Health Information Management Association (AHIMA) and the American Hospital Association (AHA), at one 605-bed hospital in Canada, a conversion to ICD-10 indicated that after one year, coders had recovered some of their pre-conversion productivity rates (see for the full report). Source: Hallowell, Bruce.. What Canada Can Teach the U.S. About ICD-10 Conversion, HealthcareIT News, September 14,
38 7. Lessons From the World Canada The Canadian experience was that coders became sufficiently proficient with the new codes well inside six months, with no reported loss in long term productivity. As such, estimates that each U.S. coder would need a week s worth of training are not inconsistent with Canada s experience of three days plus extras. [1] For inpatient records, one month post conversion, coders were coding generally at rates just under 50 percent. One year later, they had returned to 81 percent of their former 4.6 charts hourly, and for day surgery and emergency records, 79 percent and 85 percent, respectively. [2] Source: [1] Rand Corporation. The Costs and Benefits of Moving to the ICD-10 Code Sets, March, 2004, Martin Libicki and Irene Brahmakulam, TR-132-DHHS.; page 16. Prepared for the Department of Health and Human Services. Source: [2] Hallowell, Bruce.. What Canada Can Teach the U.S. About ICD-10 Conversion, HealthcareIT News, September 14, , page
39 7. Lessons From Canada Canadian Duration of Effort: 2001 through 2006 Source: Canadian Institute for Health Information. Understanding ICD-10-CA and CCI for Analysis and Trending, September 21, 2008, p. 18, Linda Tourney- Lewis, BHA, MHS, CHIM. 39
40 7. Lessons From the World WHO Released 14,400 ICD-10 Diagnoses Codes Canadian experts added about 4,000 more codes to the ICD-10-CA and address beyond the Acute Care setting CCI = Canadian Classification of Interventions [Comparable to ICD-10-PCS] Source: Canadian Institute for Health Information. Understanding ICD-10-CA and CCI for Analysis and Trending, September 21, 2008, p. 18, Linda Tourney- Lewis, BHA, MHS, CHIM. 40
41 8. Information Management While much of the focus for ICD-10 is on the processes and technology, little attention is spent addressing the data that a healthcare organization used to make vital business and clinical decisions. Data is a corporate asset that guides the enterprise and supports critical decision-making. Reports need to be identified since time, effort and resources need to be assigned to manage and interpret the changes in data. Board Reports, Executives including Physicians and Clinicians, Service Line Managers, External Agencies, Payers, etc. 41
42 Data Impact of ICD-10 Compliance 8. Information Management Source: Source: Slide adapted by The Stellar Group Consultants from an original slide created by Dwan Thomas-Flowers, MBA, RHIA, CCS, Mayo Clinic, Jacksonville, FL Presentation: ICD- 42
43 8. Information Management What do we do? Inventory all reports from direct data Inventory all reports generated by data for secondary uses Identify all business owners for these reports Ensure that the Plan for ICD-10 includes efforts specific to Information Management Determine how reports will be managed during the transition period Examples of specific areas of effort [1]: Revenue cycle reporting and analysis will need to be redesigned in areas that rely on ICD-9 codes for reporting today Case mix adjustment will be substantially different under ICD-10 because of the changes in the definition of severity, comorbidities, complications, and other parameters of measures of the disease burden Source:: [1] The Advisory Board Company. ICD-10 Hospital Impacts (Applications and Technologies Collaborative Research Report), May 20, Joe C. Nichols, M.D. 43
44 9. Contingency Planning/Funding We can hope to achieve our CID-10 compliance goal, but managing and mitigating risk is best served by Contingency Planning and Funding. What if our payer(s) is not compliant one or more of our IT vendors is not compliant we fall behind with our ICD-10 efforts we experience significant cost overruns with ICD- 10 preparations we have a high number of claims rejected and so on. 44
45 9. Contingency Planning/Funding When your Steering Committee engages in a What if exercise, this is an important component to manage Risk. Tips: This is not a one-time effort only. Revisit Plan B on a regular basis The allocation of resources for most programs/projects resource allocation is consistently underconfigured Communicate information about the Contingency Plan to both Board members as well as ICD-10 Steering Committee Include C-Suite Executives, Legal Counsel, Chief Medical Officer, Risk Manager, and Any Other Pertinent Decision-Maker 45
46 9. Contingency Planning/Funding Tips (continued): Plan for a disruption in cash flow [Note: Predictions range wildly from various sources] Identify Cash Reserves and begin to set funds aside in the Operating Budget Additional labor costs must be factored into the proposed plan with budget since productivity will be decreased for a period of time after go-live External resources may be required to supplement current coders so as not to backlog completion of medical records and submission of claims Some additional education and remediation resources may be required for Physicians, Coders and others in the months following go-live (factor in for 6-9 months minimum) 46
47 10. Communication Communication is nothing new. Successful programs/projects are built on effective communication. What is the best approach for us? Type(s) of communication vehicles (e.g. electronic ,face-to-face, newsletter, web site, collaboration tools. road show, etc.) Frequency of communication Targeted messaging approach by constituency Designated spokesmen 47
48 10. Communication Finding the best communication approach for your healthcare organization will require feedback from the various constituencies to ensure that it is. Tips Identify previous initiatives that have been deemed successful What type of communication worked best? Tailor your Communication Plan and adjust, as required, to best fit. Ask constituents what information would be most helpful. Balance communications based on other concurrent initiatives (e.g. information overload) Timely, Relevant, In context with the targeted constituency, and Builds upon previous communication efforts. 48
49 CONCLUSION 49
50 Conclusion The challenges to achieve ICD-10 compliance are many but coordinating all its important components will support your internal and external efforts. A few final thoughts. Executive participation and engagement is essential to mitigate risks Know the capacity and capability of your organization to engage in required tasks and activities Realistic resource allocation and planning for the entire compliance cycle and beyond is essential 50
51 Conclusion A few final thoughts. Do not wait for your Business Partners to contact you / Be proactive to better identify the scope of effort required as well as budget implications Delegation is important to execute required tasks and activities to achieve compliance but every healthcare organization today is challenged by its capacity to take on more concurrent projects Inform the Board of Directors about the on-going ICD-10 compliance efforts as well as challenges / Share Contingency Plans well in advance 51
52 Conclusion A few final thoughts Labor costs are always greater than initially estimated Education and training for Physicians, clinicians, HIM professionals and all others using ICD-10 data and information is not a one time expense 52
53 Conclusion What do you anticipate as the greatest challenge or concern in meeting ICD-10 compliance? Survey conducted by HealthLeaders in July, 2011: Key to Challenge or Concern: A Physician cooperation B Staff training C Funding D Payer readiness E Vendor readiness F Meeting the deadline 53
54 Conclusion A recognized leader in change management research pointed to the ability of an organization to efficiently and effectively manage the changes a project brings about in the organization. Survey conducted by ProSci in 2003: Projects: Greatest Success Factors Effective and strong executive sponsorship Buy-in from front line managers and employees Exceptional teams Continuous and targeted communication Planned and organized approach Projects: Greatest Obstacle Factors Employee resistance at all levels Middle-management resistance Inadequate executive sponsorship Limited time, budget, and resources Corporate inertia and politics Source: Petouhoff, PhD, Natalie, Chandler, Tamra, and Montag-Schmaltz, Beth. Wthe Business Impact of Change Management, Graziadio Business Review, 2006, Volume 9, Issue 3. [Graziadio School of Business and Management, Pepperdine University, Malibu, CA] 54
55 Questions 55
56 Bibliography White Papers A CEO s Guide to Advancing ICD-10 Efforts, May, 2011, Joseph J. DeSilva, FACHE, and Lucy Mancini Newell, MBA, FHIMSS. The Kiran Consortium Group LLC. A CEO s Guide to Mitigating Risk for ICD-10 Compliance, August, 2011, Joseph J. DeSilva, FACHE, and Lucy Mancini Newell, MBA, FHIMSS. The Kiran Consortium Group LLC. Cracking the Code: Physician Clinical Documentation and ICD-10, January, 2012, Dr. Todd Husty, FACEP, and Lucy Mancini Newell, MBA, FHIMSS. The Kiran Consortium Group LLC. ICD-10: Data Impact Across the Enterprise., April, 2011, Willie Williams III, PMP, and Lucy Mancini Newell, MBA, FHIMSS. The Kiran Consortium Group LLC. Available at the Healthcare Information Management and Systems Society (HIMSS) web site: ICD-10 Implementation for Health Care Providers: The business imperative for compliance, August, 2010, Deloitte. 56
57 Bibliography White Papers (continued) ICD-10: A New Dynamic in the Relationship Between Clinicians and Coders, 2012, AAPC. Joe C. Nichols, M.D., Principal, Health Data Consulting and Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC, Vice President - ICD-10 Education and Training at AAPC Presentations Canadian Institute for Health Information. Understanding ICD-10-CA and CCI for Analysis and Trending, September 21, 2008, Linda Tourney-Lewis, BHA, MHS, CHIM. Reports Canadian Institute of Health Information. The Canadian Enhancement of ICD-10, FINAL REPORT, June, cd10 HealthLeaders. Intelligence Report - ICD-10 Puts Revenue at Risk, July, Karen Minich-Pourshadi.. The Advisory Board Company. ICD-10 Hospital Impacts (Applications and Technologies Collaborative Research Report, May 20, Joe C. Nichols, M.D. Executive Briefing American Hospital Association. HIPAA Code Set Rule: ICD-10 Implementation, An Executive Briefing
58 Bibliography Articles Cheung, Karen M.. ICD-10 switch could cost hospitals up to $20M, FierceHealthcare, June 14, Hagland, Mark. An HIM Association Perspective on the ICD-10 Transition; An AHIMA executive scans the field, Healthcare Informatics, November 21, F18BE895F87F791&tier=4&id=CBC9812A5B E897DE0E88CF&WA_MAILINGLEVEL_CODE= Halamka, MD, John. The Challenge with ICD-10 Implementation,, HealthcareIT News, September 22, Hallowell, Bruce.. What Canada Can Teach the U.S. About ICD-10 Conversion, HealthcareIT News, September 14, Mahan, Beth. ICD-10 revenue neutrality: 9 ways to protect your cash flow, Healthcare Payer News, November 14, revenue-neutrality-9-ways-protect-your-cash-flow 58
59 Bibliography Articles Mearsian, Lucas. New medical coding system taxes hospital IT resources, ComputerWorld, June 13, d=11 Morrissey, John. Your ICD-10 To-Do List, Hospitals & Health Networks, September, 2011, pp Petouhoff, PhD, Natalie, Chandler, Tamra, and Montag-Schmaltz, Beth. Wthe Business Impact of Change Management, Graziadio Business Review, 2006, Volume 9, Issue 3. [Graziadio School of Business and Management, Pepperdine University, Malibu, CA] Rodak, Sabrina. What You Should be Doing to Prepare for ICD-10: 3 Strategies, Becker s Hospital Review, May 10, /what-you-should-be-doing-to-prepare-for-icd strategies.html Professional Society Canadian Institute of Health Information. ion/standards/classification+and+coding/codingclass_icd10 59
60 Contact Information Lucy Mancini Newell, MBA, FHIMSS Managing Partner Cell Phone: Addresses: Corporate Phone Number: Web Site: Visit our web site for presentations, blogs, and white papers. 60
ICD-10 Issue Preparation and Contingency Planning for Health Insurance Payers
ICD-10 Issue Preparation and Contingency Planning for Health Insurance Payers Developed by the HIMSS ICD-10 Contingency Planning Work Group, under the HIMSS ICD-10 Task Force October 2014 Introduction
More information3M All Rights Reserved. Your guide to ICD-10 success
Your guide to ICD-10 success How to use this guide This ICD-10 eguide provides a basic overview of steps hospitals can take now to ready their organizations for the transition from ICD-9 to ICD-10, including
More informationICD-10-CM/PCS Implementation Steps, Benchmarks and Timeline for a Provider
ICD-10-CM/PCS Implementation Steps, Benchmarks and Timeline for a Provider Recommended essentials steps that a health plan should perform for successful implementation of ICD-10-CM/PCS are outlined below.
More informationOperationalizing ICD-10:
April 2015 Operationalizing ICD-10: It s October 1, 2015 Now What? HIMSS ICD-10 Task Force April 2015 Introduction October 1, 2015 is the date on which U.S. healthcare institutions will transition from
More informationICD-10 Readiness and Implementation SCHFMA. Presented by: Christine Kalish, MBA, CMPE Executive Consultant Date: June 1, 2011
ICD-10 Readiness and Implementation SCHFMA Presented by: Christine Kalish, MBA, CMPE Executive Consultant Date: June 1, 2011 2 Agenda ICD 10 - Background and timeline 5010 -Technical aspects of change
More informationPhysician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013
Physician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013 Survey Background In the fourth quarter of 2013, Navicure commissioned Porter Research to conduct a
More informationClearinghouse Roadmap to Testing ICD-10. Mary Rita Hyland CPO & VP Regulatory Affairs The SSI Group, Inc.
Clearinghouse Roadmap to Testing ICD-10 Mary Rita Hyland CPO & VP Regulatory Affairs The SSI Group, Inc. About The SSI Group, Inc. Founded in 1986, SSI s EHNAC certified healthcare claims clearinghouse
More informationRevenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10
Revenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10 January 23, 2014 What the industry is saying about the Transition to ICD-10 Staff alignment between business and IT is critical to
More informationTesting: The Critical Success Factor in the Transition to ICD-10
Testing: The Critical Success Factor in the Transition to ICD-10 The United States (US) adopted the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) in 1979. During
More informationFocus on Technology: Preparing your practice for ICD-10
Focus on Technology: Preparing your practice for ICD-10 The role technology plays in transitioning your practice to ICD-10 can t be overstated. Testing that technology and training your staff are also
More informationFocus on Technology: Preparing your practice for ICD-10
Focus on Technology: Preparing your practice for ICD-10 The role technology plays in transitioning your practice to ICD-10 can t be overstated. Testing that technology and training your staff are also
More informationFinancial Risk Management and Mitigation in ICD-10 Implementations
Financial Risk Management and Mitigation in ICD-10 Implementations HFMA Forum Virtual Networking Event May 21, 2013 10:00 am 11am Central/11:00 am 12:00 pm Eastern John K. Dugan National ICD-10 Leader
More informationICD-10 Implementation for Community and Critical Access Hospitals Where are we? What do we have to do? November 2, 2012 John Behn
ICD-10 Implementation for Community and Critical Access Hospitals Where are we? What do we have to do? November 2, 2012 John Behn National Rural Health Resource Center Rural Hospital Performance Improvement
More informationICD-10: The View from the Physicians Office. WEDI ICD-10 Winter Forum Miami-Jan. 8, 2014
ICD-10: The View from the Physicians Office WEDI ICD-10 Winter Forum Miami-Jan. 8, 2014 Faculty Rhonda Buckholtz, Vice President, ICD-10 Coding and Education American Academy of Professional Coders Nancy
More informationTen Critical Factors for Health Plan Success in Implementing ICD-10
Ten Critical Factors for Health Plan Success in Implementing ICD-10 Patricia Zenner, RN Lisa Mattie, RN Kathy Zaharias, RN, MBA ICD-10 implementation requirements are much more extensive than any encountered
More informationIndustry Planning for Implementation of HIPAA Modifications: Versions 5010, D.0, 3.0 and the ICD-10 code sets
Industry Planning for Implementation of HIPAA Modifications: Versions 5010, D.0, 3.0 and the ICD-10 code sets Centers for Medicare & Medicaid Services Final Report February 2010 Engagement: 222895110 Environmental
More informationICD-10 Preparation: Focus on the Hospital Where are we? What do we have to do?
ICD-10 Preparation: Focus on the Hospital Where are we? What do we have to do? ICD-10 Preparedness Workshop Series Tuesday, April 2, 2013 John Behn, MPA It s not a secret. Wake up! International Classification
More informationTesting: The critical success factor in the transition to ICD-10
Testing: The critical success factor in the transition to ICD-10 The U.S. adopted the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) in 1979. During the subsequent
More informationICD-10 Processes: Defining Milestones
ICD-10 Processes: Defining Milestones A reflection of the industry after the ICD-10 delay July 23, 2014 Betty Gomez, VP Regulatory Strategy ZirMed Penny Osmon Bahr, Director, Avestone Health Solutions
More informationWhat s Your ICD-10 Plan? Findings and Recommendations from Research on ICD-10 Implementation
What s Your ICD-10 Plan? Findings and Recommendations from Research on ICD-10 Implementation by Caroline Piselli, RN, MBA, CHE What s your plan for implementing ICD-10? A new study asked this question
More informationHFMA WEBINAR. Assessing the Productivity and Financial Impact of ICD-10: The Final 12 Months
HFMA WEBINAR Sponsored By: Assessing the Productivity and Financial Impact of ICD-10: The Final 12 Months Date: October 15, 2013 Time: 2:00 3:30 p.m. Central (12:00 1:30 pm Pacific/1:00 2:30 pm Mountain/3:00
More information2014 National Survey on ICD-10 Readiness. sponsored by Edifecs
2014 National Survey on ICD-10 Readiness sponsored by Edifecs 2014 National Survey on ICD-10 Readiness ehealth Initiative and AHIMA, hosted an industry wide survey on ICD-10 readiness in June 2014. The
More informationThe Road to ICD-10 Readiness Less than One Year to Go
Consulting and Management Services The Road to ICD-10 Readiness Less than One Year to Go Physician Practice Office Staff Meeting October 16, 2013 2 Road Map 1 Review of Background and Timelines for ICD-10
More informationYour guide to ICD-10 success
Your guide to ICD-10 success This sample contains pages from 3M s ICD-10 eguide. Click here to download the full version. How to use this guide This ICD-10 eguide provides a basic overview of steps hospitals
More informationICD- 10 Migration.
ICD- 10 Migration www.apexonhealth.com Overview ICD-10 compliance is looming over all HIPAA-covered entities. By October 01, 2015, these entities need to adopt the 10th revision of the International Classification
More informationPART 1: REVENUE INTEGRITY PROGRAM DESIGN, PROCESS AND IMPLEMENTATION CAROLINE RADER ZNANIEC OWNER/FOUNDER LUNA HEALTHCARE ADVISORS
1 PART 1: REVENUE INTEGRITY PROGRAM DESIGN, PROCESS AND IMPLEMENTATION CAROLINE RADER ZNANIEC OWNER/FOUNDER LUNA HEALTHCARE ADVISORS AHIA 33 rd Annual Conference September 21-24, 2014 Austin, Texas www.ahia.org
More informationWEDI Strategic National Implementation Process (SNIP) ICD-10 Workgroup ICD-10 Transition Sub-workgroup ICD-10 Milestones April 2, 2015
WEDI Strategic National Implementation Process (SNIP) ICD-10 Workgroup ICD-10 Transition Sub-workgroup ICD-10 Milestones April 2, 2015 Workgroup for Electronic Data Interchange 1984 Isaac Newton Square,
More informationICD-10 Survey Results Webinar. June 17, :00 2:30 pm ET
ICD-10 Survey Results Webinar June 17, 2015 1:00 2:30 pm ET **Audio for this webinar streams through the web. Please make sure the sound on your computer is turned on and you have speakers. If you need
More informationICD 10 CM/PCS Transition: Planning and Preparation Checklist
ICD 10 CM/PCS Transition: Planning and Preparation Checklist by Sue Bowman, RHIA, CCS, and Ann Zeisset, RHIT, CCS, CCS P Updated September 2012 Editor s note: This update reflects the change in the compliance
More informationICD-10 Time is running out
ICD-10 Time is running out 1 Agenda Introductions What caused the implementation delay? 3 major areas of ICD-10 impact Financial Key performance indicators to monitor Operations Coding strategy Training
More informationCDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders
ICD-10-CM Implementation Part 2 Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, P COBGC, CEMC, CDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders Goal This Webinar conference
More informationQ V49Q D41.22 R I H4ZX A39.81 E G83.30 H R I H4ZX M V49Q S24.104
9.81 0.328 3.30 59.811 40.35 1V49Q 4.104 60.82 0.13 9.891 7.33 067JZ 87.40 86.349 41.22 9.898 0.513 9H4ZX 9.81 0.328 3.30 59.811 40.35 1V49Q 4.104 60.82 0.13 9.891 7.33 067JZ 87.40 86.349 41.22 9.898 0.513
More informationImproving Your Revenue Cycle Health: Why Continual Check-ups Are More Crucial than Ever
Optimizing the business of healthcare Improving Your Revenue Cycle Health: If change is constant and it seems to be the case in healthcare, then the one consistency would be the ongoing need for financial
More informationICD 10 Conversion: This change will impact every paperbased
ICD 10 Conversion: What You Need to Know for a Successful Transition to ICD 10 This change will impact every paperbased system and software application, information system, and functional department that
More informationApplying Lessons Learned With 5010 to ICD-10
Applying Lessons Learned With 5010 to ICD-10 An EDI Vendor Perspective Music City Chapter AAHAM June 21, 2012 Presented by Doug Bilbrey Executive Vice President Sales and Marketing Agenda Who is The SSI
More informationWhitepaper. ICD-10: Preparing Your Practice for the Big Changeover
Whitepaper ICD-10: Preparing Your Practice for the Big Changeover athenahealth, Inc. Published: January 2012 Executive Summary Bear down and plan well, says John Dingle, a senior health systems engineering
More informationTAKING A FRESH APPROACH
TAKING A FRESH APPROACH TO HEALTH INFORMATION CAN REVITALIZE YOUR REVENUE CYCLE How financial leaders use health information management to maintain a sustainable revenue cycle Presented by Optum360 PATIENT
More informationAudit Tools. Audits are like a marathon you must have the right tools to have a successful run!
Audit Tools Paul Chandler, BS-HRM, AA-C, CPC, CPC-I, COC, CPC-P, CPMA, CPCO, CPPM, CPB, CANPC, CASCC, CCC, CCVTC, CEDC, CEMC, CENTC, CFPC, CGSC, CGIC, CHONC, CIMC, COBGC, COSC, CPCD, CPEDC, CPRC, CRHC,
More informationICD-10 Get Ready for Go-Live! Jodi Reedy, i3 Healthcare Consulting, LLC UMMS ICD-10 Project Manager
ICD-10 Get Ready for Go-Live! Jodi Reedy, i3 Healthcare Consulting, LLC UMMS ICD-10 Project Manager Is 10/1/2015 a real date? The magic crystal ball says... Yes! Why 2015 is the magical date February 11th:
More informationICD-10 IMPLEMENTATION A PHYSICIAN S PERSPECTIVE. Stephen C. Spain MD, CPC AAPC Orlando, 2013
ICD-10 IMPLEMENTATION A PHYSICIAN S PERSPECTIVE Stephen C. Spain MD, CPC AAPC Orlando, 2013 Perspective Perspective There is not just one perspective There are a myriad of practice environments An eclectic
More informationSample Outline of ICD-10 Three-Day Provider Curriculum
Sample Outline of ICD-10 Three-Day Provider Curriculum I. Introduction 1. Executive Summary 2. Key highlights of ICD-10 Final Rule 3. Diagnosis Code Revisions II. Chapter 1 The Implementation Effort 2.
More informationBravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture
Bravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture Session Outline Session Objectives Defining Disputed Claims Operational Impacts Conceptual Model Organizational
More informationICD-10 Implementation Guide for Large Practices
ICD-10 Implementation Guide for Large Practices Table of Contents 1. Introduction to ICD-10... 1 2. About ICD-10... 3 3. Limitations of ICD-9... 4 4. Benefits of ICD-10... 5 5. Comparing ICD-9 and ICD-10...
More informationHFMA WEBINAR. Sponsored By: A 360-Degree Perspective on Best Practices for ICD-10 Readiness
HFMA WEBINAR Sponsored By: A 360-Degree Perspective on Best Practices for ICD-10 Readiness Date: Wednesday, June 3, 2015 Time: 2:00 3:00 p.m. Central (12:00 1:00 pm Pacific/1:00 2:00 pm Mountain/3:00 4:00
More informationBravely Addressing Disputed Claims
Bravely Addressing Disputed Claims 2014 Winter Institute & Annual Meeting Indiana Pressler Memorial Chapter of HFMA February 28, 2014 John Woerly, MSA, RHIA, CHAM, FHAM (317)590-3067 john.woerly@accenture.com
More informationExtreme Makeover - ICD-10 Code Edition: Demystifying the Conversion Toolkit
Extreme Makeover - ICD-10 Code Edition: Demystifying the Conversion Toolkit Deborah Kohn, MPH, RHIA, FACHE, CPHIMS, FHIMSS Principal - Dak Systems Consulting, San Mateo CA DISCLAIMER: The views and opinions
More informationImproving Revenue Integrity Through Effective Coding and Denials Management
Improving Revenue Integrity Through Effective Coding and Denials Management June 1, 2018 HFMA Massachusetts/Rhode Island Chapter Christy Matheson, RHIA, CCS Medical Record Associates, LLC OBJECTIVES: Understand
More informationThe Data Integrity Department: Optimizing Health Information Management
MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA The Data Integrity Department: Optimizing Health Information Management Randy Jones, DHA, FACHE, FACMPE Senior Vice President, Management Consulting Culbert
More informationDecisions That Will Impact ICD-10 Implementation
Decisions That Will Impact ICD-10 Implementation The following document highlights the types of business decisions that all organizations should consider as they plan for ICD-10 Implementation. The major
More informationSuccessful healthcare analytics begin with the right data blueprint
IBM Software Information Management Healthcare Successful healthcare analytics begin with the right data blueprint 2 Successful healthcare analytics begin with the right data blueprint Executive summary
More informationSPECIAL REPORT. Benchmarking RCM: Best Practices to Enhance the HIM Role in Revenue Cycle Management
Benchmarking RCM: Best Practices to Enhance the HIM Role in Revenue Cycle Management Benchmarking RCM: Best Practices to Enhance the by Margret Amatayakul, RHIA, CHPS, FHIMSS, and Mitch Work This study
More informationLeveraging Collaboration to Assess ICD-10 Readiness and Reduce ICD-10 Operational and Financial Risks
Leveraging Collaboration to Assess ICD-10 Readiness and Reduce ICD-10 Operational and Financial Risks MHDC Lunch & Learn December 13, 2012 Melinda Reno, Principal, Deloitte Consulting LLP mereno@deloitte.com
More informationBI and ICD 10: A Surprising Convergence Presentation By Eric Hodge and Alistair Ross. ICD 10 and BI Relationship
BI and ICD 10: A Surprising Convergence Presentation By Eric Hodge and Alistair Ross ICD 10 and BI Relationship The traditional view And the overlooked convergence Alistair Ross Business Intelligence Service
More informationTCI. Revenue Cycle Management Services. RCM & Services PHYSICIAN BILLING COLLECTIONS CLAIMS
RCM & Services TCI Revenue Cycle Management Services PHYSICIAN BILLING COLLECTIONS CLAIMS TCI REVENUE CYCLE MANAGEMENT TCI Revenue Cycle Management Services provides sought-after consulting along with
More informationProtecting your revenues from ICD-10" Applying a revenue-focused approach to the ICD-10 challenge November 2012
Protecting your revenues from ICD-10" Applying a revenue-focused approach to the ICD-10 challenge November 2012 Agenda" Welcome, introductions, and overview of course objectives Quick glance at the current
More informationICD-10 Implementation Guide for Payers
ICD-10 Implementation Guide for Payers Table of Contents 1. Introduction to ICD-10... 1 2. About ICD-10... 3 3. Limitations of ICD-9... 4 4. Benefits of ICD-10... 5 5. Comparing ICD-9 and ICD-10... 6 6.
More informationICD-10 Implementation Guide for Large Practices
ICD-10 Implementation Guide for Large Practices Table of Contents 1. Introduction to ICD-10...1 2. About ICD-10...3 3. Limitations of ICD-9...4 4. Benefits of ICD-10...5 5. Comparing ICD-9 and ICD-10...6
More informationTen Overlooked Opportunities For Significant Performance Improvement and Cost Savings
Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Huron Healthcare s Performance
More informationFurther Along the ICD-10 Implementation Highway
Further Along the ICD-10 Implementation Highway Annie Boynton 2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. 1 About UnitedHealth
More informationMEDITECH 6.X IMPLEMENTATION 8 PHASES
MEDITECH 6.X IMPLEMENTATION 8 PHASES - A PUBLICATION BY PARALLON TECHNOLOGY SOLUTIONS - TABLE OF CONTENTS Intro 1 2 3 4 5 6 7 8 Phase 1: Planning Phase 2: Process Review Phase 3: Design Phase 4: Build
More informationMust Have Tips and Tools for the ICD-10 Transition
Must Have Tips and Tools for the ICD-10 Transition Agenda 3 2014 Navicure, Inc. ICD-10: On or off? Navicure Status and Testing Status Resources To Help You Prepare Navicure Tools and Products 4 2014 Navicure,
More informationPayer Affordable Care Act End-to-End Testing Checklist
Payer Affordable Care Act End-to-End Testing Checklist Overview The purpose of this checklist is to aid the payers that interact with providers, payers, and other trading partners in organizing end-to-end
More informationICD-10 Readiness Guide:
September 2014 ICD-10 Readiness Guide: Setting Yourself Up For Successful Testing HIMSS ICD-10 Task Force September 2014 Introduction Health Information Management Systems Society (HIMSS) is committed
More informationWEDI Strategic National Implementation Process (SNIP) ICD-10 Workgroup ICD- 10 Transition Sub-workgroup
WEDI Strategic National Implementation Process (SNIP) ICD-10 Workgroup ICD- 10 Transition Sub-workgroup ICD-10 Milestones April 2, 2015 Workgroup for Electronic Data Interchange 1984 Isaac Newton Square,
More informationHealthcare Management Boot Camp February 11-15, 2019 Gatlinburg, Tennessee
2019 Healthcare Management Boot Camp February 11-15, 2019 Gatlinburg, Tennessee Coding / Auditing / Billing / Compliance / Practice Management 32 AAPC Approved CEUs for Core A, CPCO, CPMA and CPPM Course
More informationEquiClaim, an Emdeon Company Audit and Recovery. ICD-10 Frequently Asked Questions. May 2014
EquiClaim, an Emdeon Company Audit and Recovery ICD-10 Frequently Asked Questions May 2014 Preface This information is provided by EquiClaim, an Emdeon Company, for education and awareness use only. Even
More informationIssue Brief ICD-10 Vendor Readiness
WEDI Strategic National Implementation Process (SNIP) ICD-10 Testing Sub Workgroup Issue Brief ICD-10 Vendor Readiness July 16, 2015 Workgroup for Electronic Data Interchange 1984 Isaac Newton Square,
More informationHealthcare Revenue Advisors THE REVENUE CYCLE MANAGEMENT COMPANY. COMPANY PROFILE
THE REVENUE CYCLE COMPANY www.gulf-hra.com COMPANY PROFILE GulfHRA, is an established UAE based Revenue Cycle Company since 2013, providing innovative revenue solutions in compliance with DHA, HAAD, and
More informationPam Petz, Vice President Optum360 Commercial Coding Division Cyndi Thomas, Vice President Optum360 HIM Solutions
Pam Petz, Vice President Optum360 Commercial Coding Division Cyndi Thomas, Vice President Optum360 HIM Solutions Our approach Coding Auditing Coder Knowledge 30 years of service 2.7M encounters coded thru
More informationHFMA WEBINAR. ICD-10 Implementation: Effective Steps for Successful Adoption & Strategies
HFMA WEBINAR Sponsored By: ICD-10 Implementation: Effective Steps for Successful Adoption & Strategies Date: February 27, 2013 Time: 2:00 3:30 p.m. Central (12:00 1:30 pm Pacific/1:00 2:30 pm Mountain/3:00
More informationContingency Planning
206-478-8227 www.healthdataconsulting.com joenichols@healthdataconsulting.com Contingency Planning Joseph C Nichols MD Principal The information provided in this whitepaper is the exclusive property of
More informationAn Integrated Solution to Your Medical Billing & Collection Needs
An Integrated Solution to Your Medical Billing & Collection Needs 12708 Riata Vista Circle Suite A126 Austin, Texas 78727 Phone: (512) 637-2002 Fax: (512) 637-2007 www.ascend-health.com Second in importance
More informationSeven Opportunities for Stronger Info Governance
Seven Opportunities for Stronger Info Governance April 13, 2015 Rita Bowen, MA, RHIA, CHPS, SSGS Sr. Vice President of HIM and Privacy Officer Maria A. Muscarella, RHIA AVP, HIM and Privacy Officer DISCLAIMER:
More informationHIPAA Transactions & Code Set Standards Discussion of Final Rule and Next Steps
HIPAA Transactions & Code Set Standards Discussion of Final Rule and Next Steps Chris Wierz Vice President, Phoenix Health Systems 1 Agenda Intent of HIPAA Transactions and Code Sets Review of Final Rule
More informationHIM Competencies. Prerequisite. Biomedical Sciences o Pathology & Pharmacology o Anatomy & Physiology o Medical Terminology
Survey & Results HIM Competencies Data Content, Structure & Standards o Classification Systems o Health Record Content & Documentation o Regulatory Requirements & Data Standards o Database Management &
More informationOptimization: The Next Frontier
Optimization: The Next Frontier A White Paper Impact Advisors LLC January 2015 400 E. Diehl Road Suite 190 Naperville IL 60563 1 800 680 7570 Impact Advisors.com Table of Contents Introduction... 3 Optimization
More informationICD-10 PREPARATION GUIDE. MGMA resources to prepare your practice and work with trading partners on the new code set.
ICD-10 PREPARATION GUIDE MGMA resources to prepare your practice and work with trading partners on the new code set. TABLE OF CONTENTS 3 Implementing ICD-10 in your practice 5 Internal assessment 7 Assessing
More informationDocument & Data Integrity in the Legal Health Record
Document & Data Integrity in the Legal Health Record Wednesday, April 15 th, 2015 1:00 2:00 PM Darice Grzybowski, MA, RHIA, FAHIMA President, H.I.Mentors, LLC DISCLAIMER: The views and opinions expressed
More informationICD10 Implementation. Kathy Sain, MBA, RHIA, CCS, CCS-P Mary Gregory, RHIT, CCS, CDIP, CPC, NCHIMA Coding Roundtable
ICD10 Implementation Kathy Sain, MBA, RHIA, CCS, CCS-P Mary Gregory, RHIT, CCS, CDIP, CPC, NCHIMA Coding Roundtable 11-06-2013 Agenda Planning for ICD10 Phases of ICD10 Implementation for Providers (CMS)
More informationICD-10 & The CIO: Where To Lead, Collaborate, & Support
ICD-10 & The CIO: Where To Lead, Collaborate, & Support A Complimentary Webinar From healthsystemcio.com Your Line Will Be Silent Until Our Event Begins Thank You! Housekeeping Moderator Anthony Guerra,
More informationTOP 10 CODING CONSIDERATIONS FOR COMPLIANCE OFFICERS
221 Days until ICD-10 TOP 10 CODING CONSIDERATIONS FOR COMPLIANCE OFFICERS ICD-10 is a compliance initiative TOP 10 CODING/HIM CONSIDERATIONS FOR COMPLIANCE OFFICERS Assure there is a training plan and
More informationManaging Denials: Covering all the Bases
www.pwc.com Managing Denials: Covering all the Bases HFMA 2017 Texas State Conference March 26 th, 2017 Presenting Today Jon Souder Director, Revenue Performance Management Jon is a Director in s Health
More informationA Mini-Handbook for. Successful ICD-10 Conversion
A Mini-Handbook for Successful ICD-10 Conversion This ebook has been designed to simplify your understanding of ICD-10. Our aim is to help you successfully implement the change at your practice with valuable
More informationMay 24, Dear Quality Use Case Team:
May 24, 2007 for Health Information Technology Attention: Quality Use Case Team Mary Switzer Building 330 C Street, S.W. Suite 4090 Washington, DC 20201 Dear Quality Use Case Team: The American Health
More informationICD-10 collaborative testing to minimize financial repercussions
18 ICD-10 collaborative testing to minimize financial repercussions Health plans looking to minimize the financial and operational repercussions of adopting the International Classification of Diseases,
More informationTHE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT
THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT OVERVIEW & PERFORMANCE OBJECTIVES THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT 3RD EDITION TABLE OF CONTENTS About the Body of Knowledge..................................................3
More informationHIMSS ICD-10 PlayBook ICD-10 Financial Risk Calculator Initial trends and findings
HIMSS ICD-10 PlayBook ICD-10 Financial Risk Calculator Initial trends and findings April 2013 Prepared by: In collaboration with the HIMSS ICD-10 Task Force In July 2012, the HIMSS ICD-10 PlayBook launched
More informationhimagine Perspectives August 2016
himagine Perspectives August 2016 A Message from himagine CEO, Michael DiMarco This publication marks the inaugural edition of himagine Perspectives. We have developed this newsletter as a quarterly touchpoint
More informationThe Financial Outcome Of ICD-10-CM. Improving the Financial Health of the Practices we Serve.
The Financial Outcome Of ICD-10-CM Improving the Financial Health of the Practices we Serve. Concerns How your practice is going to meet the challenge of ICD-10? Billing and Coding input? Updated credentials?
More informationAgenda. ICD-10 Delay Readiness Impact Assessment Plan to Ensure Compliance Collaboration
ICD-10 Overview Agenda ICD-10 Delay Readiness Impact Assessment Plan to Ensure Compliance Collaboration 2 ICD-10 Delay On April 17 Health and Human Services (HHS) published a Notice of Proposed Rule Making
More informationEducation Series. The Revenue Integrity Forum Proudly Presents. Keeping the Beat in Today s Changing HealthCare Environment
The Revenue Integrity Forum Proudly Presents Keeping the Beat in Today s Changing HealthCare Environment Tuesday, June 14, 2016 Betsy Weiss, Chair and Eric Shubin, Co-Chair Renaissance Woodbridge Hotel
More informationConfiguring Electronic Health Records: Migration to an Electronic Health Record System
Configuring Electronic Health Records: Migration to an Electronic Health Record System Lecture 2 Audio Transcript Slide 1 Welcome to Configuring Electronic Health Records: Migration to an Electronic Health
More informationICD-10 Regional Office Training Workshop. ICD-10 Overview. Training segments to assist State Medicaid Agencies with ICD-10 Implementation
-10 Overview -10 Regional Office Training Workshop Training segments to assist State Medicaid Agencies with -10 Implementation -10 Business and Financial Implications Code Definition and Code Structure
More informationEDI Solutions Your guide to getting started -- and ensuring smooth transactions anthem.com/edi
EDI Solutions Your guide to getting started -- and ensuring smooth transactions anthem.com/edi 00175CAPEN (12/11) This brochure is a helpful EDI reference for both new and experienced electronic submitters.
More informationEmdeon ICD-10 Program Playbook. Version 1.0 October 1, 2012 Version 1.1 Revised Q4 2013
Emdeon ICD-10 Program Playbook Version 1.0 October 1, 2012 Version 1.1 Revised Q4 2013 This information is provided by Emdeon for education and awareness use only. Even though Emdeon believes that all
More informationKareo Managed Billing Service
Kareo Managed Billing Service 2017-2018 This document is intended to outline what you can expect from Kareo, and what Kareo expects from you (at a detailed level) as part of the Kareo Managed Billing Service.
More information1/17/2014. Objectives. What is a chart audit? Audits are like mountain biking you must have the right tools to have a successful ride!
Audits are like mountain biking you must have the right tools to have a successful ride! 1 Objectives 1. Understand benefits of a chart audit 2. Gain understanding of types of audits 3. Learn of effective
More informationM*Modal CDI Solutions. Elevating Clinical Documentation Improvement with Artificial Intelligence
M*Modal CDI Solutions Elevating Clinical Documentation Improvement with Artificial Intelligence At a time when the long-term viability of healthcare organizations is directly dependent on meeting the twin
More informationICD 10 Internal Testing A Health Plan Case Study from the Trenches. Thomas Richey Senior Product Manager, Testing Solutions Edifecs, Seattle, WA
ICD 10 Internal Testing A Health Plan Case Study from the Trenches Thomas Richey Senior Product Manager, Testing Solutions Edifecs, Seattle, WA A Health Plan Case Study from the Trenches ICD 10 migration
More informationclosing the price gap for commodity services
REPRINT August 2017 Jamie Cleverley healthcare financial management association hfma.org closing the price gap for commodity services The competitive pricing offered by freestanding clinics has many hospitals
More information