Codified data is the prerequisite for both health care billing and clinical documentation. Topics here include: ICD-10, the role of the HIM department in I.T. efforts, data formats and standards, participation in payer incentive programs and upholding regulatory requirements.
The ICD-10 transition is negatively impacting inpatient and outpatient coder productivity at hospitals of all sizes and types, according to survey results from healthcare outsourcing vendor HIMagine Solutions Inc.
New contract signings that health information technology vendors announced during the week of November 2-6 include IASIS Healthcare and Methodist Health Ministries, among others.
John Halamka, MD, is outspoken, but in an article last week on Health Data Managements web site, he is saying something that resonates with the nations healthcare IT executives.
A major claims clearinghouse says rejection rates for claims increased during the early days of the transition to ICD-10 coding, but it now says those rejection rates are in decline.
Consultancy Phoenix Health Systems recently surveyed clients and colleagues at other firms to assess challenges that hospitals under 400 beds are experiencing during the ICD-10 transition. Tom Grove, principal of consulting and compliance services at Phoenix, presents the findings:
Americas healthcare industry was on pins and needles as the ICD-10 compliance date came. Were providers and insurers ready? The early answerat least for now as providers wait for remittance adviceis that there were plenty of glitches but most were quickly resolved. The transition was as smooth as anyone could have hoped. That was the biggest surprise; here are 10 more.
Agreeing on terminology will grow in importance as healthcare entities see the need to share information seamlessly. Information transfer has been limited in past years. Now, providers are working together to better coordinate care and share risks in population health initiatives.
While many healthcare organizations are beginning to understand the importance of consistent terminology, achieving that consistency take a lot of work and investment.
The first two weeks of the ICD-10 transition were all about providers making sure they could select the right codes from the right information systems, submit claims to insurers and avoid large-scale claims rejections.
There are many integration challenges that arise in healthcare as organizations grow and evolve. Its not just a matter of hard-wiring systems and installing interfaces its ensuring that terminology is consistent and useful.
The meaningful use program has provided a mixed bag of results in the terminology arena. EHRs have been widely adopted, but efforts to invoke sets of terminology standards havent achieved anticipated results.
The initial transition to ICD-10 has gone surprisingly well, although providers seem to be taking additional time submitting claims to make sure they're right. Industry experts wonder if this trend will stick.
Payer software vendor and claims clearinghouse TriZetto Provider Solutions has seen a small uptick in insurers rejecting providers ICD-10 claims as the new code set enters its third week.
The transition to ICD-10 has been relatively smooth during the first three weeks for Allegro Pediatrics, with 80 providers at eight sites serving the Bellevue-Redmond region of Washington State. However, that may change now that insurance remittance advice is starting to come in.
Terminology is core to everything in healthcarefrom procedures to results to diagnoses. As healthcare organizations increasingly rely on information systems, agreeing on terminology usage and standards is critical to improving care, conducting analytics and other important initiatives.