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.
Apple and IBM have joined forces to bring Big Blues core competencies in big data and analytics to Apples iPhone and iPad. The exclusive agreement will result in a new class of more than 100 industry-specific enterprise solutions, including native apps developed from the ground up for banking, healthcare, insurance and other markets. IBM MobileFirst for iOS Solutions for these verticals will become available starting this fall and into 2015. Here's five reasons why Forrester Research says the partnership will succeed.
Concerns that nationwide electronic health record adoption could lead to widespread fraudulent coding and billing practices that result in higher healthcare spending are unfounded, according to a study from the University of Michigan School of Information and the Harvard School of Public Health.
In a proposed rule issued in late April, the Centers for Medicare and Medicaid Services indicated that it expected to set a new ICD-10 compliance date of Oct. 1, 2015. Now in new guidance, CMS is reiterating that the date will hold firm in a final rule coming soon.
Among the multitude of tasks to prepare for the ICD-10 code sets, providers also should conduct two core tests with insurers: Acknowledgement testing, also known as historical validation testing, and End-to-End testing.
The University of Pittsburgh Medical Center has launched a coding and revenue cycle management outsource service for other hospitals and physician practices, bringing to the market capabilities it has developed in-house during the past eight years.
The cost for physician practices to implement ICD-10 medical diagnosis and in-patient procedure codes to date may not be anywhere near as high as feared.
The Centers for Medicare and Medicaid Services plans on releasing an ICD-10 national timeline to assist stakeholders in preparing for the expected new October 1, 2015 implementation deadline.
While most healthcare organizations are generally prepared to begin ICD-10 testing in the near future, they are concerned about the impact of ICD-10 on workflow, productivity, and reimbursement.
Healthcare payers were "uniformly ready or on track to be ready" for the October 1, 2014 ICD-10 deadline, according to performance management consultant Enkata.
The HIMSS ICD-10 Task Force has updated two tools and repackaged them on the organization's ICD-10 PlayBook as the ICD-10 Financial Tool Suite ...
Pediatricians may lose money, data or both during the mandated conversion from ICD-9 to ICD-10, according to University of Illinois at Chicago researchers.
The Centers for Medicare and Medicaid Services is offering a series of ICD-10 webcasts for providers of various specialties as part of its "Road to 10" resource for small physician practices.
The delay of ICD-10 implementation may offer industry stakeholders an opportunity to ensure "good to go," if not perfect, functionalityor may enable dawdlers to squander the extra time ...
Test ICD-10 claims submitted to CMS registered an 89 percent acceptable rate nationwide ...
The Workgroup for Electronic Data Interchange has called on the Department of Health and Human Services to adopt the organization's proposed ICD-10 transition roadmap in order to "minimize continued disruption to the healthcare industry" as a result of the one-year ICD-10 delay.