Coding

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.

Workflow Central

Gary Baldwin | Apr 01

Scanning volumes are decreasing, but document management systems still require their own kind of management to work well.

Document Management

EHR

Group Practices

Hospitals

HL7 Makes Good on Offer of Free Intellectual Property

Joseph Goedert | Apr 01

Standards development organization Health Level Seven International in September 2012 pledged to offer much of its intellectual property via a free license, and that property now is available, effective April 1.

EHR

Health Info Exchange

Group Practices

Hospitals

Payers

Policy & Regulation

Cerner, WellPoint Team for End-to-End ICD-10 Tests

Joseph Goedert | Mar 28

Health insurer WellPoint and software vendor Cerner Corp. have aligned to conduct a pilot program to get ready for end-to-end testing of transactions populated with ICD-10 codes.

EHR

Electronic Data Interchange

Group Practices

Hospitals

Payers

Revenue Cycle Management

Revenue Cycle & Payments

Practice Management

Vendor News

Find ICD-10 Help at AHIMA’s April Summit

Joseph Goedert | Mar 20

The American Health Information Management Association is hosting a three-day conference on ICD-10 implementation issues, April 22-24 in Baltimore.

Document Management

EHR

Electronic Data Interchange

Group Practices

Hospitals

Payers

Revenue Cycle & Payments

Revenue Cycle Management

Policy & Regulation

Saint Vincent Partners With 3M To Improve Patient Care

Mar 19

Richard Ong, VP and CIO at Saint Vincent Health System, talks about how 3M is providing the leading-edge tools that are allowing the Erie, Pa., hospital to greatly increase data quality and accuracy and improve patient care (sponsored video).

Document Management

EHR

Payers Work to Ease Coordination of Benefits Determinations

Joseph Goedert | Mar 13

Industry advocacy organization CAQH, which has developed the CORE operating rules to make HIPAA transactions more uniform, has a new initiative to streamline the coordination of benefits process.

Electronic Data Interchange

Group Practices

Hospitals

Payers

Revenue Cycle Management

Revenue Cycle & Payments

The Long Reach of ICD-10

Mar 05

Unlike many health systems, Geisinger Health System is ahead of the curve on ICD-10 ...

Hospitals

The Trouble with RACs

Joseph Goedert | Mar 01

Providers struggle with the demands of the Medicare audit program and question the fairness of it all.

Revenue Cycle & Payments

Policy & Regulation

Payers

Hospitals

Group Practices

Effort to Map Molecular/Genetic Tests to CPT Codes

Joseph Goedert | Feb 27

The American Medical Association will work with McKesson Corp. to develop a common way of identifying and tracking molecular or genetic diagnostic tests.

Revenue Cycle & Payments

Revenue Cycle Management

Practice Management

Electronic Data Interchange

Group Practices

Hospitals

Payers

California Stakeholders Band Together for ICD-10

Joseph Goedert | Feb 27

Eleven health care organizations or associations are early members of the newly formed California ICD-10 Collaborative, designed to aid stakeholders in working collectively to implement the new code sets.

Electronic Data Interchange

EHR

Group Practices

Hospitals

Payers

Revenue Cycle & Payments

Policy & Regulation

MGMA Launches New Practice Analytics, Benchmarking Service

Joseph Goedert | Feb 21

The Medical Group Management Association is offering data analytics technology to physician practice administrators to analyze and benchmark practice performance.

Group Practices

Revenue Cycle & Payments

Vendor News

Web Technology

Coding: Up, Down or Around?

Gary Baldwin | Feb 08

The HHS warning was uncharacteristically blunt. In a letter distributed last September, Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder warned five hospital associations against using electronic health records to "game" the billing system.

EHR

Group Practices

Hospitals

Payers

Revenue Cycle & Payments

Policy & Regulation

Electronic Data Interchange

CMS Request for Information Seeks Easier Data Reporting Processes

Joseph Goedert | Feb 04

The Centers for Medicare and Medicaid Services has issued a request for information on how physicians can use data reported to specialty societies and boards, and regional health quality organizations, to also comply with federal reporting programs.

Group Practices

EHR

Policy & Regulation

Decision Support