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 Centers for Medicare and Medicaid Services has announced that providers, clearinghouses, and billing agencies have successfully participated in the second ICD-10 end-to-end testing week, held April 27 through May 1.
Robust information technologies and changes in revenue cycle procedures can set providers up to succeed.
Cooperation proves crucial as providers and payers enter the home stretch for the transition.
The October 1 deadline to transition from ICD-9 to ICD-10 poses special challenges for emergency departments in terms of how medical diagnoses are coded. According to new research, about a quarter of all ER clinical encounters could experience difficulties after the code switchover this fall.
A whopping 83 percent of healthcare executive respondents to a recent survey believe that the code switchover will happen on October 1, 2015, without further delays.
Rep. Diane Black (R-Tenn.) has introduced legislation requiring Medicare to conduct a comprehensive, end-to-end ICD-10 testing process to assess whether the Medicare fee-for-service claims processing system is fully functioning using the new code set.
The Centers for Medicare and Medicaid Services has just released a fact sheet on preparing for ICD-10. This latest message offers suggestions for providers whose information systems may not be ready in time for the Oct. 1 transition deadline. The facts sheet also attempts to dispel some myths and issues a warning.
Health information management companies HealthPort and IOD have agreed to combine with HealthPort apparently the surviving entity.
The Centers for Medicare and Medicaid Services has extended the deadline for applying to conduct end-to-end testing with Medicare in July. Application forms are now being accepted May 11 through May 22.
Just when stakeholders thought the October 1 ICD-10 compliance deadline was a lock, a bill has been introduced in the U.S. House of Representatives that seeks to put the kibosh on the federal governments plans to require the medical community to comply with the new code set.
During a Senate Appropriations subcommittee hearing on Thursday, Health and Human Services Secretary Sylvia Burwell faced tough questioning from senators about the difficulties providers are experiencing with electronic health records adoption under the Meaningful Use program and the rapidly approaching ICD-10 code switchover.
Over the years, hospital information systems vendor Medsphere Systems and consultancy Phoenix Health Systems have had a partnership. Now, the partners have merged following a swap of Phoenix stock for Medsphere stock.
The U.S. House of Representatives on March 26 expects to vote on a Medicare physician reimbursement arrangement that would replace the current Sustainable Growth Rate formula. The bi-partisan bill being pushed by top leaders currently has no language that could lead to a further delay in the Oct. 1, 2015 ICD-10 compliance date. However, there is no guarantee that will hold.
Congress during the month of March expects to once again attempt a permanent fix to the Medicare Sustainable Growth Rate formula for reimbursing physicians, and a delay in the ICD-10 compliance date could be in the mix, just as it was last year when the date was moved to Oct. 1, 2015.
The American Medical Association in a March 4 letter to the Centers for Medicare and Medicaid Services, along with 99 state and specialty societies, has urged CMS to come up with contingency plans to address their concerns about the potential negative impact of the ICD-10 transition.