EDI commonly refers to data formats used in the processing of medical claims. EDI standards, such as 5010, streamline the transfer of data between payers and providers. Look here for stories on emerging federal requirements, the role of claims clearinghouses, and transaction standards.
In a recent blog posting, Kathleen LePar, vice president of strategic services at consultancy Beacon Partners, notes: We have been hearing for the last two years, If I only had enough time to implement ICD-10 correctly. Well, now you have the opportunity to do it right. LePar gives multiple examples of opportunities that stakeholders should take advantage of now that Congress has delayed the ICD-10 compliance deadline until at least October 2015.
A crush of events in Washington have turned the ICD-10 compliance deadline on its head, leaving all of us with more questions than answers, particularly concerning what the process will be going forward.
Julia Skapik, MD, Medical Director, Office of the Chief Medical Officer at the ONC discusses what's new with eCQM and how the effort can improve patient care.
Today is St. Patrick's Day, a sobering reminder that there are less than 200 days left until the October 1 ICD-10 implementation deadline. Either way, if you are a provider that is concerned about being prepared to make the code switchover, no one could blame you for having a good, strong drink (or two).
The Centers for Medicare and Medicaid Services is seeking volunteer providers, clearinghouses and suppliers to participate in end-to-end ICD-10 tracking with contractors in late July 2014. The deadline to submit an application form is March 24, 2014.
ICD-10 expert John Berman of RelayHealth says Medicare acknowledgement testing of ICD-10 was the easy part with end-to-end testing on the horizon.
A year ago, a group of major health insurers committed to streamlining the coordination of benefits process. Now, they have gone live on a patient registry to offer automated identification of patients eligible for health coverage under more than one plan, and which plan pays first.
Three major health care provider associations are applauding Medicares decision to conduct at least limited end-to-end testing of ICD-10 this summer, but at the same time reminding the CMS of other concerns with its preparations.
Bowing to intense industry pressure, the Centers for Medicare and Medicaid Services has announced it will conduct limited end-to-end testing of ICD-10 during the summer of 2014.
A new HIE leader in Missouri leads recent announcements from health information technology vendors:
The Electronic Healthcare Network Accreditation Commission, which certifies entities that process transactions or exchange health information for meeting best practices, has finalized 2014 criteria for all 14 of its programs.
A proposed rule from the Department of Health and Human Services would require health insurers to certify compliance by the end of 2015 with HIPAA operating rules governing more uniformity of insurance eligibility, claim status, electronic funds transfer and remittance advice transactions.
The health care industry remains behind in readiness for the ICD-10 code set, according to the latest in a series of status surveys from the Workgroup for Electronic Data Interchange.
Few hospitals have operational computer-assisted coding systems today, but hundreds are looking at the technology or have made their selections as the ICD-10 compliance deadline nears. In a new report, vendor research firm KLAS Enterprises looks at the field and customer satisfaction rates.
The Medical Group Management Association is calling on the Centers for Medicare and Medicaid Services to significantly increase its testing of ICD-10 during 2014.