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Tuesday, July 16, 2013

3:30 PM - 4:15 PM
Track: Operational View Track VALUE-BASED STRUCTURAL CHANGE: ANALYZING ICD-10 IMPACTS
Louis F. Rossiter, PhD Director of Scientific Affairs and Founding Member, NEW HEALTH ANALYTICS

ICD-10 is not just a coding issue; but a demand to restructure the information feed to payers to further refine their value-based metrics.  It affects the hospital revenue cycle and requires organizational change management to implement.

Advanced analytics can help your leadership understand the payment impact to a hospital’s bottom line under ICD-10. In 2014, all common reimbursement schemes for hospital inpatient procedures currently based on ICD-9 will be converted to ICD-10. A change in hospital payment by diagnosis-related group or service line is inevitable.

The financial effect is not insignificant and there will be hospital winners and losers.  Hospitals need to understand the financial implications of moving from ICD-9 to ICD-10 and determine the revenue impact by provider or system facility, service line and geography.

This session discusses multiple hospital case examples and the use of critical modeling tools, payment formulas and methodology to develop a strong financial impact analysis that is a critical part of a hospital’s ICD-10 strategy.

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