12/12/14

Now that the fight is over, it is time to get serious about ICD10 visit www.icdremediator.com for tools #ICD10

The fight is over, we all win!!!

ICD-10 is happening, and it is happening on 10/1/2014.  If you are not ready, you wont get paid for procedures.  Can you say FINANCIAL IMPACT!

Your EMR may be ready, but is the rest of your organization? Have you checked all your workflows?  Have you hand remediated all the contracts?

I am guessing the answer is no, and we are here to help.

ICD Remediator can ease your struggle for much less than you think.  

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12/10/14

Hospital Associations Push to Keep ICD-10 on Schedule #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Hospital Associations Push to Keep ICD-10 on Schedule - ACA International

Dec 09, 2014



Congress could vote on another delay in the implementation of the updated medical coding system.



Leading U.S. hospital associations have submitted a letter to Congress strongly opposing any further delays in the implementation of the ICD-10 medical coding system scheduled for Oct. 15, 2015.



ICD-10 is replacing ICD-9 as the system to report medical diagnoses and inpatient procedures. All HIPAA-covered entities will be required to make the transition



Implementation of ICD-10 has been delayed twice, according to a HealthLeaders Media article. It was announced in 2009 and initially scheduled to start in 2013.



The system was then scheduled to take effect on Oct. 1, 2014, but was delayed by Congress as part of a bill that also delayed Medicare reimbursement cuts, according to the article.





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ICD-10 delay appears DOA in Congress this year #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Woo-Hoo



ICD-10 delay appears DOA in Congress this year - Modern HealthcareVital Signs | The healthcare business blog from Modern Healthcare

By Joseph Conn and Paul Demko  | December 8, 2014



A proposal to delay implementation of ICD-10 diagnostic and procedure codes by an additional two years appears to be going nowhere in the current lame duck session of Congress. 



“That's not going to happen,” said a veteran healthcare consultant who tracks the issue closely, speaking on background. “The reports of them ever getting traction were overrated.” 



The Texas Medical Association has been lobbying for the two-year delay. The nation's largest state medical society for physicians, with 48,000 members, wants to push back the adoption date for the oft-delayed change to 2017. 



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ICD-10: One CMIO Questions Its Value #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10: One CMIO Questions Its Value

December 9, 2014 

by Rajiv Leventhal 



During “roundtable” discussion, experts discuss what lies ahead in regards to ICD-10

ICD-10: One CMIO Questions Its Value Jed Rosen, M.D., CMIO, Carroll Hospital

Healthcare providers and physician groups are spending hundreds of hours and millions of dollars in preparation for the switch from ICD-9 to ICD-10.  For those smaller medical practices and physician groups that don’t have the means to hire consultants and spend a vast amount of resources to manage the changeover, they are turning to their associations for help.  



Undoubtedly, it’s a very hot topic among healthcare associations as their members navigate the complex process in anticipation of the current Oct. 1, 2015 implementation deadline. The Healthcare Billing & Management Association (HBMA), for one, is a nonprofit trade association dedicated to healthcare revenue cycle management, and is working with its members—medical billing companies— to develop best practices and contribute meaningful dialogue in preparing for ICD-10.



HBMA’s most recent ICD-10 readiness survey, taken this fall, revealed that its members are getting increasingly confident in their system’s capability to handle both ICD-9 and ICD-10 concurrently. On the other hand, 23 percent of respondents reported that system updates are not complete, and 37 percent of those that have not completed updates have no scheduled time for completion. As a result, internal testing is still lagging, the survey found.





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CMS,Testing Week Highlights Lingering ICD-10 Issues #ICD10 #ICDRemediator #ICD10Matters #HealthIT

There are still issues, now that it looks like ICD-10 is here to stay, tools are needed, get the best with www.icdremediator.com



CMS Acknowledgement Testing Week Highlights Lingering ICD-10 Issues

Written by  Mark Spivey | Monday, 08 December 2014 00:00



Despite a decline in participation and some lingering issues still affecting providers, Centers for Medicare & Medicaid Services Provider Billing Group Director Diane Kovach told Talk-Ten-Tuesday listeners last week that she was pleased with the results from the second of four scheduled acknowledgement testing weeks being planned and coordinated by the agency.



“Overall,” Kovach said, “the testing went really well.” 



Only two things were being scrutinized during the testing week that recently ended prior to the Thanksgiving holiday: the ability of providers to submit claims containing ICD-10 codes to CMS, and the ability of CMS to accept those codes, Kovach explained.



“These claims are not fully adjudicated in this testing,” she said. “It’s really just what we like to call ‘getting the claim in the door.’”



The first CMS Acknowledgement Testing Week was held in March. Participation in the most recent edition was “a little lower,” Kovach conceded, but there were two factors likely playing a factor in that area: First, the most recent ICD-10 delay, which “removed some of the sense of urgency” to get testing done in an expedient manner, she said, and second, a public stance regarding testing currently being taken by CMS. 





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Hospitals to Congress: Do not Delay ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Hospitals to Congress: Don’t Delay ICD-10

John Commins, for HealthLeaders Media, December 9, 2014



Several hospital associations, characterizing the twice-postponed implementation of the ICD-10 diagnostic coding set as "disruptive and costly," are urging House and Senate leaders to avoid any further delays.



The nation's leading hospital associations want the lame duck Congress to avoid further delays of the Oct. 1, 2015 implementation date for the ICD-10 diagnostic coding set.





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'Cromnibus' Does Not Include ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Dodged that one, I am sure there will be a few more tries



New Federal Spending Package Has Health IT Implications - iHealthBeat

Wednesday, December 10, 2014



A continuing resolution omnibus spending bill, or "cromnibus," to fund most of the federal government will not affect ICD-10 or the meaningful use program, but it does include several health IT provisions, Politico's "Morning eHealth" reports (Gold, "Morning eHealth,' Politico, 12/10).

Overall, the 1,603-page spending bill includes $1.1 trillion to fund all federal government agencies except for the Department of Homeland Security through September 2015 (AP/Washington Times, 12/10).



'Cromnibus' Does Not Include ICD-10, Meaningful Use Language



According to Health Data Management, the spending bill does not contain provisions to delay the ICD-10 compliance date or adjust the meaningful use incentive reporting period for 2015, as advocated by some groups (Goedert, Health Data Management, 12/10).



U.S. health care organizations are working to transition from ICD-9 to ICD-10 code sets to accommodate codes for new diseases and procedures by Oct. 1, 2015.



In a letter to House Speaker John Boehner (R-Ohio), the Medical Society of the State of New York, the Texas Medical Association and the National Physicians' Council for Healthcare Policy asked to delay the ICD-10 implementation until October 2017.



The groups urged Boehner to work with House Rules Committee Chair Pete Sessions (R-Texas) and House Energy and Commerce Committee Chair Fred Upton (R-Mich.) "to have this [delay] added to a must-pass piece of legislation during the upcoming Lame Duck Session in 2014."



According to sources familiar with lawmakers' discussions, Sessions discussed the possibility of including an ICD-10 provision in the budget agreement with House leadership.



Meanwhile, several prominent groups -- including the Healthcare Information and Management Systems Society and the College of Healthcare Information Management Executives -- have been pushing CMS and lawmakers to adjust the 2015 meaningful use reporting period from a full year to 90 days.



Under the 2009 economic stimulus package, providers who demonstrate meaningful use of certified electronic health records can qualify for Medicaid and Medicare incentive payments (iHealthBeat, 12/9).





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ICD-10 Delay Could Be Data Disaster #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Delay Could Be Data Disaster - iHealthBeat

by The Coalition for ICD-10

Tuesday, December 9, 2014



Earlier this year, Congress enacted a one-year delay of the implementation of ICD-10-CM/PCS code sets, extending the date from October 2014 to October 2015. This delay was characterized by some as a bump in the road on the way to better health care data.



Now, with some physician groups advocating for an additional delay of up to two more years, it's time for the industry to recognize that such obstruction is more than a bump in the road. If the health care industry continues to delay ICD-10 implementation, we are careening toward a health care data disaster. Given that the current system in use, ICD-9-CM/PCS, is inadequate for present-day uses and that past delays have incurred significant costs, further delays will have catastrophic consequences for the industry, with no measurable benefit. The health care industry simply cannot afford any more delays in ICD-10 implementation.



There have been multiple delays already, and each delay has been disruptive and costly for health care delivery innovation, payment reform, public health and health care spending. Furthermore, implementation costs continue to increase considerably with every year of a delay. This year, HHS estimated that the cost of a delay to HIPAA-covered entities ranges from $1.1 billion to $6.8 billion.





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12/9/14

Texas doctors lobby for two-year ICD-10 delay #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Texas doctors lobby for two-year ICD-10 delay - Modern Healthcare

By Joseph Conn  | December 3, 2014



The Texas Medical Association, the nation's largest state medical society for physicians, is asking its 48,000 members to write Congress requesting a two-year delay to the often-postponed implementation date for ICD-10 diagnostic and procedure codes.



The TMA's online exhortation, which includes a sample letter, solicits members to “join physicians across the United States” in the lobbying campaign. 



The TMA statement from its president, Dr. Austin King, said it is “imperative that you contact your representative today and explain how you cannot afford the cost and disruption of ICD-10 implementation to your business, especially now, when you are buried in myriad other bureaucratic burdens.” 



The latest Texas effort is consistent with long-standing American Medical Association policy toward ICD-10 dating back to 2011. 





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Is another ICD-10 delay inevitable? #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Is another ICD-10 delay inevitable? - FierceHealthIT

December 2, 2014 | By Dan Bowman



When it comes to ICD-10, a feeling of déjà vu is beginning to creep over me. Not only are interest groups both for and against the implementation out in full force, apparently another delay could be attached to a "must-pass" $157 billion spending bill for the departments of Labor, Education and Health and Human Services that expires next week.



Implementation, of course, was delayed in a similar fashion just eight months ago, when a provision was attached to a 12-month patch to the sustainable growth rate payment formula that prevented deep Medicare payment cuts to providers. That bill overwhelmingly passed through Congress before being immediately signed by President Obama.



Health systems are transforming their foundations and infrastructures to cut costs and improve care. In this eBook, hospital leaders share challenges and tools to make systemwide decisions that can help boost quality care and outcomes. Download today!

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That leads me to wonder: Will the U.S. ever see ICD-10?





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#ICD10Matters: Support for new codes picks up on social media #ICD10 #ICDRemediator #HealthIT

#ICD10Matters: Support for new codes picks up on social media | Healthcare Finance News



The movement recently flared up again to counter a campaign by the Texas AMA asking members to lobby for a delay. 



Henry Powderly, Managing Editor



Advocates for the impending switch to ICD-10 medical classification codes, which would bring U.S. healthcare in line with international coding standards, have been swarming on Twitter, using the hashtag #ICD10Matters to build awareness and support for the changeover.Advocates for the impending switch to ICD-10 medical classification codes, which would bring U.S. healthcare in line with international coding standards, have been swarming on Twitter, using the hashtag #ICD10Matters to build awareness and support for the changeover.



Viral hashtag campaigns aren’t new, but it’s not often you see groundswell campaigns about healthcare management topics.



Advocates for the impending switch to ICD-10 medical classification codes, which would bring U.S. healthcare in line with international coding standards, have been swarming on Twitter, using the hashtag #ICD10Matters to build awareness and support for the changeover. The movement, which is a few months old, recently flared up again to counter a campaign by the Texas branch of the American Medical Association asking members to lobby Congress to delay the deadline for ICD-10 compliance, currently set for Oct. 1, 2015.





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New Calls for Meaningful Use Reporting Changes, ICD-10 Delay #ICD10 #ICDRemediator #ICD10Matters #HealthIT

New Calls for Meaningful Use Reporting Changes, ICD-10 Delay | EHRintelligence.com

Author Kyle Murphy, PhD | Date December 3, 2014



HIMSS is seeking less stringent 2015 meaningful use reporting requirements while the Medical Society of the State of New York is petitioning for another ICD-10 delay.

While one industry association is calling on its members to support legislation that would make changes to 2015 meaningful use reporting, another is urging Congress to consider legislating an additional two-year delay for ICD-10 compliance.



As first reported by the Journal of AHIMA, the Medical Society of the State of New York began passing around a letter to members of Congress asking to delay the ICD-10 transition until October 2017 “in order to allow for physicians to work thru the myriad of new government regulations that face us.”





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Michigan's ICD-10 consortium to use a less-is-more strategy #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Michigan's ICD-10 consortium to use a less-is-more strategy | ICD10 Watch

Posted on Tue, Dec 02, 2014 - 08:00 am



It is important that several healthcare payers in Michigan — which includes Blue Cross Blue Shield of Michigan and Humana — have created an ICD-10 consortium to help smaller healthcare providers. But what's interesting is how they plan to do it.



Basically they're going to show specialists how the ICD-9 codes they use most often will translate to ICD-10 codes. This has three advantages:





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Physician practices should start preparing for ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Physician practices should start preparing for ICD-10 before the year's end | NueMD Industry News

December 2, 2014, by Kevin McCarthy



Healthcare agencies have been urging providers to begin preparing for the ICD-10 transition date, but not all physicians are heeding the recommendations. With the ICD-10 transition date less than a year away, small providers need to begin preparing for the new medical coding system, if they have not already. A number of healthcare organizations have voiced their concerns that practices are delaying the crucial steps for the transition. 





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ICD-10, Big Data and mHealth #ICD10 #ICDRemediator #ICD10Matters #HealthITG

ICD-10, Big Data and mHealth - Industry View



by CDW Healthcare |Dec 2, 2014



There was plenty to give thanks for last week, from bountiful feasts to Black Friday deals to the steady stream of technology innovations designed to improve outcomes and the patient experience. Some of the stars of this week’s HIT List include ICD-10, Big Data and mHealth.



A plug for ICD-10. This physician believes ICD-10 is a terrific vehicle for collecting Big Data with precision, despite what many consider excessive codes. He’s convinced ICD-10 will support better-informed decision making and even advocates additional codes to cover rare occurrences and abstract procedures. Do you share his optimism about ICD-10’s value for population health?





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Groups urge ICD-10 delay in lame duck #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Groups urge ICD-10 delay in lame duck — Lawmakers, DeSalvo talk health IT on the hill today - POLITICO Morning eHealth - POLITICO.com

By ASHLEY GOLD | 12/03/14 10:00 AM EDT

With help from Arthur Allen (@ArthurAllen202), David Pittman (@David_Pittman) and Aubree Eliza Weaver (@aubreeeweaver)



GROUPS PUSH FOR ICD-10 DELAY IN LAME DUCK: Various medical groups are pushing for the lame duck session of Congress to pass a two-year delay of the ICD-10 coding system, which CMS has decreed will be implemented next Oct. 1. Another ICD-10 delay could potentially be attached to a continuing resolution on the $157 billion labor, education and HHS funding bill, which expires Dec. 11, or to a repeal of the sustainable growth rate, which physicians also are pressing for. Draft language on the continuing resolution isn’t expected until next week. Groups including the Texas Medical Association, the Southeastern Delegation of the American Medical Association and the Medical Society of the State of New York have pleaded with Congress for the delay. Rep. Pete Sessions (R-TX), chairman of the House Rules Committee, has been pushing the anti-ICD-10 implementation message. Sessions said he would “work with my colleagues to ensure physicians are not saddled with untimely and unnecessary regulatory burdens,” but his office declined to give specifics. Speaker John Boehner’s office slipped ICD-10 delay language into last spring’s sustainable growth delay bill (http://politico.pro/1pS2xME). More on that later this morning.


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ICD-10 Delay Again? Don't Do It #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Delay Again? Don't Do It - InformationWeek



Congress is once again toying with the notion of pushing back the new diagnostic coding requirement.



Having postponed the implementation of ICD-10 from October 2014 until at least October 2015, some in Congress are now pushing for another two-year delay. The proposal is an addition to the Labor-HHS-Education appropriations bill that is scheduled to be voted on in early December. Even if that bill doesn't contain the delay or isn't passed, there are other healthcare bills coming up where the delay could be added.



I have one thing to say about that: Don't do it.





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Hospital CFOs' top concerns for 2015 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Hospital CFOs' top concerns for 2015

Written by Ayla Ellison 



From the transition to ICD-10 to mergers and acquisitions, hospital and health system CFOs are certainly going to be faced with a myriad of challenges in 2015. Although it's hard to say what the biggest issue in front of financial leaders is, there are some common top concerns on CFOs' radars going into next year.



According to a poll conducted by Becker's Hospital Review, the following are some of most widely cited CFO concerns.





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Five Commonly Overlooked ICD-10 IT Transition Strategies #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Five Commonly Overlooked ICD-10 IT Transition Strategies | EMR and HIPAA

Posted on December 1, 2014 I Written By Guest Blogger



The following is a guest blog post by Daniel M. Flanagan, Executive Consultant, Beacon Partners.

Daniel M. Flanagan, Executive Consultant, Beacon Partners



While some organizations have relaxed their approach to ICD-10 readiness given the October 1, 2015 extension, recent polls show that the majority of healthcare organizations remain woefully unprepared.  About 60% of healthcare systems and 96% of physician practices have not begun end-to-end testing according to recent surveys conducted by the College of Healthcare Information Management Executives (CHIME) and Navicure, a leading claims clearinghouse. A lack of testing puts the ICD-10 transition at the greatest risk of failure.



ICD-10 readiness planning should remain a top priority because conducting a comprehensive gap analysis and the resulting remediation work will correct system vulnerabilities that will improve revenue cycle performance today.  However, systems performance improvement is time and resource-intensive and cannot be achieved at the last minute.



Below are five often overlooked transition planning steps:





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Could Congress delay ICD-10 again next week? #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Could Congress delay ICD-10 again next week? | Government Health IT

December 01, 2014 | Carl Natale, Editor, ICD10Watch



The ICD-10 opposition, in fact, advocated slipping a two-year delay into a piece of must-pass legislation during this lame duck session of Congress.



That legislation may be the fiscal year 2015 Labor-HHS-Education Appropriations Bill. (Hat tip to Mary Butler for pointing out this funding bill in the Journal of AHIMA.)



The proposed bill, in limbo since the summer because it contains partisan provisions, would fund several healthcare programs next year.



Now, it's not exactly the slam dunk to pass that the Protecting Access to Medicare Act of 2014 (PAMA) was; that’s the bill that pushed off any real action on the Sustainable Growth Rate and carried a provision prohibiting HHS to mandate ICD-10 compliance prior to October 1, 2015.





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12/2/14

ICD-10 Regulatory & Associations #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Regulatory & Associations - Memorial Healthcare System

Regulatory & Associations



Everyone covered by HIPAA must transition to ICD-10. This includes providers and payers who do not deal with Medicare claims. Provided here is a list of various Regulatory Associations and links to their ICD-10 information, we encourage you to visit these sites to learn more.





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Five Reasons to be Thankful for ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Five Reasons to be Thankful for ICD-10 | EMR and HIPAA

Posted on November 30, 2014 I Written By John Lynn



It’s Thanksgiving weekend—a time for reflection and gratitude. Thoughts typically turn to family, friends, health, and life’s many other blessings. In addition to all of these, this Thanksgiving I suggest that the healthcare industry also include ICD-10 in our list of godsends. Here are five reasons why:





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Whats on horizon in 2015 for Ohio workers compensation #ICD10 #ICDRemediator #ICD10Matters #HealthIT

What’s on the horizon in 2015 for Ohio’s workers’ compensation?

By: SBN Staff | 12:02am EST December 1, 2014



As 2014 comes to a close, we look ahead to the continued changes to be made in the Ohio workers’ compensation system that will bring a few benefits to the employers in the state.



“In 2015, the Ohio Bureau of Workers’ Compensation (BWC) expects to implement several new initiatives that include other states’ coverage, ICD-10 diagnosis codes and a prospective billing system for the collection of workers’ compensation premium versus the current in arrears payment,” says Randy Jones, senior vice president of Ohio TPA operations at CompManagement, Inc.



Smart Business spoke with Jones about why the BWC is planning these changes in 2015 and the advantages that each initiative will bring to employers.





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Last chance for 2014 deals ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

www.ICDREMEDIATOR.com

The end of the year in upon us, and it appears that ICD-10 is here to stay. 

The EMR systems may be under control, but how are your labs?  how about the marketing department?  In our experience we have identified over 150 workflows that contain ICD codes.  This stretched from the mentioned Marketing department to the contracts with various payers.

If your EMR system is updated, great!  Now you can focus on all the other ways ICD-10 can interrupt your payment systems.

One key to dealing with several years worth of work and study is to get the best tools available.  No one wants to be stuck with rejection after rejection.  And the organization will blame the Coders!

Get Remediator.  Email our friendly staff at sales@icdremediator.com with the subject line "LASTCHANCE2014" for a 25%, 1 year, discount on your solution to ICD-10 conversion nightmares.

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Medical billers, coders: Navigating insurance claims #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Medical billers, coders: Navigating insurance claims takes skill and persistence - Chicago Tribune

By Erinn Hutkin



While she's not directly involved in patient care, Lynn Ellis still plays a vital, and rewarding, role in helping people when they visit the doctor.



An insurance accounts-receivable specialist who deals with medical billing and coding for Women's Group of Northwestern, Chicago's first all-female medical practice, Ellis helps patients navigate the complexities of health insurance so they can focus on their health issues and care for their newborns.



"I enjoy the sense of accomplishment," said Ellis, 44. "This career presented an opportunity to work in the health care industry without having to perform clinical work. It was ideal for my personality and skills."



Medical billers submit claims to health insurance companies, post payments and make sure claims are properly billed. Coders focus on verifying billing codes to ensure they're correct so proper payment is made to the health care provider.



Ellis concentrates on unpaid and denied medical insurance claims, working to get them paid. The issue may be a billing or coding error, or another issue related to a patient's particular coverage, she noted. When problems are not properly resolved, Ellis may write an appeal to the insurance company.



"The job requires me to draw on many different skills, but I primarily rely upon my math and communications skills to be efficient and effective," she said.





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Fun ICD-10 images #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Fun ICD-10 images

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ICD Diagnostic Guidelines on Personality Disorders #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD Diagnostic Guidelines on Personality Disorders

ICD Notes Common to the Diagnostic Criteria for Each Personality Disorder

Personality disorder diagnoses under the ICD-10 system each refer to a set of symptoms specific to that personality disorder and a set of diagnostic guidelines which apply to all personality disorders.



Personality Disorder Description Common to All Personality Disorders



The following information is reproduced verbatim from the ICD-10 Classification of Mental and Behavioural Disorders, World Health Organization, Geneva, 1992. (Since the WHO updates the overall ICD on a regular basis, individual classifications within it may or may not change from year to year; therefore, you should always check directly with the WHO to be sure of obtaining the latest revision for any particular individual classification.) It provides the common description and guidelines referenced by the diagnostic criteria for each of the individual personalty disorders.





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ICD-10 Update: Compliance in 2015 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Update: Compliance in 2015 | MedPartners HIM | MedPartners HIM

The implementation of ICD-10 has been contentious and complicated to say the least, leading some forecasters to predict disastrous scenarios when the code is finally put into use. That led Congress to delay the implementation deadline from October 2014 to October 2015. The deadline extension came as a surprise to many and has been met with a conflicting response – some in favor of the extra time and others firmly opposed. This brief outline lays out the arguments expressed by both sides.





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Health organizations ask for no further ICD-10 delays #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Health organizations ask for no further ICD-10 delays | NueMD Industry News

November 25, 2014, by Kevin McCarthy



Physicians who are anticipating another postponement of ICD-10 are at odds with some of the nation's largest healthcare organizations. These industry professionals do not want to see another delay in the coding switch and have voiced their opinions to the government.



Impact of postponement



ICD-10, the medical coding system set to replace ICD-9, was initially scheduled to be implemented in 2011. There have been four delays in the U.S. transition date, the most recent of which set Oct. 1, 2015, as the final deadline.



Many small healthcare providers have struggled to make the necessary preparations for the switch, and this was one of the reasons the U.S. Department of Health and Human Services (HHS) issued the postponement. However, many industry experts believe that continuing to use ICD-9 is hurting both providers and patients.



Many developed nations, including China, Canada, France and Germany, have been using ICD-10 for years. Because the U.S. is using an outdated coding system, it makes information exchange with other countries difficult and time-consuming.



The American Health Information Management Association (AHIMA) also noted that ICD-10 has potential to track diseases and health trends across the country better than ICD-9. The increased specificity of the coding system will help healthcare agencies to collect more accurate data, which can be used to prevent and treat diseases.





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Splitting Up the Work for ICD-10 Prep #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Splitting Up the Work for ICD-10 Prep



There are a myriad of tasks involved in a practice’s transition from ICD-9 to ICD-10.  The overall project may seem overwhelming, but a sound way to manage this transition would be to split up the key tasks by the role of the individual in the practice. The idea would be to assign tasks to the person most knowledgeable about the subject and let them determine the best way to accomplish it.  Depending on the size of your office some people will take on more than one task.





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Support your turkey #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Support your turkey | ICD-10 Trainer



TurkeyTom Turkey has come in to the Stitch ‘Em Up Hospital for a little work before Thanksgiving.



Dr. Carver is going to first take out Tom’s guts, then replace them with stuffing. How would we code Tom’s procedures?



Let’s start with the organ removal. Dr. Carver is removing the entire organs, so we know our root operation will be Resection.



So which body parts are we taking out of Tom? Well, let’s see. We don’t want the heart, lungs, liver, gizzard, gall bladder, crop, duodenum, ileum, jejunum, colon, and kidneys inside Tom.





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Keep calm and vote no to ICD-10 delay! #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Keep calm and vote no to ICD-10 delay! | Industry News | Pinterest 



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Handy ICD-10 Codes for the Thanksgiving Holiday #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Handy ICD-10 Codes for the Thanksgiving Holiday 

SLIDESHOW

Handy ICD-10 Codes for the Thanksgiving Holiday



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Study: Providers increasingly outsourcing revenue cycle management #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Study: Providers increasingly outsourcing revenue cycle management | Healthcare Dive 

By Anne Zieger | November 26, 2014



Dive Brief:



Driven by pressure from changing value-based payment models, providers are increasingly outsourcing revenue cycle management services, according to industry research house Black Book.

Black Book has found that over the past two years, hundreds of providers have outsourced their RCM function, and that the number continues to grow. This should result in the outsourced RCM market hitting $10 billion by 2016, the firm projects.



In-house RCM operations cost providers $252 billion this year, with reimbursements costing $30 to $90 per transaction, Black Book estimates.



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Guerrilla warfare over ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Guerrilla warfare over ICD-10 | Healthcare Finance News



Any piece of healthcare legislation going up before Congress might become a battle for ICD-10 survival. Carl Natale



In some quarters, vigorous opposition to ICD-10 implementation is turning into guerrilla warfare.



The Texas Medical Association (TMA) is encouraging physicians to lobby Congress for a two-year ICD-10 delay. They even provide the text that physicians should cut and paste onto their personal stationery.



The TMA letter cites the number of ICD-10 codes, costs, reimbursement delays and competing federal mandates. Nothing new here.



It's the call to action that I find interesting:



"Please tell Speaker Boehner, Chairman Fred Upton, and Chairman Pete Sessions that you want to add the ICD-10 delay to a must-pass piece of legislation during the upcoming 2014 lame duck session."



This is how the Protecting Access to Medicare Act of 2014 (PAMA) became the vehicle to delay ICD-10 implementation earlier this year. It could work again, because there might not be anyone in Congress who cares enough about ICD-10 implementation to try to strip out any anti-ICD-10 amendments.



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Why ICD-10 Matters: A Physician's Perspective #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Why ICD-10 Matters: A Physician's Perspective



In this video provided by Florida Health Information Management Association (FHIMA), Paul Isaacs, MD, from FTI Consulting explains why ICD-10 is so important from the perspective of a physician.





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Payers Form ICD-10 Consortium to Help Smaller Providers #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Payers Form ICD-10 Consortium to Help Smaller Providers

Payers Form ICD-10 Consortium to Help Smaller Providers with ICD-10 Readiness

by Fred Pennic 11/26/2014 



Blue Cross Blue Shield of Michigan, Humana, and other payers have joined together to form the ICD-10 Consortium to help smaller providers with the transition to ICD-10, reports ICD-10 Monitor. 



ICD-10 Consortium Plans

The consortium members goal is to meet with healthcare provider specialty groups, such as cardiology, dermatology, etc. to prioritize the ICD-9 codes they use most, then map them into ICD-10 codes. By identifying their top 25 ICD-9 codes, these smaller practices can help gauge their potential ICD-10 impact by specialty.  





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11/26/14

Positive Reimbursement Changes in BPH Treatment #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Positive Reimbursement Changes in BPH Treatment Drives the U.S. Urological Device Market: Led by American Medical Systems, Olympus and Karl Storz



According to a recent U.S. urology report, increased incidences of benign prostatic hyperplasia (BPH) are expected to be significant in the coming years. Approximately half of men exhibit evidence of BPH by age 50 years, a proportion which increases to 75% by age 80.



November 25, 2014 20:37 ET | Source: iData Research

VANCOUVER, BC, Nov. 25, 2014 (GLOBE NEWSWIRE) -- via PRWEB - According to an in-depth U.S. urology report, from iData Research, the leading global authority in medical device market research, the U.S. urological market is expected to approach $3 billion by 2020. Growth can be attributed to the increasing incidence of BPH and reimbursement changes.



More than 125 CPT and ICD-9 procedure codes as well as over 500 responses from surveys were examined and incorporated into analyses for procedure volumes. The research included studies for such urological disorder treatment devices for BPH, which describes the enlargement of the prostate, stone management nephrostomy, urodynamic, urinary incontinence and erectile dysfunction management.



iData's research concluded approximately over 230,000 BPH procedures are expected to be performed by 2020. "The population of males over 65 years of age is a significant driver for non-drug BPH treatment" says Dr. Kamran Zamanian, CEO of iData. "Drug treatments can lose efficacy over time. Approximately half of men exhibit evidence of BPH by age 50, a proportion of which increases to 75% by age 80."



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AMA president talks meaningful use, ICD-10, and Ebola #ICD10 #ICDRemediator #ICD10Matters #HealthIT

VIDEO: AMA president talks meaningful use, ICD-10, and Ebola : Clinical Endocrinology News

By: ALICIA AULT

Clinical Endocrinology News Digital Network

NOVEMBER 25, 2014



WASHINGTON – The recent deadline extensions for meaningful use attestation are encouraging, but not enough. The process must be more user-friendly and clinically meaningful.

That’s according to Dr. Robert Wah, president of the American Medical Association. Dr. Wah discussed the AMA’s concerns about meaningful use and health information technology in a video interview – including whether there is enough of a focus on interoperability of electronic health records.

Looking for the latest in diabetes? Visit our diabetes specialty focus page for news, videos, conference coverage, and more.



He also touched on the transition to the ICD-10 code set, again questioning whether the move is clinically useful and ultimately helps improve patient care.



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AMA president talks meaningful use, ICD-10, and Ebola #ICD10 #ICDRemediator #ICD10Matters #HealthIT

VIDEO: AMA president talks meaningful use, ICD-10, and Ebola : Clinical Endocrinology News

By: ALICIA AULT

Clinical Endocrinology News Digital Network

NOVEMBER 25, 2014



WASHINGTON – The recent deadline extensions for meaningful use attestation are encouraging, but not enough. The process must be more user-friendly and clinically meaningful.

That’s according to Dr. Robert Wah, president of the American Medical Association. Dr. Wah discussed the AMA’s concerns about meaningful use and health information technology in a video interview – including whether there is enough of a focus on interoperability of electronic health records.

Looking for the latest in diabetes? Visit our diabetes specialty focus page for news, videos, conference coverage, and more.



He also touched on the transition to the ICD-10 code set, again questioning whether the move is clinically useful and ultimately helps improve patient care.



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Here's your chance to use the ICD-10 code for pecked by a turkey #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Here's your chance to use the ICD-10 code for 'pecked by a turkey' | ICD10 Watch

Posted on Mon, Nov 24, 2014 - 08:23 pm



Thanksgiving is almost upon us. And you might want to be careful. Don't end up in an emergency department with one of these Thanksgiving related ICD-10-CM codes:



93.G3 Activity, Cooking and Baking

W61.42 Struck by Turkey / W71.43 Pecked by Turkey / W61.49 Other Contact with Turkey

W21.01 Struck by Football

R63.2 Polyphagia (Overeating)

Y04.0 Assault by Unarmed Brawl or Fight

W21.01 Lack of Adequate Sleep





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Enabling business outcomes through ICD-10 testing solutions #ICD10 #ICDRemediator #ICD10Matters #HealthIT

www.genpact.com/docs/default-source/resource-/enabling-business-outcomes-through-icd-10-testing-solutions



Enabling business outcomes through ICD-10 testing solutions



With the ICD-10 deadline extended to October 1, 2015, payers and providers remain concerned about the neutrality components of ICD-10 and their impact on business outcomes for the healthcare ecosystem. On one hand, payers are concerned about payment impacts resulting from professional coders “upcoding” in ICD-10, which could negatively impact the medical loss ratio (MLR). Further, this could also result in payment delays for a larger numbers of claims,

impacting operational neutrality.Operational readiness



Providers, on the other hand, have revenue cycle management concerns due to the excessive number of pending claims and may experience a reduction in “down-coding”, especially when professional coding teams are not utilized. Genpact’s ICD-10 testing solution has been tailored to address these risks and

concerns around end-to-end testing.


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What will the ICD-10 transition really cost? #ICD10 #ICDRemediator #ICD10Matters #HealthIT

What will the ICD-10 transition really cost? | ICD-10 Trainer



In its November issue, the Journal of AHIMA published an article citing significantly lower costs for physician practices to transition to ICD-10 than the numbers supplied by Nachimson Advisors in a 2014 updated report (Nachimson published the first report at the request of the AMA in 2008).



Money hole mediumWe’re not talking about a small difference in cost estimates. Nachimson estimated small physician practices will spend $56,639-$226,105 on ICD-10 implementation. Analysts from 3M put the figure at $1,960-$5,900, according to the AHIMA article. Somebody’s numbers are way off.



Nachimson rebutted the AHIMA numbers, saying the study used to come up with the lower estimate is flawed and fails to account for some critical steps in ICD-10 planning and transition.



So who’s right? Probably neither. The real numbers will likely fall in the middle and could vary widely by practice. For example, a practice that already has a robust (or at least well-implemented) electronic medical record (EMR) will likely spend less time and money updating the system for ICD-10. The vendor should provide the software changes as part of the regular software updates.


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MGMA - CMS ICD-10 acknowledgement testing begins this week #ICD10 #ICDRemediator #ICD10Matters #HealthIT

MGMA - CMS ICD-10 acknowledgement testing begins this week



Summary:



This week begins the first of three weeks of testing the submission of ICD-10 coded claims to the Centers for Medicare & Medicaid Services (CMS). Acknowledgement testing simply validates the ability of the submitter to meet technical compliance and performance standards; it does not return remittance advice explaining whether the code was appropriate or if the claim was paid. The ICD-10 transition is currently scheduled for Oct. 1, 2015.



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ICD-10 Testing Consultants Dish Out the Good, the Bad, and the Ugly #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Testing Consultants Dish Out the Good, the Bad, and the Ugly

Written by  Juliet Santos, MSN, CCRN, FNP-BC

Monday, 27 October 2014



As we continue to move toward the new ICD-10 coding and reimbursement system, new challenges are facing healthcare providers above and beyond those associated with other high-profile federal mandates.



New focuses demanding our attention and resources include the fearsome Ebola virus and Enterovirus D68 (EV-D68), which is more easily communicable than Ebola and appears to have spread to children in 45 states and the District of Columbia (as well as other humanitarian crises overseas that now are impacting the U.S.) Although we often prefer to distance ourselves from diseases that we’ve not treated in the past, the reality is that many of these diseases could eventually find their way to the U.S. if we’re not able to contain them abroad.



These new urgent priorities have caught us halfway into preparing for ICD-10, the basic foundation we need to support current practices of medicine and to track health of various populations in the 21st century. To obtain the latest information on industry progress on implementation, we asked ICD-10 expert consultants to share their assessments and recommendations about ICD-10 testing. These consultants serve in leadership capacities on behalf of their hospital and ambulatory clients across the U.S. 



Specifically, they’ve been engaged to function as ICD-10 program directors, project managers, testing SMEs, testers, analysts, strategists, and overall implementation advisors.



We asked the consultants, “Where is the industry at in terms of testing for ICD-10?” The responses are organized in three categories: “the Good” (what is going well), “the Bad” (areas in need of improvement), and “the Ugly” (critical areas of focus that impact overall success of any organization).





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Do You Hear What I Hear? #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Do You Hear What I Hear?

Written by  Holly Louie, RN, CHBME, PCS | Wednesday, 26 November 2014



As I reflect on the many comments from physicians, coders, educators, auditors, and various organizations, a message of frustration keeps creeping into the conversation. Physicians aren’t cooperating. Physicians don’t want to hear about ICD-10. I can’t get my doctors interested. As I reflect on the reasons that might exist for this perception of frustration, I thought actually investigating the message might shed light on the topic. Although the findings are not statistically valid, I believe they provide perspectives that can prove valuable as we move toward the finish line on ICD-10 implementation. 



Why? Such a basic question that has so many paths to trouble! We all know the whys: ICD-9 is obsolete, codes don’t reflect current practice, it does not provide the granularity needed, and the list goes on. So much information that does not answer the most basic question!



For many physicians, they honestly believe they are doing just fine with the obsolete code set; it is a known system that has worked for all of them for their entire careers.



They rely upon a small subset of codes in their practices, so some of the most robust ICD-10 differences may not seem relevant to them. They can document what they need to know and communicate to another medical professional. They read and interpret information from other professionals with no difficulty. They can talk to the patient, and the patient is not complaining. They have zero concerns about the quality of care they are delivering. They don’t look at or see ICD-9 codes in the medical records they use and they don’t send ICD-9 codes to their peers. To have any credibility, we must answer the why question in a way that makes sense to them. “Because we said so” is not the answer. Neither is the usual mantra that they can’t relate to in any meaningful way.





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