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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Insurance giants unite to make ICD-10 a little easier #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Insurance giants unite to make ICD-10 a little easier | Healthcare Dive

By Marisa Torrieri | November 25, 2014 



Dive Brief:



A newly-formed consortium featuring Blue Cross Blue Shield of Michigan, Humana and several other payers are working together on strategies to help smaller healthcare providers get ready for ICD-10, which is less than a year away. 



The consortium's short-term plan is to meet with healthcare provider specialty groups (such as cardiology or pediatrics) to help them focus on learning how to translate the ICD-9 codes they submit most often into ICD-10 codes.



"The consortium approach is in response to concerns raised in testimony on Capitol Hill at recent NCVHS hearings that payers may not be able to test with a large number of providers," said Sid Hebert, director of the ICD-10 implementation team at Humana. "This approach allows for interested providers to evaluate their coding proficiency with real-world examples, keyed to specialties, through a dynamic interchange with cooperating payers."





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Autism Spectrum Disorder: Five Times the Codes in ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Autism Spectrum Disorder: Five Times the Codes in ICD-10

Written by  Wilbur Lo, MD, CDIP, CCA



According to the National Institute of Mental Health, Autism Spectrum Disorder (ASD) is characterized by a wide range of symptoms and levels of impairment or disability that are typically recognized during the first two years of life. ASD is a complex clinical diagnosis and includes deficits in social communication and social interaction, as well as restricted, repetitive patterns of behavior, interests, or activities. The symptoms will cause significant impairment in social, occupational or other important areas of functioning.



This article will focus on the importance of properly documenting ASD, with respect to the ICD-10 code set and to the Department of Health and Human Services’ Hierarchical Condition Categories (HHS-HCCs) under the Affordable Care Act (ACA).



According to the Centers for Disease Control and Prevention, there is an increased prevalence of ASD. In 2000, ASD affected one in 150 children, compared to affecting one in 68 children in 2010. The estimated costs are between $17,000 and $21,000 more each year to care for a child with ASD, compared to a child without ASD. In 2011, the estimated total societal costs were over $9 billion to care for children with ASD—if these costs are extrapolated to 2014 or 2015, they would be astronomical.  





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11/25/14

ICD-10 Coalition Urges Congress to Avoid Additi... #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Coalition Urges Congress to Avoid Additi...

ICD-10 Coalition Urges Congress to Avoid Additional Delays | EHRintelligence.com


Further ICD-10 delays would risk additional disruption and unnecessary costs for the healthcare industry, the ICD-10 Coalition told Congress recently.


The Coalition for ICD-10 has sent a letter to Congressional leaders urging lawmakers not to implement any more delays for the new code set.  After the surprise vote in April pushed the codes back until October 1, 2015, shock and disappointment were pervasive among those who had already mostly prepared themselves for the big switch.  Citing the ongoing costs of retooling ICD-10 transition projects and the desperate need for an expanded diagnosis code set that will foster population health management and more accurate billing, the Coalition stresses the importance of ensuring ICD-10 goes ahead as currently planned.


“ICD-10 implementation delays have been disruptive and costly for all of the coalition members, as well as to health care delivery innovation, payment reform, public health, and health care spending,” states the letter, addressed to leaders of both the House and the Senate. “As you know, significant investments were made by members of our coalition to prepare for the October 2014 implementation prior to enactment of the most recent delay. Many of us had to quickly reconfigure systems and processes that were prepared to use ICD-10 back to ICD-9. Newly trained coders who graduated from ICD-10 focused programs were unprepared to find jobs using the older code set.”




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Physician Groups Push for Two-Year ICD-10 Delay on Capitol Hill #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Physician Groups Push for Two-Year ICD-10 Delay on Capitol Hill | Journal of AHIMA

Nov 24, 2014

posted by Mary Butler



A select group of physicians and physician groups have begun advocating for an additional two-year delay to the implementation of ICD-10-CM/PCS. In response, AHIMA and the Coalition for ICD-10 have launched its own advocacy efforts to keep the ICD-10 implementation date at October 1, 2015.



Last week a letter was circulated to members of Congress—addressed to Speaker of the House Representative John Boehner (R-OH)—requesting the implementation date be pushed back to 2017.



Additionally, the Texas branch of the American Medical Association (TMA) is advocating for the same two-year delay through its Legislative Action Center.





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11/24/14

Practicing ICD-10: Eight Tips Every Organization Should Consider #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Practicing ICD-10: Eight Tips Every Organization Should Consider

Written by  Cathy Brownfield, MSHI, RHIA, CCS and Nena Scott, MSEd, RHIA, CCS, CCS-P, AHIMA ICD-10-CM/PCS Certified Trainer | Friday, 21 November 2014 00:00



Most of us have heard the saying “practice makes perfect.” Although 100-percent perfection is usually unattainable, the idea of applying one’s knowledge regularly to improve performance is something toward which all health information management (HIM) professionals strive. The same holds true for learning how to code using ICD-10.



By now, most coders have undergone some type of formal ICD-10 training. This training is critical. However, perhaps even more important is the ability to apply what coders learn in the classroom or online to real, hands-on coding of records. The more practice coders have with ICD-10, the better off they will be, particularly in light of the delay.



If coders don’t use what they have learned, through practical application on a regular basis, they risk losing that information. The challenge is providing coders with ICD-10 practice while also supporting day-to-day operations. This article suggests eight ways that organizations can find time for coders to maintain ICD-10 skills while continuing to protect their education investments and ensure coders’ success going forward with ICD-10.





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Newly Formed Consortium Working to Ease Transition to ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Newly Formed Consortium Working to Ease Transition to ICD-10

Written by  Mark Spivey | Friday, 21 November 2014 15:00



The countdown is on.



With less than a year to go before the scheduled implementation of ICD-10, healthcare industry chatter about the new code set is reaching a fever pitch. Because ICD-10 is about overall system readiness, the discussion focuses mostly on how to get ready, what barriers to overall readiness exist, and what the industry can do to remove those barriers. Problems will inevitably arise if only part of the industry is ready and other parts aren’t.



With that in mind, certain groups are already hard at work to identify ways to make the transition easier for providers that are finding it difficult to get started. One such group is a newly formed consortium featuring Blue Cross Blue Shield of Michigan, Humana, and several other payors that are working together on strategies to help smaller providers get ready.



The consortium’s short-term plan is simple: meet with healthcare provider specialty groups (such as cardiology, dermatology, etc.) to help them focus on ICD-9 codes that each specialty group submits most often, then learn the Centers for Medicare & Medicaid Services (CMS)-approved ICD-10 translations for those codes. By starting with a specialty, it is easy to narrow down a list of the most commonly submitted diagnosis codes.



The transition can become much more manageable when specialized healthcare providers can concentrate closely on the diagnosis codes they need to use in order to conduct business. The remainder of the code translation efforts can occur at a later date. 





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There’s A Flaw In Medicare Funding And Reimbursement #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Dr. Hummer: ‘There’s A Flaw In Medicare Funding And Reimbursement’ « CBS Philly

November 21, 2014 11:23 AM

By Chris Stigall



PHILADELPHIA (CBS) — A push among some to repeal Obamacare is not the only repealing that is being urged in the healthcare industry.

Charles “Chip” Hummer III, M.D. told WPHT morning host Chris Stigall that the Medicare system is flawed and needs to be strengthened.



“There’s a flaw in how Medicare is funded and how reimbursement occurs. And it’s been patched over the last 15 years on a reoccurring basis. The problem is those patches have cost more than a fix would cost then and more than fix would cost now. A fix would cost $140 billion the patches have cost $170 Billion.”

Hummer urged Chris and his listeners to contact their respective congressmen and compel them to repeal the Sustainable Growth Rate(SGR), which is the funding mechanism for Medicare reimbursement to physicians, and ICD-10 which the World Health Organization(WHO) defines as “the tenth revision of the International Classification of Diseases “ and he referred to as a ”burdensome costly documentation scheme.”





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Icd Test Lead Healthcare Health Care Salary in United States #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Icd Test Lead Healthcare Health Care Salary in United States | Indeed.com



Chart





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The Top Ten Thanksgiving Mishaps via ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

The Top Ten Thanksgiving Mishaps via ICD-10 - MedAptus Blog



If you read our blog and follow our news stream, you know that ICD-10 is a topic that is near and dear to hearts and those of our many customers and end-users. While there remains much debate around the increased specificity of the code set and potential impact beyond reimbursement, no one can deny that in ICD-10, regardless of malady, there’s a code for that. As we head into Thanksgiving week, a holiday wrought with personal dangers that could lead to an ER visit, it seemed like a fun idea to code what we think are…



The Top Ten Thanksgiving Mishaps via ICD-10



10. For some people, a frozen turkey simply doesn’t cut it. Some turkeys aren’t afraid to fight back: W61.43XA, pecked by a turkey





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Webinar: P and C ICD-10 State Readiness #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Town Hall Webinar: Property and Casualty ICD-10 State Readiness - Town Hall Webinar: Property and Casualty ICD-10 State Readiness - HBMA - Healthcare Billing and Management Association for 1st and 3rd Party Billers - Medical Billing, Practice Management 



Town Hall Webinar: Property and Casualty ICD-10 State Readiness



11/21/2014



November Town Hall Webinar: Property and Casualty ICD-10 State Readiness



Monday, November 24, 2014

3:00 - 4:00PM ET

FREE for WEDI Members



Campaign Payers, vendors, and providers that bill Property and Casualty (P&C) across states are required to comply with each state's requirements. Join us for an update on the WEDI Property and Casualty ICD-10 State Readiness campaign and learn more about:



• Potential impact of state ICD-10 readiness on stakeholder testing and contingency plans • Update on WEDI P&C ICD-10 State Readiness Governor Outreach Campaign from Devin Jopp, President & CEO, WEDI • Which states have declared ICD-10 adoption • How to stay informed on the latest updates on State ICD-10 readiness • How to identify which payers are ready NOW for ICD-10 testing • Latest WEDI ICD-10 Resource Tools • How to stay engaged in the process to help your organization with their ICD-10 testing and implementation plan





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Aetna icd 10 collaborative testing Nov 2014 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Aetna icd 10 collaborative testing Nov 2014



Slide Show





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ICD-10: A Payer Update with Aetna & United Health Group #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10: A Payer Update with Aetna & United Health Group



Slide Show





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United Health Care ICD-10 Testing Results November 2014 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

United Health Care ICD-10 Testing Results November 2014 



Slide Show



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Minimize Coding Productivity Risks [New Guide] #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Minimize Coding Productivity Risks [New Guide] | Phoenix Health Systems

By Andrea Steffes-Tuttle 



This week, we published a guide that provides strategies for mitigating the impact of ICD-10 on coding productivity.



Most people in health IT understand that the transition to ICD-10 diagnosis and procedure codes will be one of the most profound changes the healthcare industry has ever faced. This change will have a huge impact, affecting many systems, processes, and staff in almost every hospital department and is approaching quickly, as we near the end of 2014, and the October 1, 2015 deadline looms.





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OPPOSE EFFORTS TO DELAY ICD-10 UNTIL 2017 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Ohio Health Information Management Association - ICD-10 Implementation Grassroots Campaign - OPPOSE EFFORTS TO DELAY ICD-10 UNTIL 2017 - Write Congress Today!



ICD-10 Implementation Grassroots Campaign



OPPOSE EFFORTS TO DELAY ICD-10 UNTIL 2017 - Write Congress Today!



Recently, the Texas Medical Association requested a delay of ICD-10 until 2017. They are asking physicians from across the country to join them in their efforts to delay mandatory implementation until October 2017. 



The most recent delay of the code sets has already cost the healthcare industry aproximately 6.8 billion dollars. We cannot afford another delay. Write your legislators today and ask them to support the October 1, 2015 compliance date! 





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Are ICD-10 conversion cost estimates overblown? #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Are ICD-10 conversion cost estimates overblown? | Medical Economics

November 21, 2014 By Jeffrey Bendix, Senior Editor



A new study is challenging the conventional belief that the costs of converting to the International Classification of Diseases-10th revision (ICD-10) code set will be prohibitive for small medical practices.



The study, published in the November issue of the Journal of the American Health Information Management Association (AHIMA) puts ICD-10 conversion costs for a three-physician practice in the range of $1,960 to $5,900. That contrasts with a widely quoted study prepared for the American Medical Association (AMA)—written in 2008 and updated earlier this year—concluding that small-practice conversion costs will range from $22,500 to $105,500.



Stanley Nachimson, principal of Nachimson Advisors, LLC, and author of the AMA study, stands by his estimates, saying “I didn’t see anything in the AHIMA article that would cause me to question the costs predicted in my study.”



The authors of the AHIMA study say their estimates are lower than those in the AMA study “as a result of readily available free and low-cost solutions offered by coding, education and software vendors.” Their findings are based on survey results, published results, and hospitals’ and physicians’ conversion experiences, they write.



In the area of ICD-10 training, they cite the availability of online documentation and coding training for three hours of clinician training at a cost of $50 to $300, and for staff from $350 to $700. They note that the ICD-10 Diagnoses Code Book can be downloaded for free or purchased from publishers for no more than $300.





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Country Doctor Sounds Off on ICD-10 - HDM Top Stories Article #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Country Doctor Sounds Off on ICD-10 - HDM Top Stories Article | Health Data Management

Joseph Goedert

NOV 24, 2014



A coalition of 15 stakeholders including technology associations, insurers, vendors, advocacy organizations and one delivery system recently sent a letter to congressional leaders opposing any further delays to the ICD-10 compliance date.



That the Coalition for ICD-10 lacks representation from physician groups did not get past Lloyd Van Winkle, M.D., a solo family doctor for nearly 30 years in rural Castroville, Texas. “I’ve been watching ICD-10 as it pushes forward and tries to come into my life,” he tells Health Data Management. “I’m concerned that it may be premature. I’m trying to keep my practice afloat and question if this is a valuable instrument.”



From Van Winkle’s perspective, the coalition is a group of organizations trying to make money off of ICD-10, particularly insurers who see the code set as an opportunity to further reduce payments. None of his payers, he adds, has reached out to test.



ICD-10, he contends, is another attempt to whittle away the livelihood of physicians, especially small family practices which are the front lines of medicine. “You take away another five or six percent of their bottom line and some of these doctors will go under.”





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Payer consortium to help small practices switch to ICD-10 #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Payer consortium to help small practices switch to ICD-10 - FierceHealthIT

November 24, 2014 | By Susan D. Hall



Payers have joined together to help smaller providers make the switch to ICD-10, reports ICD-10 Monitor.



Consortium members, including Blue Cross Blue Shield of Michigan, Humana, and other payers plan to meet with provider specialty groups, such as cardiology and dermatology, to help them translate the ICD-9 codes they use most into the ICD-10 codes. They can pick up the other codes later, according to the article.



The consortium effort grew out of concerns raised in testimony in Washington, D.C., that payers will not be able to test with a large number of providers, Sid Hebert, director of the ICD-10 implementation team at Humana, told ICD-10 Monitor.



"This approach allows for interested providers to evaluate their coding proficiency with real-world examples, keyed to specialties, through a dynamic interchange with cooperating payers," he said.





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#ICD10 #ICDRemediator #ICD10Matters #HealthIT

Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com

Cost of regulations causing headaches for Alaska doctors #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Cost of regulations causing headaches for Alaska doctors | Healthcare Finance News



Older physicians with small, rural practices push back on electronic records, ICD-10. Kaiser Health News



"The number of really large practices — and that’s relative in Alaska — you can probably count them on one hand.”"The number of really large practices — and that’s relative in Alaska — you can probably count them on one hand.”

Dr. Oliver Korshin, a 71-year-old ophthalmologist in Anchorage, is not happy about the federal government’s plan to have all physicians use electronic medical records or face a Medicare penalty. A few months ago when he applied for an exemption to the latest requirement, he had to pick an exemption category that fit.



“The only one that possibly applied to me was disaster,” Korshin says. “So I picked disaster and I described my disaster as old age and I submitted as my supporting document a copy of my passport.”



Korshin knew that argument probably wouldn’t work, but he still won’t make the switch. Starting next year, the federal government will penalize him – withholding 1 percent of his Medicare payments.

"The number of really large practices — and that’s relative in Alaska — you can probably count them on one hand.”



EHR,  ICD-10 and PQRS may sound like alphabet soup. But most doctors around the country know exactly what those acronyms stand for. They are programs championed by the federal government to improve quality and bring medicine into the electronic age. But in Alaska, where small medical practices and an aging physician workforce are common, the new requirements can be a heavy burden.



Korshin has just one employee, a part-time nurse. And his lease runs out in four years, when he will be 75 and expects to retire.  He says for his tiny practice, an electronic medical records system would cost too much to set up and to maintain.



“No possible business model would endorse that kind of implementation in a practice situated like mine, it’s crazy,” he says.



Korshin will lose another 1.5 percent of his Medicare payments next year for failing to enroll in PQRS, a federal program that requires doctors to report quality data.  And then there is ICD-10, a new coding system for medical bills — also set to take effect in the fall of 2015.





Click the link above for access to the article


#ICD10 #ICDRemediator #ICD10Matters #HealthIT

Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com