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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12/2/14
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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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:
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
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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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
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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.
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
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.
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Get Remediator to assist in your readiness for the ICD-10 switchover 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.
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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.
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
Fun ICD-10 images #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Fun ICD-10 images
https://www.pinterest.com/search/pins/?rs=ac&len=2&q=icd+10+humor
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https://www.pinterest.com/search/pins/?rs=ac&len=2&q=icd+10+humor
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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 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.
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
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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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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.
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
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.
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
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.
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
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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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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.
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
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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Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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.
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
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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SLIDESHOW
Handy ICD-10 Codes for the Thanksgiving Holiday
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Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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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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.
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
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.
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
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.
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
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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Get Remediator to assist in your readiness for the ICD-10 switchover www.icdremediator.com
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.
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
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.
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
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.
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
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