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.

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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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