12/2/14

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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