11/21/14

SATIRE ICD-10 to Include Code for "Dr.Oz says" #ICD10 #ICDRemediator #ICD10Matters #HealthIT

SATIRE



ICD-10 to Include Code for "Dr.Oz says", Automatic Trigger for Level 5 Visit | GomerBlog

by Doktor Schnabel - Nov 20, 2014

  

The ICD-10 has recently added a last minute section to include codes for an epidemic that has been creeping into US medical offices over the past several years. Dr. Oz’s quackery is starting to have a big impact upon our poor primary care doctors, physician assistants, nurse practitioners, and nurses out on the front line.



Dr. Oz testifying“I just can’t take this anymore,” proclaimed Dr. Samantha Jenkins, a family medicine physician in New Jersey. “If I hear ‘Dr. Oz says’ one more time, I just might close up shop here! ”



Dr. Jenkins isn’t alone in her reaction and the World Health Organization (WHO) has listened to tens of thousands of complaining health care providers.



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AHIMA Releases ICD-10 Resource for Physicians #ICD10 #ICDRemediator #ICD10Matters #HealthIT

AHIMA Releases ICD-10 Resource for Physicians | Journal of AHIMA

Nov 20, 2014 08:06 am

posted by Mary Butler



The American Health Information Management Association has released an online ICD-10-CM/PCS resource aimed at alleviating physician concerns about implementing the new code set. As AHIMA notes, a significant number of myths about ICD-10 persist. This document, which tackles the most common myths is called, “Setting the Facts Straight About ICD-10: What Physicians Need to Know About the Transition.”



Training and Documentation Time



A sentiment frequently expressed by physicians about ICD-10 is the number of new codes and the documentation required by doctors to code an encounter. The burden of extra time spent on documentation, physicians argue, can get in the way of diagnosis and treatment.



To address this concern, AHIMA advises physician practices to “complete a documentation assessment to determine how their current documentation will support coding in ICD-10-CM. This activity can be completed now using existing patient records by taking a current chart, coding it in ICD-10-CM, and determining if there is enough information in the record to capture the necessary concepts for ICD-10-CM.”





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Axxess CE Series, Prepare HHA Clinicians for OASIS-C1 #ICD10 #ICD10Matters #HealthIT

DALLAS: Axxess Announces Continuing Education Series to Help Prepare Home Health Agency Clinicians for OASIS-C1 | Business Wire | Rock Hill Herald Online



OASIS-C1 and ASAP System Implementations Take Effect January 1



November 20, 2014 



DALLAS — Axxess, an industry leader in home health management software and the only software vendor accredited by the American Nursing Credentialing Center, announces a series of web-based and in-person training sessions to help home health agencies transition to the new Outcome and Assessment Information Set (version OASIS-C1) and new national OASIS Assessment Submission and Processing (ASAP) system for Medicare claims, effective January 1, 2015.



Earlier this year, the Protecting Access to Medicare Act of 2014 postponed the adoption of ICD-10 until at least October 1, 2015. In response to this legislative delay, the Centers for Medicare & Medicaid Services (CMS) made changes to the new OASIS-C1 data set which contained questions that accommodated the new, expanded ICD-10 codes. CMS is also requiring that agencies transition from state OASIS systems to the national OASIS Assessment Submission and Processing (ASAP) system. Both remain effective on January 1, 2015.



“These new requirements profoundly impact home health agency owners and their staff,” said John Olajide, CEO of Axxess. “To help ensure a smooth operational transition and reduce the risk of penalties associated with noncompliance, Axxess is offering practical, authoritative education as well as comprehensive, integrated software solutions.”


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Free Webinar for ICD-10 Preparedness for Medical Offices #ICD10 #ICDRemediator #ICD10Matters #HealthIT

MedicalBillingSoftware.com Announces Free Webinar for ICD-10 Preparedness for Medical Offices - Press Release - Digital Journal



Medisoft Billing Program Provider To Offer ICD-10 Diagnosis Readiness Webinar Dec 3, 3pm EST



MedicalBillingSoftware.com founder Harry Selent today announced today an upcoming Free webinar to help small physician practices to prepare for the new ICD Diagnosis deadline set for Oct 2015.  The Free Webinar is scheduled for Dec 3, 3pm EST.



“In this 90 minute Webinar and eBook to be presented to each attendee, participants will learn how to take meaningful, step by step actions, month by month, so that they will be ready for the Oct 2015 deadline and not be caught unprepared” says Selent.



Participants will be able to learn how to use their Medisoft Billing Program to help prepare them for the ICD-10 deadline, and how to implement the new diagnosis codes that all healthcare providers will have to adopt.



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11/20/14

Financially Overwhelmed Hospitals Ditching... #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Financially Overwhelmed Hospitals Ditching Fragmented, Niche RCM Solutions for Comprehensive, end-to-end Outsourcing Service Vendors, says Latest Black Book Poll



Responding to the demand for consolidated revenue cycle management outsourcing options, a sundry of small niche vendors, from eligibility experts to patient bill estimators, are seeking shelter under larger RCM organizations as reimbursement reforms and value-based models currently being carved out will make it more difficult for many marginalized RCM solutions to survive without joint ventures or acquisition. Black Book Market Research's annual Satisfaction Survey of all RCM stakeholders discovered that nearly half (45%) of the nation's struggling hospitals plan on diving deep into full RCM outsourcing



November 19, 2014 08:34 ET | Source: Black Book Market Research



NEW YORK, N.Y., Nov. 19, 2014 (GLOBE NEWSWIRE) -- via PRWEB - The consolidation trend by end-to-end RCM outsourcing vendors is accelerating, triggering more insecurity for smaller, niche healthcare RCM solution providers. Larger, more complex RCM outsourcing vendors have filled service gaps in their offerings to meet the 20% growth demand by borderline troubled hospitals for fully integrated, end-to-end solutions, incorporating more ancillary aspects of the full revenue cycle.



"After carefully identifying and assessing their organizations' core competencies, hundreds of hospitals have moved to outsourced RCM services over the last two years," said Doug Brown, Managing Partner of Black Book Market Research LLC, and co-author of the bestseller, "The Black Book of Outsourcing" (Wiley Publishers). "It has been no surprise that many overwhelmed hospital leaders have realized that RCM isn't their organization's core competency, and have turned to large end-to-end outsourcing firms for RCM to refocus on patient care and clinical service delivery."



Black Book estimates the market potential of RCM outsourcing to be $7.7B, with projected growth to nearly $9.9B by mid-2016. Much of the market growth is attributed to the end-to-end service vendors.



Claims reimbursement processing costs will reportedly vary from $30 to $90 per transaction, and billing paperwork will cost providers a collective total of $252 Billion in 2014, according to Black Book projections.



"In the financial services industry, business process outsourcers have reduced banking and brokerage transaction costs to less than a penny in most cases," said Brown. "The healthcare industry also has the opportunity to leverage the economies of scale offered by RCM outsourcers, which successfully handle high volumes of encounters. RCM outsourcers also have the staff and technology expertise to integrate patient billing, collections, accounts receivables, and grievances as ICD-10, and value-based payment models present even more potential for internal inefficiencies... without capital investment for state of the art technology and staff.'





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Here's why healthcare should be talking about net neutrality #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Here's why healthcare should be talking about net neutrality - Modern Healthcare

By Darius Tahir  | November 19, 2014



The techie term “net neutrality” likely isn't in the daily lexicon of most senior healthcare executives. But it should be, and soon, argue those in healthcare technology who have been following the topic.



The wireless telecommunications industry's trade group, CTIA, for example, has been circulating a letter to healthcare organizations, asking their support to oppose regulation that would ensure continued net neutrality. But others argue healthcare benefits from net neutrality and should be lobbying for its continuance via a new Federal Communications Commission mandate.



Net neutrality means everyone sending data is treated the same by carriers like Verizon and others; no one can pay or be charged more for faster transmission speeds and none can be barred from sending data. The tool that net neutrality advocates want to use—Title II of the FCC's authorization act—would essentially make internet traffic into a public utility. 



The FCC is expected to rule either by year-end or early next year.





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Study Says, ICD-10 Transition in Not as Costly as Suggested #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Study Says, ICD-10 Transition in Not as Costly as Suggested

19 Nov 2014



According to a recent study published in the Journal of the American Health Information Management Association, the cost of converting small physician offices to ICD-10 is much lower than previously reported. In the journal, Thomas Kravis et al writes that the “the initial estimates of the costs and effort associated with ICD-10 implementation for Physician offices has been overestimated and that vendors, health plans and physicians have made considerable progress  with fewer re-sources than had been previously estimated”



 The recent report suggests that the estimated costs for small physician practices to transition to ICD-10 would fall between $1,960 and $5,900, which is a fraction of the estimate reported by Nachimson Advisors to the AMA ranging from $22,560 to $105,506. The main reason behind this reported lower cost is because the costs related to EHR adoption and other healthcare initiatives, like meaningful use are not directly related to the ICD-10 conversion although these costs were sometimes included in ICD-10 conversion cost estimates. According to the study published, the coding industry is much more prepared for ICD-10 now than ever.



 Thomas Kravis and his team divided the ICD-10 implementation cost into five categories:



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ICD-10 Coding System, ICD-10, ICD-10 Codes #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Coding System, ICD-10, ICD-10 Codes | The Medical Bag

November 19, 2014



Changes in how medical diagnoses are coded under the latest international disease classification system (better known as the ICD-10 codes) may complicate the assessment of hospital safety, say researchers at the University of Illinois at Chicago. Their report is available online in the Journal of the American Medical Informatics Association (JAMIA).



Codes for diagnoses that serve as patient safety indicators may not translate in a simple way from ICD-9 to ICD-10, says Andrew Boyd, assistant professor of biomedical and health information sciences at UIC and first author of the paper.



For example, a hemorrhage coded in ICD-9 may have any of several different codes in ICD-10 depending on which organ system is involved, making it difficult to tell whether a hospital’s safety record is improving, or if information is simply slipping through the cracks.



"It's possible to select 'accurate' new ICD-10 codes that make you look safer than you are because of the differences in the design of the ICD-10 system,” Boyd said. At the same time, he said, some hospitals may look less safe than they really are because of apparent increases in patient safety indicators that are actually the same indicators calculated differently.





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Why your ICD-10 budget needs a checkup #ICD10 #ICDRemediator #ICD10Matters #HealthIT

Why your ICD-10 budget needs a checkup | ICD10 Watch

Posted on Wed, Nov 19, 2014 - 08:00 am



Last week we found out that the ICD-10 transition may not be as expensive for medical practices as previously estimated. How does that happen?



First, consider the previous estimates are based upon the 2013 Nachisom Advisors study of ICD-10 transition costs. This gave a range for small medical practices from $56,639 to $226,105. If that's not enough to scare a physician into vigorous opposition, I don't know what else is.



To calm those fears, Thomas C. Kravis, M.D., Susan Belley, M. Ed., RHIA,  Donna M. Smith, RHIA, and Richard F. Averill, M.S., counter that study with their own ICD-10 transition cost estimates in the Journal of AHIMA — which says the Nachimson study uses inpatient hospital activities to base costs.



The JOA study puts the ICD-10 price tag in a range from $1,960 to $5,900 for small medical practices.



Who are we to believe?



Neither. This is something that medical practice managers need to figure out for themselves.





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ICD-10 Conversion Costs For Smaller Practices Less Than Anticipated #ICD10 #ICDRemediator #ICD10Matters #HealthIT

ICD-10 Conversion Costs For Smaller Practices Less Than Anticipated

By Christine Kern



Current evidence shows initial ICD-10 conversion estimates were exaggerated and efficient progress is now being made.



The ICD-10 data controversy continues as new research suggests the initial estimates of the financial and labor costs associated with the ICD-10 transition in physician offices has been exaggerated, according to research published by the Journal of AHIMA. The data also reveals considerable progress has already been accomplished by physicians, vendors, and health plans on ICD-10 implementation with fewer resources than previously estimated.



The article estimates ICD-10 conversion for a small practice costs between $1,900 and $5,900 – a stark contrast to the range posited by a 2014 update of a widely referenced 2008 report by Nachimson Advisors to the American Medical Association (AMA), according to Healthcare Informatics.



“There are a number of reasons why the cost estimates reported in this article are lower,” the study authors explain. “The costs related to EHR adoption and other healthcare initiatives, like meaningful use are not directly related to the ICD-10 conversion although these costs were sometimes included in ICD-10 conversion cost estimates. The coding industry is much more knowledgeable and ready for ICD-10 now than previously reported. Furthermore, the activities necessary to be ready for ICD-10 have become available at very low cost.”





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