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ICD-10 impacts to providers – Scheduling : Preauthorizations and Certifications

Does your organization have Standard Operating Procedures (SOPs) that use ICD-9 CM diagnosis or ICD-9 procedure code information? If so, those procedures and systems need to be evaluated as part of the ICD-10 Impact Assessment.

Out of Network Claims Market Gets More Interesting: Cedars-Sinai, UCLA Dropped by Anthem

Out of Network Claims Explained One of the most significant inefficiencies in health care is the pricing strategy of health plans regarding their policy on reimbursement for members who receive medical services from health care providers who are not contracted as part of the network that is managed by the health plan.  In other words, [...]

Meaningful Use Subsidies for Health Care Providers, Impacted Areas

Physicians and hospitals each have a list of objectives to qualify for subsidies. For physicians, the goals include: Incorporate at least 50 percent of all lab tests in the electronic medical record (EM). Use the EMR to send preventive care reminders to at least half of all patients over age 50. Record and chart vital [...]

No World Borders Uses Twitter for Live Updates from Two Leading Health Care Conferences

Newport Beach, CA and Palm Springs, CA - November 10, 2009 - No World Borders today announced that it will be providing live updates online from the floor of both the Octane Medical Device Forum in Newport Beach, CA and at the Healthcare IT Summit in Palm Springs.  The conferences this year will focus on [...]

Rand Study Details Costs and Benefits of switching from ICD-9 to ICD-10 Medical Coding

The American Recovery and Reinvestment Act (ARRA) provides incentives to modernize health care, including the upgrade to a new medical coding standard, ICD-10. Despite both incentives and mandates, health insurance companies, hospitals, and others want more data on the cost and benefits of the change over. We felt this data provided a good independent view [...]