ICD-10 Assessment

/Tag:ICD-10 Assessment

ICD-10 Consulting Shift to Testing and Revenue Impacts

ICD-10 consulting will shift to testing and revenue cycle impacts in the next few months. Testing is the only way to ensure business continuity.

ICD-10 and DSM-5 for Behavioral Health

There are relatively few increases in ICD-10 codes in behavioral health relative to high impact specialties such as Orthopedics. There are 27 ICD-9 codes for Anxiety Disorders and 47 codes under ICD-10 for example, vs. thousands of code changes in some specialties. Therefore, some behavioral health providers assume in error that because there are fewer codes that the ICD-10 transition has little impact on their organization, which is not true.

By | 2017-05-04T04:06:38+00:00 February 11th, 2014|Behavioral Health, ICD-10|0 Comments

ICD-10 Financial Risk Assessment Should Include Data Quality Assessment

ICD-10 Financial Risk Assessments should include an analysis of historical healthcare claims data for one, two, or ideally three retrospective periods. A data quality assessment is essential, making sure that claims are not duplicates, and that they therefore represent unique events. This is particularly important in view of interim billing on hospital claims. It’s very easy to count hospital admissions multiple times from claims data unless you reconcile claims to a single hospital stay.

ICD-10 Readiness Compromised by ICD-10 Revenue Cycle, Analytics Vendors

We find that most analytics and revenue cycle companies are ignoring the future role coordinated medical coding will have, the transition to ICD-10, and the clinical documentation and processes on the revenue cycle. The ICD-10 transition will re-write the book on revenue cycle management (RCM). RAC audits and Electronic Medical Records (EMRs) will be subject to a new paradigm with ICD-10.

ICD-10 Transition Training and Consulting – Speaking from Experience

ICD-10 assessments should start with a thorough understanding of how to communicate, educate, train at all levels. Here are some topics our team can speak to for your organization including “ICD-10 Organization Strategy” and “ICD-10 and Business Continuity Planning” We have given many presentations throughout the US in the past year.

ICD-10 Implementation Approaches: Penny Wise and Pound Foolish

Some health care organizations are now looking for "...A good ICD-10 project manager..." to lead the ICD-10 effort.   This appears for some to be budget driven.  Rather than retain an outside consulting firm, some health care companies want a project manager who can deal with the regulatory, payor and provider contracting, physician outreach experience, medical [...]

ICD10 – Don’t Delay, Make Sure You Do an Assessment

Many providers and hospitals are putting off ICD-10 conversions, because they are already struggling with EHR and meaningful use. Funding is another challenge. Durel has heard from people who don't think ICD-10 is a big deal. He thinks otherwise. "... if you don't get it right, you're not going to get any bills out after Oct. 1, 2013," Durel said.

By | 2017-05-04T04:06:59+00:00 February 24th, 2011|ICD-10, ICD-10 Assessment, ICD10|0 Comments

Enabling Borderless Health Care

During our year-end strategic planning session we broadened our company's footprint to more accurately describe what we do.  We explain the current market landscape and how we as well as our name fit into the health care business. "Today the health care delivery system creates siloes that do not efficiently work together to control cost [...]