Mike Berard | Healthcare
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Healthcare

Perspectives and insights on healthcare technology and healthcare industry trends and topics

Mike Berard

Mike provides healthcare business process and technology leadership and expertise in payer and health plan environments. Mike’s healthcare project, program, and portfolio management experience spans large and complex technology integration, infrastructure management, and organizational transformation. Mike's payer experience has been focused on Blue Cross & Blue Shield members including BCBS of Kansas City and BCBS of Tennessee. Mike has particular expertise in 5010 and ICD-10 strategy development and implementation. Mike has taken a leadership role in supporting the management of Perficient’s healthcare technology partnerships that support the Healthcare Compliance Agenda.

http://www.perficient.com

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AHIP Conference 2012: Day 3 Update

Malcolm Gladwell, staff writer for the New Yorker magazine and author of “What the Dog Saw,” “Outliers,” “Blink” and “The Tipping Point,” offered an overview of “Cowboys Versus Pit Crews: How to Build a Sustainable Health Care Delivery System” at our start of Day 3. Gladwell was introduced as “gifted” at interpreting new ideas in […]

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AHIP Conference 2012: Day 2 Update

AHIP CEO Karen Ignagni kicked off Day 2 by addressing the elephant in the room…no Supreme Court ruling today. The fate of the Affordable Care Act (ACA) and “the Mandate” within would have to wait another day. Ignagni went on to remind the conference goers that similar attempts at state-based reform in the mid-90s resulted […]

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AHIP Conference 2012: Day 1 Update

As referenced in the introduction to “America’s Health Insurance Plans (AHIP) Conference,” the decisions that will shape our nation’s health care are near. The Supreme Court Decision. The Presidential election. Implementation decisions within health plans that are shaping the delivery of care. The intent of the June 20-22 conference in Salt Lake City is to […]

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ICD-10: Payers & Providers Need to Get Along

On April 17, 2012 the Department of Health and Human Services (HHS) published a proposed rule that would delay, from October 1, 2013 to October 1, 2014, the compliance date for the International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10). HHS is seeking comments by May 17. The proposed rule extends the […]

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ICD-10 Neutrality: How will you use your deadline extension?

Since Health and Human Services Secretary Kathleen G. Sebelius announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10), the healthcare industry is still trying to figure out the scope and the impact […]

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ICD-10 Revenue Neutrality: A Strategic Approach

Regardless of the pending ICD-10 deadline extension, the healthcare industry will still need aggressive effort in refinement of defensible ICD-10 General Equivalency Maps (GEMs), remediation of impacted processes and systems, and a roadmap to figure out how payers and providers can work together to achieve neutrality objectives. To date, there has been only limited guidance […]

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ICD-10 Revenue Neutrality: Health Outcomes and Cost

As the October 1, 2013, deadline for ICD-10 compliance gets closer, the Revenue Cycle Management will surface as the next Healthcare Organization show stopper. ICD-10 clinical specificity will better position Providers to accurately identify actual conditions and treatment, but reimbursement accuracy will require verification of acceptable variance utilizing historical ICD-9 coding, billing and receivable data. […]

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ICD-10 Systems Remediation: The Countdown is on

In preparation for satisfying the ICD-10 medical diagnosis and inpatient procedure coding on October 1, 2013, Healthcare organizations will need to indentify all instances of ICD-9 codes that are maintained within the application logic of supporting business systems as a component of their ICD-10 Compliance Agenda. Impacted systems will include, but are not limited to, […]

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Replay and Slides! How to Leverage Increased Data Granularity in the ICD-10 Code Set

Last Thursday I spoke in a webinar entitled “Opportunities Abound: How to Leverage Increased Data Granularity in the ICD-10 Code Set”.  You can view the slides below, and you can view a full recast of the webinar here: http://www.perficient.com/webinars/ Let me know what you think! How to Leverage Increased Data Granularity in the ICD-10 Code Set View […]

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ICD-10 Migration Approach: Systems Remediation

Healthcare Payers must determine all business processes and applications impacted by the change to ICD-10. Applications that capture, store, send, receive, or edit diagnosis or procedure codes must be modified. Fields must support alphanumeric characters and expanded to support an extra digit. The new specificity of IDC-10 codes will impact corresponding application logic, business rules, […]

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ICD-10 Migration Approach: Data Impact Assesment

While 5010 has taken a backseat to ICD-10 in the media, payers must still meet the change to 5010 on January 1, 2012 before implementing ICD-10. Version 5010 accommodates the ICD-10 code, and must be in place first before the changeover to ICD-10. ICD-10 codes must be used on all HIPAA transactions, including outpatient claims […]

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ICD-10 Migration Approach

The migration from the ICD-9 to ICD-10 code sets is one of the most extensive and risky conversion projects Healthcare Insurers will face. Conversion will impact organizational structure, business processes, healthcare policies and IT systems. The scope of this change presents significant risks to Insurers seeking to achieve financial and benefit neutrality to avoid undermining […]

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