The 2012 AHIP national conference is almost upon us. Our team will be at the June 20-22 event in Salt Lake City. With all of the changes we are witnessing in the health insurance industry, this year’s conference promises to address the many needs of conference attendees. Whether it is meeting regulatory compliance issues or […]
Posts Tagged ‘4010 to 5010’
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 […]
ICD-10 at at the Half Way Point: How Prepared are Healthcare Providers?
In 2010, a study was conducted by Georgetown University and Booz Allen Hamilton to define trends, challenges and lessons learned surrounding the implementation of ICD-10 and to provide actionable information to serve as a resource for organizations navigating the transition. The participating health care organizations were large hospitals, integrated health care systems and other national […]
“The Tipping Point” – What one CNO shared with me at HIMSS
Looking back at the last two days of meetings, panels, vendor meetings and sharing I met up with a very close colleague of mine who is one of the brightest CNO’s I have ever met. Mary Jo and I decided to grab a bite to eat and digest what we saw and learned these past […]
ICD-10 on the Floor of the Conference: What’s the Buzz all about?
What a Day! I have come to view HIMSS as the source for what’s happening in healthcare. Today was not different – the floor of the conference was abuzz with folks asking (in almost a whisper): “Will ICD-10 really be enforced by CMS come October 1st, 2013?” “Will we really need to have all of […]
Creating your EDI mapping layout
In the previous blog we discussed the importance of knowing your data and business requirement needs. This is one place where that becomes important. If you already know your needs it makes it much easier to start your data mapping. First you should contact your trading partner. They should have some type of functional specs […]
Facing and Overcoming the 2012 #HealthIT Challenges Amidst the End of the World – Part I of 2
Background Healthcare providers and eligible primary physician practices are undergoing analysis paralysis because of all the government impositions on improving healthcare with the following list of complex problems to solve: HIPAA’s Version 5010 conversion, ICD-10 migrations, Meaningful Use (MU) of EHRs and Attestation , Accountable Care Organizations (ACOs) , Data Aggregation and mining for successful […]
Were you ready for HIPAA 5010?
Hopefully everyone answered ‘yes’ and you had a smooth transition. In this blog we will discuss some of the items we need to keep in mind when either transitioning or implementing EDI. Whether you are getting ready to transition to a new standard or initiating EDI for the first time, remember the most important thing […]
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, […]
Semantic Web Technologies for ICD-9 to ICD-10 Conversion
ICD-10 code mapping is not for the faint at heart. With a ten fold increase in the pure volume of codes, healthcare organizations will need a few tricks up their sleeves to pull this off. The mapping between ICD-9 and ICD-10 in many cases is not a simple 1:1 mapping. For example, ICD-9-CM code 274.02 […]
Security and the Future of Healthcare
Poor IT security practices continue to plague the healthcare industry. Last year, a Ponemon Study found that poor security practices cost the healthcare industry $6 billion annually and that the HITECH Act has not resulted in changes to the approach taken to manage protected healthcare information. When an industry is under scrutiny for out-of-control escalating […]
Don’t Drop the ICD-10 Ball in the Regulatory Deadline Juggle
We are at the AHIP Conference this week, which is one of our favorite events of the year. It is good fun to meet with the many tech-savvy professionals that make up the health insurance industry. This year we meet as many regulatory pressures and deadlines are closing in, which is certain to ignite some […]