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Posts Tagged ‘healthcare reform’

Clinical Documentation – The Make or Break Component of ICD-10

Does the mere mention of “ICD-10” bring on an anxiety attack of some sort? For the majority, the answer is yes! This is probably because, like numerous organizations, you still haven’t begun the necessary planning for the transition from ICD-9 to ICD-10. Hospital administrators, physicians and medical coders are dropping to their knees and praying […]

Member-Centric Care: Have we over turned every rock?

In my previous posts about the Member-Centric Care team, I posed several questions and gave my opinions to support them. Here is a review of what was discussed, as well as new thoughts: Have we over turned every rock (e.g., process, operation, and IT enablement) to allow for member-centric care? It Depends – Sorry, I […]

Member-centric Care: Have we missed a core team member?

Recently rolled off a large payer, I am sitting back and reflecting on what is facing the healthcare industry today and what has happened over the past 15+ years (Looking at the forest rather than the trees). 1) Are we, all business and information technology professionals, clinicians, and non-clinicians, working on the correct priorities for […]

Are you “Fed” up?

Michael Planchart, my colleague, posted a blog a few days ago about the Fed’s decision to delay the ICD-10 implementation deadline. He makes some great points and I don’t completely disagree with his view that the delay will have negative impacts. Michael asks, “Could someone please explain to me why we should halt any national […]

Cloud, Digital Dictation & HIEs: The Future of Healthcare is More Data & Fewer Steps

The point of healthcare technology is to close the gap between quality, cost and access. As we have said before, EMRs don’t close the gap, but they are a very necessary piece to closing the gap. However, a gap still exists between the information in an EMR and the information a clinician needs in the […]

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 […]

HIMSS 2012 Interview with Herb Larsen: CMS Delays ICD-10 [VIDEO]

At HIMSS 2012 we spoke with Herb Larsen of Edifecs (@EdifecsToday) on the impending delay of the ICD-10 timeline by CMS.

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 […]

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 […]

HIMSS 12: Still Not Convinced on Physician Acceptance of Health IT

Despite significant investments in healthcare IT, recent studies have found a “surprising” level of skepticism about its benefits. Many physicians are still not convinced that electronic health records or health information exchanges will improve patient outcomes, access to services or reduce unnecessary procedures. As these are the very benefits cited for driving adoption of both […]

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. […]

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 […]

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