Posts Tagged ‘ICD-10’

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, […]

How’s that for a future headline? Earlier this week, a coworker passed along a link to an article with a rather bold title, “How to Solve the Cost Crisis in Health Care“. This article was written by world-renowned Harvard strategists Kaplan and Porter who are best known for the Balanced Scorecard and Five Forces, respectively. […]

A quick and dirty news search of “ICD-10” reveals that in the past month over 140 news articles were posted referencing ICD-10. Why the continued hype about a conversion that is a little more than two years away? The answer is – ICD-10 is a serious feat and requires a substantial outlay of time, effort […]

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 […]

There was a provocative blog published that linked prescription non-adherence with beliefs, trust and lack of communication. As I read through it, my mind thought of two things: 1. Robert Putnam’s classic publication Bowling Alone and the importance placed on trust to create social capital, and 2. the Advocacy Coalition Framework’s role of beliefs. According […]

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 […]

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 […]

There has been ample hype surrounding how the health care industry is using business intelligence to improve quality and decrease costs associated with providing care. The hurdles and benefits of overcoming siloed data, gathering more data (ICD-10), and transmitting data to the right people (portals, security) are well-documented. This has encouraged the industry to look […]

Last Thursday Perficient held a webinar led by Curtis Mahanay who is a Senior Functional Consultant and accountant. The webinar was entitled, “Deeper Insight into Financials with a Driver-Based Cost & Profitability Model“. He presented on the important topic of turning data into information that capital intensive organizations, like hospitals, can use to maintain efficiency, […]

When the sickest 1-percent of patients are responsible for nearly 30-percent of healthcare costs (over $690 billion annually) everyone loses. Since millions of people will be joining Medicaid under the new healthcare reform, states must either be prepared to pay the price tag associated with high-cost patients or determine a better way to manage the […]

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 […]

The 2011 AHIP national conference is almost here. Our team will be out in San Francisco for the June 15-17 event. 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 preparing […]