Tag Archives: ICD-10

A critical link between patient engagement and payment resolution

With patient satisfaction scores playing a bigger role in health care providers’ financial bottom lines, hospitals and health systems must pay attention to all interactions with patients, including the billing process. This may require reviewing and updating your revenue cycle. Recently, Becker’s Hospital Review recapped insights from revenue cycle management (RCM) leaders shared over the […]
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Build an ICD-10 rapid response team for revenue emergencies

Now that ICD-10 is a reality in the U.S. health care environment, providers are finding that October 1, 2015, didn’t bring with it the D-Day scenario they thought it might. But they also know ICD-10-related challenges that aren’t apparent now might manifest themselves in the coming months. Providers were certainly ready to submit claims come […]
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Monitoring for success: Tracking KPIs and ICD-10 post go-live activities

Now that ICD-10 has officially launched, the pressure is off, right? Some would actually argue that the real work is just beginning as ICD-10 presents a major business transformation event for all stakeholders. For health plans, a successful ICD-10 transition strategy should include monitoring of key performance indicators (KPIs) as well as financial monitoring. Daily […]
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Payers: How to ensure you have good command of ICD-10

The years of preparation, planning and work are about to pay off: ICD-10 is here. On October 1, 2015, the national standardized coding system goes live. For payers, system remediation, end-to-end testing, financial impact analyses, staff training and risk analyses/contingency planning should be done. But the real work is just beginning. ICD-10 presents a major […]
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Positive signs in early results — reasons for optimism regarding ICD-10 productivity

One of the biggest unknowns of the ICD-10 implementation is the effect on coding productivity. Experts have estimated the expected loss in productivity post-ICD-10 as HIM professionals climb the learning curve, and studies of other countries’ post-ICD-10 loss unveil valuable insights. One of the best studies on time loss published in 2014 revealed that participants […]
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A saving grace? What the new grace period does and does not mean for ICD-10 unspecified coding

With the recent Centers for Medicare and Medicaid Services (CMS) announcement of a ‘grace period’ related to ICD-10 coding specificity for Part B physician claims, there is a spotlight on unspecified ICD-10 codes. But how much will HIM leaders need to worry about unspecified codes? According to a recent review of more than 30,000 dual-coded […]
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Ten principles to help you engage providers around ICD-10

With less than three months until the ICD-10 go-live date, you may still be having trouble engaging providers around the new code set. If so, that’s not surprising. While we know that patient care will ultimately benefit from ICD-10’s increased specificity and data detail, doctors are focused on the here and now. And frankly, they […]
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Make sure your ICD-10 physician training meets the mark

The ICD-10 compliance date is squarely within the sights of the health care industry. With less than four months to go until we cross the transition threshold, consider what you’ve done — and what you can still do — to help your doctors succeed as they move from ICD-9 to ICD-10. Help physicians document for […]
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ICD-10: Have you planned for the aftershock?

Once again, the nation is bracing for the anticipated widespread tremors of the ICD-10 conversion. Assuming the mandate is enforced on October 1, 2015, hospitals are — or had better be — building out their support strategies. Whatever your tactics, don’t underestimate the aftershock. There’s no one-size-fits-all preparedness plan, but we do know one thing […]
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Countdown to ICD-10 compliance: Why KPIs and provider relations matter

It seems like we’ve been talking about ICD-10 for a long time now and in fact, we have. There are just a few months separating payers, providers — and even patients — from the changes that will arrive with the October 1, 2015, compliance deadline. The limitations of decades old coding will finally give way […]
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