Payers Form ICD-10 Consortium to Help Smaller Providers with ICD-10 Readiness

ICD-10 Consortium

Blue Cross Blue Shield of Michigan, Humana, and other payers have joined together to form the ICD-10 Consortium to help smaller providers with the transition to ICD-10, reports ICD-10 Monitor.  ICD-10 Consortium Plans The consortium members goal is to meet with healthcare provider specialty groups, such as cardiology, dermatology, etc. to prioritize the ICD-9 codes they use most, then map them into ICD-10 codes. By identifying their top 25 ICD-9 codes, these smaller practices can help gauge
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ICD-10 is the Pathway to Big Data in Healthcare

Big-Data in-Healthcare

If big data in healthcare is the future for medicine, then ICD-10 is the way to get there.  Over the past year, most of the news surrounding the International Classification of Diseases, Tenth Revision (ICD-10) has been either bureaucratic or comical in nature. Last fall, another delay of the new coding system’s implementation deadline was met with a ton of mixed feelings. Most organizations truly weren’t ready. In fact, in a survey of 1300 healthcare professionals, 55% agreed with the
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19.7M “Clinically Inappropriate” Physician Referrals Occur Each Year

Physician Referrals Graphic

Research from Kyruus highlights how "clinically inappropriate physician referrals" can lead to poor patient care and costly inefficiencies.     Nearly 20 million times a year in the U.S., patients are sent to a doctor who is not the right match for their specific condition. This is one of many key stats in the new physician referrals survey conducted by Kyruus,that highlights the massive issues in the doctor-patient referral system. Why does this matter? “Clinically inappropriate” referrals
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Half of Providers Unsure of ICD-10 Revenue Impact

ICD-10 Revenue Impact

Nearly half of healthcare providers are unsure of the ICD-10 revenue impact or have yet conducted revenue impact assessments, according to a new eHealth Initiative (eHI)/AHIMA survey. In fact, 35 percent believed that their organization’s revenue will decrease during the first year of ICD-10 compliance. The report provides a look at just how prepared healthcare organizations are for the upcoming ICD-10 implementation and how they think ICD-10 will impact their operations. Survey respondents
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Infographic: ICD-10 Could Help Track Ebola Outbreak


As the Ebola outbreak heightens after a Dallas nurse was diagnosed with the virus after caring for Ebola victim Thomas Eric Duncan before he died at Texas Health Presbyterian Hospital reveals a brewing public health concern. Currently, there is no specific ICD-9 code for Ebola and is classified as 078.89, Other specified diseases due to viruses.  The lack of specificity in patient data limits the U.S.'s ability to immediately track and respond to the Ebola outbreak from a public health
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mHealth: The Most Underutilized Force in Patient Engagement?

mHealth_ Patient Engagement

When was the last time you touched your cell phone? Did you just look at it sitting next to you or feel for it in your pocket? Maybe you're already reading this article right now on your phone. The latest craze over the release of the iPhone 6 has just proven again how much people love their phones. Hundreds of people waited in lines for hours or even slept overnight trying to be one of the first to get their hands on Apple's latest design. More than 10 million phones were sold over the debut
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Pioneer ACOs Dropout: Why Are Providers Leaving in Droves?

Pioneer ACOs Dropout

What is driving the high Pioneer ACOs dropout rate? Laura Beerman, Director at Decision Resources Group (DRG) explains the key drivers behind the trend. Three years ago, CMS launched the Pioneer ACO program with 32 healthcare organizations designed to work in coordination with private payers by aligning provider incentives, which will improve quality and health outcomes for patients across the ACO, and achieve cost savings for Medicare, employers and patients. Today, only 19 providers
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Sytrue Partners with XIFIN to Improve Billing Practices & Enhance Reimbursement


SyTrue, Inc., a healthcare information services provider and developer of proprietary technologies used to translate unstructured medical data into useable clinical information, announced today it has entered into a multi-year agreement with XIFIN Inc., a leading provider of financial and health economic optimization solutions for diagnostic service providers. The three-year agreement initially supports two service areas: First, XIFIN will use SyTrue’s innovative patent-pending technologies
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ICD-10: Bracing for Minimal Disruption to Your Healthcare Organization

ICD-10 Bracing for Minimal Disruption to Your Healthcare Organization

ICD-10 is the largest healthcare mandate in history: Are You Ready? Many in healthcare are focused on meeting the requirements of the Affordable Care Act, but ask clinicians and they will tell you it is the upcoming conversion to ICD-10 that has their undivided attention. Why? - The precision documentation requirements are exponentially higher than what was required by ICD-9 - For the first time, ICD-10 puts the responsibility for accurate coding solely in the hands of the physician. -
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Nuances Launches Clintegrity 360 Compliance Services at AHIMA 2014

Nuance Unveils The Industry’s Largest Medical Imaging Network for Image Sharing

Today at AHIMA, Nuance announced the expansion of its healthcare consulting services to help organizations more holistically respond to compliance, physician engagement, ICD-10, and shifting payment models. The newest offering, Clintegrity 360 | Compliance Services, provides the management tools and training required to effectively monitor complex coding requirements, and leverage technology to avoid issues that may affect the reliability of hospital reimbursement. Nuance Clintegrity 360 |
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