Editor's Note: Dr. Jon Elion is the founder and CEO of ChartWise Medical Systems, He is a practicing board-certified cardiologist in Providence, RI and an Associate Professor of Medicine at Brown University.
After decades of experience with ICD-9, we have learned and come to grips with its quirks. We do not yet have that comfort level with ICD-10 -- after all, it’s still pretty new to most of us in the U.S. I’m not really concerned about the diagnosis side of ICD-10 and its Clinical
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
6 Reasons Why ICD-10 Safe Harbor Is Dangerous for Healthcare Delivery
Editor's Note: The Coalition for ICD-10 has issued the following statement in response to the recent efforts to create a "safe harbor" for physicians, which would prohibit claims from being denied due to incorrect or unspecified ICD-10 codes, will result in dangerous consequences for the healthcare delivery system.
Multiple bills have been introduced in Congress that create a “safe harbor” for physicians by prohibiting claims from being denied “due solely to the use of an unspecified or
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WEDI Opens ICD-10 Readiness Survey to Gauge Industry Progress
On Thursday, The Workgroup for Electronic Data Interchange (WEDI) announced the release of its latest ICD-10 readiness survey to help determine how prepared the healthcare industry is prepared for the upcoming Oct. 1, 2015 compliance deadline. With less than 111 days left , providers, health plans, vendors and clearinghouses are invited to participate in this important initiative to help gauge progress for all parties.
With the implementation deadline fast approaching, providers,
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Hospital To Pilot First-Ever Patient Tablet App for Enhanced Recovery After Surgery
Montreal-based McGill University Health Centre’s (MUHC) Steinberg-Bernstein Centre for Minimally Invasive Surgery has partnered with SeamlessMD, a company which provides a cloud-based patient engagement solution for surgery, to perform the first-ever study of a patient tablet app for Enhanced Recovery After Surgery (ERAS). Funded by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the study will determine whether a patient tablet app can improve patient adherence to ERAS
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PwC: Healthcare Spending Growth Rate to Dip 6.5% in 2016
Spending growth in the $2.9 trillion US health economy is expected to slow in 2016 as compared to 2015; however, it will still outpace overall economic inflation. Stock prices, earnings reports and the customer base have increased and that means the industry is financially healthy. Sadly, affordable healthcare remains out-of-reach for many consumers.
PwC’s Health Research Institute (HRI) projects the U.S. healthcare spending growth rate will dip to 6.5 percent in 2016, capping a
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New Bill Proposes 2 Year ICD-10 Grace Period
A new bill introduced into the US House of Representatives introduced by Rep. Gary Palmer (R-AL-6) on June 4 proposes a two-year “grace period” for accepting codes submitted in ICD-10-CM/PCS. The bill, H.R. 2652, Protecting Patients and Physicians Against Coding Act of 2015, would establish a two-year ICD-10 grace period during which physicians and other health care providers submitting claims and other documents using ICD–10 are not penalized for errors, mistakes, and malfunctions relating to
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CMS Releases April ICD-10 End to End Testing Results
CMS has announced the results of its second ICD-10 end to end testing week conducted from April 27 through May 1, 2015 for Medicare Fee-For-Service (FFS) health care providers, clearinghouses, and billing agencies. CMS was able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types. Approximately 875 providers and billing companies participated, and testers submitted over 23,000 test claims.
Key results include:
• The acceptance rate
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5 Common Myths About The ICD-10 Transition
With ICD-10 compliance date less than five months away, there is still an abundance of common misconceptions associated to this transition. For providers, these ICD-10 misconceptions can prove extremely costly and damaging to the implementation.
Pam Klugman, chief product officer of Clear Vision Information Systems specifically warns providers to avoid these five common myths about ICD-10:
1. The new ICD-10 codes are simply increased and renumbered code sets. While it is true
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5 Cultural Pitfalls To Avoid In Health System Integration
Editor's Note: This spotlight article was recently included in PwC's Q1 2015 US health services deals insights report.
These days it seems every health system is in the middle of a transformation — be it buying, selling or trying to integrate the assets it has amassed over time. Being in the business of transformation, this means we find ourselves invariably and repeatedly answering the question, "What are the big stumbling blocks to avoid?"
Without fail, our answer will include some
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Parity Not Apparent: There Is No Biopsy for Mental Illness
Getting legislation through Congress—often a monumental battle—is one thing. But implementing new laws may be a greater challenge simply because they require so much sustained energy and attention.
Take mental health parity laws, for example.
Congress passed the Mental Health Parity Act (MHPA) championed by Sens. Paul Wellstone (D-MN) and Pete Domenici (R-NM) in 1996. The law prohibits employee-sponsored group health plans from charging more in a year or over a lifetime for mental health
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