To help the healthcare industry address medical coder shortages in advance of the ICD-10 mandate, while preserving accurate revenue realization, M*Modal today announced the availability of comprehensive outpatient medical coding services. M*Modal’s technology-enabled services program combines coding experts with advanced cloud-based solutions to deliver quality results with fast-turn-around time, enabling organizations to offload high-volume outpatient coding, increase productivity and
Read More
Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
The Squeeze Is On For U.S. Hospitals
Lots of financial scrambling, but the numbers still don’t add up
Is healthcare a business?
In the United States, the question has been asked time and again but never satisfactorily answered. By virtue of publically financed healthcare systems, the rest of the developed world has decided, to a greater or lesser extent, that medicine and healthcare are not pure businesses—that citizens have a right to care, even when they can’t pay all associated costs.
It’s starting to look like Americans
Read More
Up to $12B in Unnecessary Medical Imaging Is Wasted Annually
The United States wastes nearly $12 billion dollars on unnecessary medical imaging each year, according to a recent study by peer60 that explores new survey of 196 hospital leaders. Since 2012, the United States has spent at least $2.8 trillion on health care yearly. But according to all the research reports and statistical data out there, the extra funds are not doing us any favors; most other developed countries have significantly lower costs.
Read More
CMS Finally Announces 3 Weeks of ICD-10 End to End Testing
Today, the Centers for Medicare and Medicaid Services (CMS) announced three weeks of ICD-10 end to end testing that will allow providers the opportunity to ensure that their systems are able to accept ICD-10 claims. The three testing weeks are:
Read More
Look Beyond Coding: Optimizing Your HIM Department for Value
47 percent of hospital leaders plan to outsource their coding efforts by October 1, 2015, according to a recent survey of 650 hospital leaders by Black Book Rankings. Given the 21 percent national coder shortage by industry estimates, hospital CFOs must look beyond coding to optimize their HIM department operations to improve their overall efficiency.
Read More
WEDI Releases ICD-10 Readiness Survey To Help Assess Industry’s Progress Towards ICD-10
The Workgroup for Electronic Data Interchange (WEDI), a leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange has announced the release of an ICD-10 readiness survey to determine how well the healthcare industry is progressing towards the Oct. 1, 2015 implementation deadline. The survey results will be evaluated and compiled into a report for the industry.
Providers, health plans, vendors and clearinghouses are invited to participate in
Read More
Report: 88% of 200+ Bed Hospitals Outsourcing Their CDI Realized Over $1M in Savings
88 percent of 200+ bed hospitals outsourcing their CDI currently report to have realized significant (over $1M) gains in appropriate revenue and proper reimbursements following the implementation of clinical documentation improvement program yet before ICD-10, according to the recently published Black Book survey. Additionally, 83 percent confirm quality improvements and increases in the case mix index. The survey of 650 hospital technology and physician leaders found outsourced coding and
Read More
HHS: ICD-10 Transition Date Finalized for Oct. 1, 2015
Yesterday, the HHS issued a rule today finalizing Oct. 1, 2015 as the new ICD-10 transition date, according to a news release. This deadline allows providers, insurance companies and others in the health care industry additional time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015. The one year delay has financially impacted healthcare organizations costing an estimated range between $422 million for smaller providers and up to a
Read More
6 Ways to Take Advantage of the Delay in ICD-10 Compliance
William McElmurry, Senior Vice President at SoftServ Inc. shares six ways you can utilize the one year delay in ICD-10 compliance to your advantage.
Those who invested early on in ICD-10 implementation may feel a level of frustration with recently signed legislation delaying ICD-10 compliance one year to October 1, 2015, but it may be a blessing in disguise. All organizations required to implement ICD-10 can take advantage of the delay, viewing it as an opportunity to re-assess their
Read More
Cigna Reaches 100 ACO Goal, Signs 11 Agreements in 7 States
Cigna has announced it has successfully reached its 100 Accountable Care Organizations (ACO) goal established in 2012. Effective Jul 1, Cigna entered into 11 arrangements in seven states, thus taking its ACO arrangements to 100. Cigna will serve one million customers through these ACOs.
The new agreements have been entered with Northeast Medical Group (NEMG) in Connecticut, Harbin Clinic and Physician Performance Network of Georgia/Tenet in Georgia, Presence Health Partners in Illinois,
Read More
