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ICD-10

Wolters Kluwer, SAS Integrate to Power Real-World Evidence (RWE) Analytics

by Jasmine Pennic 03/03/2020 Leave a Comment

Wolters Kluwer, SAS Integrate to Power Real-World Evidence (RWE) Analytics

- SAS to leverage Wolters Kluwer’s Health Language portfolio of data quality solutions to power real-world evidence (RWE) analytics within SAS Health. - Through a disease-centric approach, Health Language will enable SAS Health’s clients to more effectively manage reference data, such as ICD-10, CPT® and SNOMED CT, establish relationships between clinical and claims data and extract value from unstructured text within the medical record–providing a comprehensive view of a patient’s clinical
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Amazon Comprehend Medical Adds Ontology Linking to Help Clinicians Detect Medication and Medical Conditions in Unstructured Clinical Text

by Fred Pennic 12/18/2019 Leave a Comment

Amazon Comprehend Medical Adds Ontology Linking to Detect Medication and Medical Conditions in Unstructured Clinical Text

- Amazon Comprehend Medical, Amazon’s HIPAA eligible natural language processing service that uses machine learning to find insights in unstructured texts, announced a new capability of linking information to medical ontologies. - The new ontology-linking feature will help clinicians to detect medication and medical conditions in unstructured clinical text. Amazon will now support ICD-10-CM and RxNorm ontologies through Comprehend Medical. Amazon Comprehend, a HIPAA eligible natural language
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality

by Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive 08/20/2019 Leave a Comment

MACRO

The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment. Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments.  Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?

by Sloan Clardy, President, Technology Solutions at nThrive 07/01/2019 Leave a Comment

How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?

The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack the answer to these fundamental questions: What do patients
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program

by Rebecca Marsh, VP of Advisory Solutions, nThrive 06/26/2019 Leave a Comment

Three Methods to Revive your Charge Integrity Program

Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage. According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model

by Jasmine Pennic 04/04/2019 Leave a Comment

AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model

The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The goal of the collaboration is to help professionals in skilled nursing facilities (SNF) prepare for the upcoming payment reimbursement change.New, Value-based Patient Driven Payment Model (PDPM) Beginning October 1, 2019, the Centers for Medicare and Medicaid
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AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health

by Fred Pennic 04/03/2019 Leave a Comment

Social determinants of health

UnitedHealthcare and the American Medical Association (AMA)  are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being. New ICD-10 related to Social Determinants of Health (SDOH) Today, nearly 80%
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Healthcare Analytics Market to Reach $18.7B by 2020

by HITC Staff 08/20/2015 Leave a Comment

Healthcare Analytics Market Market, Healthcare Natural Language Processing Market

The global healthcare analytics market is expected to reach $18.7 Billion by 2020 from $5.8 Billion in 2015, according to a new market research report by MarketsandMarkets. Among end users, the healthcare providers segment is expected to grow at the highest CAGR during this forecast period. The demand in this market is highly driven by federal mandates such as the implementation of EHRs and ICD-10 code sets, shift towards value-based medicine, and the increased focus on quality care and reduced
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ICD-10 Delay 1 Year to 2014, HHS Announces

by Fred Pennic 08/24/2012 Leave a Comment

The Department of Health and Human Services (HHS) Announces ICD-10 Delay 1 Year to 2014
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Coding Complexity, Meaningful Use and the Value of Innovation

by Fred Pennic 08/21/2012 Leave a Comment

 Guest post written by Davide Zaccagnini, MD., Director of Medical Informatics at Nuance on coding complexity, meaningful use and the value of innovation
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