Tag Archive | "ICD-10"

Op-Ed: Forget October 1, Are You Ready for October 15?


Op-Ed Forget October 1, Are You Ready for October 15The following is a guest contributed post from Bonnie Cassidy, senior director of health information management innovation at Nuance.

ICD-10 implementation and planning has been a like a dust storm looming on the horizon: swirling, unpredictable, and a somewhat painful experience. Because of its erratic nature, for the most part, we have all been focused on the challenges of meeting the deadline.  We’ve been preparing, planning, allocating resources, testing, tweaking, and testing again.  But what most of us haven’t been planning for are the days and weeks post October 1.

A few weeks into October, organizations will begin to see the positive and negative impact of the new coding practices and outcomes on their revenue cycle.  With a large-scale transition like ICD-10, and the massive volumes of cases now being coded using the new system, there will be gaps—no matter how well prepared your organization is, we all must carefully examine our plans and processes.

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Opinion: How Many Roles Does ICD-10 Require Healthcare Leaders to Play?


Opinion How Many Roles Does ICD-10 Require Healthcare Leaders to PlayThe following is a guest contributed post from Bonnie Cassidy of Nuance.

The last twelve months leading up to the ICD-10 transition have been a whirlwind.  In fact, as I look back, I am in slight disbelief that ICD-10 is actually about to happen. At times, it has seemed a near impossible feat, while at other times, it’s been extremely exciting.  The amount of drama wrapped in this transition is worthy of the silver screen: full of politics, twists, and unexpected turns.

It has also put the spotlight on HIM professionals and has required leaders in the space to take center stage.  So I asked Laura Rizzo, Director of Health Information Management, at WellSpan Health, which fictional leader she most closely identifies with while at work?

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With The ICD-10 Deadline Three Months Away, Many Providers are Making the Move to iPatientCare EHR Software


With The ICD-10 Deadline Three Months Away, Many Providers are Making the Move to iPatientCare EHR SoftwareIt has been confirmed that the ICD-10 deadline will not be pushed back again. With just three months left before healthcare providers must make the transition from ICD-9 to ICD-10, many providers are finding that they are severely behind schedule.

ICD-10’s expanded codes are currently unavailable in ICD-9, and will have an impact on all areas of coding related to diagnosis and inpatient procedures—and will apply to all providers, not just Medicaid and Medicare providers.

The full transition and integration takes the average healthcare provider multiple months and numerous man hours to complete. Quite a few providers are now scrambling because they are severely behind schedule. An EHR solution, that many providers are turning to, are at the software solutions by iPatient Care. Their Integrated Practice Management and Patient Engagement Solutions are revolutionary, and designed specifically to streamline and map out the best course of action for the ICD-10 transition.

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Op-Ed: The Boy Who Cried ICD-10


Op-Ed The Boy Who Cried ICD-10The following is a guest contributed post from Bonnie Cassidy, senior director of health information management (HIM) innovation for Nuance.

I used to tell my daughter the scary story that my dad used to tell my family about the “Boy Who Cried Wolf.”  It is the story of a young man who liked to stir up drama with false rumors about a hungry wolf, so much so that when the townspeople were in actual danger, they didn’t believe him.  While most of the health information technology (HIT) world was at the HIMSS15 convention last week, the Senate unanimously voted, 92-8, to repeal the sustainable growth rate (SGR) formula that adjusts Medicare payments to physicians and effectively put an end to a flawed formula for Medicare payments, as well as any ICD-10 implementation delays.  For more than 20 years, and with three official delays, the industry has been crying wolf, but it now appears that the transition to ICD-10 will indeed occur on October 1, 2015.

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Op-Ed on ICD-10: ‘We As an Industry Need to Look at Our Preparedness’


Op-Ed on ICD-10 'We As an Industry Need to Look at Our Preparedness'The following is an exclusive guest contributed post for MHW from Karen England, revenue cycle consultant for Ingenious Med.

I’m hosting a series of webinars on ICD-10 and, believe it or not, something I get asked a lot is, “Why?”

Given the delays and rumors circulating around U.S. adoption of the international classification standard, it’s a fair question. However this year, key members of the health subcommittee have said they see no reason for further delay, and the recent end-to-end test completed by Medicare was a great success. So this might finally be it, which makes now the best time to review your processes, determine what will be impacted, and make improvements.

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Opinion: Sometimes The Best Choice is the Simplest One


Opinion Sometimes The Best Choice is the Simplest OneThe following is a guest contributed post from Dr. Nick van Terheyden, Nuance CMIO.

Over the weekend, CMS announced that the Meaningful Use Stage 2 deadline will be extended through 2016 in order to offer more options and greater flexibility to providers for the certified use of EHRs.  In the interest of full disclosure, I found the timing to be strange— a rule published over a holiday weekend seems an odd choice, particularly when it is being touted as a benefit to the industry and the impact on healthcare provider organizations and clinicians, alike, is monumental.

Unfortunately, I think the additional flexibility allotted by this rule is the latest example of the unintended consequences of health IT regulations.  In an effort to make things easier and give healthcare providers more leeway, they have, in fact, made the situation unnecessarily more complex.
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MHW Op-Ed: Catch a Kitten By Its Toe


MHW Op-Ed Catch a Kitten By Its ToeThe following is a guest contributed post from Dr. Girija Yegnanarayanan, Director of Applied Research and Clinical Language Understanding at Nuance Communications.

Most everyone is familiar with the famous nursery rhyme line “Eeny, meeny, miney, moe/Catch a tiger by the toe,” recited by children looking for a way to select who will be “it” for a game.  The undergirding principle of this ditty is selecting one over another, whether that be “eeny, miny, or moe.”  This process is not unlike what can occur in the classification assignment when converting from the ICD-9 to ICD-10 code set.  Important details can be lost in translation.

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