ICD-10 & Coding

ICD-10 claims coding
By Tom Sullivan 05:32 pm May 09, 2016
The workgroup’s research found productivity hiccups in providers’ coding, and clinical documentation alongside positive impacts for payers in the areas of claims validation and data analytics. But isn’t it too early to tell whether the transition really went well? 
By Jeff Lagasse 11:06 am May 02, 2016
The health system credits clinical and financial improvements to a CDI initiative that resulted in more accurate coding and greater physician engagement. 
By John Andrews 07:46 am April 12, 2016
Some experts are predicting a spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now. 

Allyson Gilmore, principal data scientist at Ayasdi, said that understanding trends can help providers avoid losing money, but the data is complex. 

By John Andrews 10:12 am April 11, 2016
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends. 
By John Andrews 09:41 am April 11, 2016
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.  
By John Andrews 08:18 am April 11, 2016
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?
By Bernie Monegain 12:36 pm March 31, 2016
Looking into its crystal ball – or perhaps digital spreadsheets – PiperJaffray analysts see big plays in the RCM market. That potential is so large, in fact, that Cerner alone has a $40 billion opportunity, and it ranks fifth in market share.
By Susan Morse 11:38 am March 16, 2016
CMS said it plans to add about 1,900 diagnosis codes and 3,651 hospital inpatient procedure codes to the coding system.
Relay Health's booth at HIMSS16. The company on Monday released a report showing that of the 262 million ICD-10 claims it processed between October 1, 2015, and February 15 using RelayHealth Financial revenue cycle management systems, only 1.6 percent were denied.
By Bill Siwicki 11:57 am March 01, 2016
Company says up to 20 percent of claims across the United States are still denied or delayed, so while ICD-10 didn’t hurt, it also didn’t help.
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By Mike Miliard 11:05 am December 31, 2015
In 2015, heath IT got BIG: Big data. Big data breaches. Big EHR contracts. Big M&A deals. Big anticipation about ICD-10. Big plans for (and frustrations with) meaningful use. Big fears about cybersecurity. Big hopes for the future of connected care and population health.

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