The Challenge of Medical Coding

Atlantic Health Solutions plans to improve their radiology practices revenue cycle procedures. This comes at a time when reimbursements are at an all time low and concerns that it won’t improve with the ICD-10 coding transition looming on the horizon.

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More Concerns for Healthcare Providers

Many healthcare providers have added concerns to the already stressful ICD 10 transition. Last week the Department of Health and Human Services and CMS issued final regulations on the medical loss ratio, which guarantees health insurers spend at least 80 percent (for individual and small group markets) or 85 percent (for large group markets) of consumer premiums on medical care.

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Improving Content and Classifications

Wielding SAS Text Analytics helps to reduce manual tagging, improves search results and supports ad revenue generation. This improved digital content performance is achieved by indexing, tagging and classifying data so that the ultimate in findability is achieved.

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ICD-10 Resources Available

The Healthcare Information Management and Systems Society (HIMSS) has released a free set of tools to aid in converting the new ICD-10 code sets. The ICD-10 PlayBook features ICD-10 report card software from Yakima, a speaker’s bureau and white papers and Web seminars from a variety of resources.

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The Pressure is On

With two deadlines looming, can healthcare organizations be fully prepared? The Office for Civil Rights is randomly auditing for HIPAA compliance and this will continue through December 31, 2012. Right behind that is the October 2013 deadline for ICD-10 implementation. A recent survey showed most healthcare organizations charged with HIPAA compliance are not fully prepared for a privacy and security audit by federal regulators.

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BCBSNC Seeks Help for the ICD 10 Transition

Edifecs was chosen by Blue Cross and Blue Shield of North Carolina (BCBSNC) to help them achieve compliance with the upcoming ICD-10 transition. They achieve this by enabling health plans index and analyze their own historic data.

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Hospitals Slow in Integration Process

The financial health of community hospitals were surveyed recently and specifically their operating margins, Medicare/Medicaid reimbursement, days of cash on hand and their ICD-10 implementation progress were reviewed.

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