When ICD-10 Testing Goes Wrong

When ICD-10 Testing Goes Wrong

  • January 28, 2015

Have you ever encountered the acronym "GIGO?" It stands for Garbage-In-Garbage-Out, a computer industry concept that stresses the importance of a sound end-to-end logical process. If your process is flawed, then the data that results can't be trusted. Nowhere is GIGO more appropriate than when it comes to ICD-10 testing. If your ICD-10 testing process is flawed or otherwise incomplete, what appear to be good results might actually be giving your organization a false sense of readiness. To help providers better understand their testing options, our colleagues at RelayHealth Financial produced a short video that can quickly get anyone up to speed on the ICD-10 testing scenarios being used…

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How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 9, 2015

As we move from fee-for-service to value-based care, payers and providers struggle to contend with the many reform models being tested and implemented. To successfully make the transition, stakeholders need to address these five critical pieces: • Shared risk for all stakeholders • A robust primary care foundation • The alignment of payment models and incentives • Information technology that supports such alignment • Strong regional collaboration Experts from McKesson Health Solution describe how to get it done in How We Can Make Healthcare Payment and Delivery Reform Work. Read now or download and read later  

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Why You Need To Start ICD-10 Testing Right Now

Why You Need to Start ICD-10 Testing Right Now

  • December 18, 2014

In the latest edition of ICD-10 Watch,  Joshua Berman, Director of Analytics and ICD-10 at RelayHealth Financial, discusses what payers and providers should do now to ensure they're ready for ICD-10 tomorrow. He advocates end-to-end testing and transparency from payers, so providers who are not being tested can learn from those that are. He also discusses forming partnerships to optimize testing results, and advises providers on what they should be testing. Read the whole column

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A Tale Of Two Communities: How A Payer And A Provider Each Experienced The “Best Of Times” With MHS

A Tale of Two Communities: How a Payer and a Provider Each Experienced the “Best of Times” with MHS

  • December 16, 2014

How a national general acute care hospital and a national managed health care company each saw the “best of times” with McKesson   Community Health Solutions (payer) and Community Healthcare System (provider) each shared a struggle on how to bring more transparency and information to their care and payment workflows. Automated and robust solutions from McKesson helped them improve the quality and cost of healthcare their organizations provide.  The Payer Community Health Solutions: Improving care quality, cost with more robust clinical standards Without a stricter tie to evidence-based guidelines while making medical necessity decisions, payers face potential inconsistency in the…

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ICD-10 Readiness: Countdown Considerations

ICD-10 Readiness: Countdown Considerations

  • November 4, 2014

ICD-10 Watch's Carl Natale invited Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, to write a series on the ICD-10 transition and what payers and providers need to do starting now. In this first installment, Berman reviews the three key areas: testing, training and key performance indicators. Look for his piece on the perils of procrastinating coming soon. Read his full story here

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Happy ICD-10 Anniversary!

Happy ICD-10 Anniversary!

  • October 1, 2014

Here's a commemorative cartoon for your office refrigerator!   But don't thank us for it. Thank our colleagues at RelayHealth Financial, where you'll find more revenue cycle management cartoons and expertise on ICD-10 readiness to boot. In fact, RelayHealth Financial's full suite of financial connectivity solutions were ready for ICD-10 -- including support for true end-to-end testing -- a full two years ahead of the U.S. government deadline. So enjoy the anniversary. And hop on over to RelayHealth Financial to learn more about ICD-10 readiness, because the final countdown to ICD-10 has begun.      

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ICD-10 Questions That Still Need Answers

ICD-10 Questions That Still Need Answers

  • October 1, 2014

October 1st was supposed to be the day that ICD-10 went live. Instead, it was delayed as part of the SGR "patch" bill until 2015. RelayHealth's ICD-10 cartoon, "Wait for it ...", added a touch of humor to Carl Natale's commemoration of the launch that wasn't on ICD10Watch. See it here

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A Year Away From ICD-10, What To Do Now To Prepare

A Year Away from ICD-10, What to Do Now to Prepare

  • September 22, 2014

Even though we're a full year away from the ICD-10 deadline, payers and providers should not take an "ICD-10 readiness break." That's according to Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, who shared his three steps to ICD-10 preparedness -- readiness, transparency, and testing -- with Becker's Hospital Review readers. Read the full story

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ICD-10 Is Around The Corner, For Real This Time

ICD-10 is Around the Corner, for Real This Time

  • September 18, 2014

Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, tells McKnight's why the ICD-10 delay is not a license to sit back and relax. Providers need to continue testing or get moving now if they haven't started, or risk not being ready to go next October. Aside from testing, Berman urges providers to get their coders trained "asap." Read the full article here

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How Fraud And Waste Can Help ICD-10 Advocates

How Fraud and Waste Can Help ICD-10 Advocates

  • September 13, 2014

In Carl Natale's Week in Review over at ICD-10 Watch, he draws a connection how getting ICD-10 done on time can help reduce fraud and waste. As part of this, Natale lists some of our own Josh Berman's "Joshisms," such as "providers get in the most trouble not by the problem, but by not knowing the problem fast enough." Read the full story

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