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
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
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
Becker's Hospital CFO lays out McKesson's Matthew Zubiller's ideas on a new approach to utilization management that works more like point-of-care decision support as opposed to after-the-fact approvals/denials. Read more about Zubiller's innovative ideas in Becker's.
Medical Practice Insider Associate Editor Madelyn Kearns spoke with Joshua Berman, director of business analytics and ICD-10 for RelayHealth Financial, about how procrastination has hampered readiness efforts; and what CMS, Congress, and physicians can do now to prepare for the fast-approaching go-live date. Read the full interview
“The only way to win is to work together,” advises Holly Toomey, RN, BS, HCA, director, product management at McKesson Health Solutions. Her recent blog post features practical advice for payers and providers navigating the new reality of healthcare: success requires the best possible clinical outcomes at the lowest possible costs. To build a more comprehensive, collaborative relationship between payers and providers, Toomey suggests: An Automated Utilization Management Process – Use electronic tools to streamline requests for treatment, minimizing patient delays and making it easier to exchange clinical and financial information in real time. A Shared Exception-Based Utilization Management System - Set…
Beauty is in the eye of the beholder. And solutions to healthcare’s problems are in the eye of the stakeholder. Payers see the world one way, providers another, and patients still another. Finding solutions that balance stakeholders’ concerns isn’t easy. But it’s not impossible, if you bring the varying points of view together. I've been privileged to work with all stakeholders—payers, providers, and patients—and have heard (and hear) their problems, anxieties, and concerns. It’s from this vantage point that I've been wrestling with the problem of utilization management in a world that’s moving rapidly to value-based models. Today, prior authorization…
ICD-10 Watch had a laugh over RelayHealth Financial's latest revenue cycle management cartoon. Hop over the ICD-10 Watch to share the smiles.
Becker's Health IT and CIO Review presented an overview of the new release of InterQual, which was announced this week. Read the full story
Hospitals looking to protect their revenue streams need to do more than verify compliance of financial connectivity software. In this issue of Healthcare IT News, Josh Berman, Director of ICD-10 at RelayHealth, provides six steps that payers need to take before the October 2015 deadline. Read the full story