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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ICD-10’s Leadership Crisis: Can CMS Step Up To The Plate?

ICD-10’s Leadership Crisis: Can CMS Step Up to the Plate?

  • August 21, 2014

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

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Three Must-Dos For Payers, Providers Seeking Successful Collaboration

Three Must-Dos for Payers, Providers Seeking Successful Collaboration

  • August 14, 2014

“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…

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Can Utilization Management Work In A Value-Based World?

Can Utilization Management Work in a Value-Based World?

  • August 5, 2014

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…

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6 Steps To Keep Cash Flowing Post ICD-10

6 Steps to Keep Cash Flowing Post ICD-10

  • March 16, 2014

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

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