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Precyse has been named Best in KLAS for Transcription Services in the recent KLAS report titled “2012 Best in KLAS Awards: Software & Services.” Precyse is also the No. 1 ranked vendor in the KLAS “HIM Services 2012: Helping to Weather the Storm” report for Transcription Services, according to a…
Podcast Date: 1/22/2013 In relation to a CDIP, what is your biggest concern related to I10? Number of Response(s) Response Ratio A. Creating a CDIP 26 11% B. Re-evaluating your CDIP 22 9% C. Staffing your CDIP 14 6% D. Educating your CDIP staff 28 12% E. Educating your Physicians…
Podcast Date: 1/22/2013 In relation to a CDIP, what is your biggest concern related to I10? Number of Response(s) Response Ratio A. Creating a CDIP 26 11% B. Re-evaluating your CDIP 22 9% C. Staffing your CDIP 14 6% D. Educating your CDIP staff 28 12% E. Educating your Physicians…
EDITOR’S NOTE: This is the final installment in a two-part series To be successful using ICD-10, payers, providers and vendors should follow six simple steps for management of code transition from ICD-9. It is critical that each organization apply a common mapping consistently in order to meet the compliance date.…
EDITOR’S NOTE: This is the final installment in a two-part series To be successful using ICD-10, payers, providers and vendors should follow six simple steps for management of code transition from ICD-9. It is critical that each organization apply a common mapping consistently in order to meet the compliance date.…
The 10,000-Hour Rule is just that: the idea that it takes approximately 10,000 hours of deliberate practice to master a skill. “Outliers: The Story of Success” is a book written by Malcolm Gladwell, and a fascinating read that I highly recommend. Throughout the text, Gladwell repeatedly mentions the 10,000-Hour Rule,…
The 10,000-Hour Rule is just that: the idea that it takes approximately 10,000 hours of deliberate practice to master a skill. “Outliers: The Story of Success” is a book written by Malcolm Gladwell, and a fascinating read that I highly recommend. Throughout the text, Gladwell repeatedly mentions the 10,000-Hour Rule,…
What’s your strategy for testing with ICD-10? Do you know all the players in your “trading-partner community”—a phrase used by Ellen VanBuskirk, senior principal of business consulting for Infosys Public Services, during ICD10Monitor’s January 8 Talk Ten Tuesday broadcast. It’s essential that the whole industry define their community, she says,…
What’s your strategy for testing with ICD-10? Do you know all the players in your “trading-partner community”—a phrase used by Ellen VanBuskirk, senior principal of business consulting for Infosys Public Services, during ICD10Monitor’s January 8 Talk Ten Tuesday broadcast. It’s essential that the whole industry define their community, she says,…
ICD-10-PCS is a major departure from ICD-9-CM procedure coding, and as such many Coding Specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from ICD-9-CM procedure coding to ICD-10-PCS, over the next ten months, we will…
ICD-10-PCS is a major departure from ICD-9-CM procedure coding, and as such many Coding Specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM).  In order to ease the transition from ICD-9-CM procedure coding to ICD-10-PCS, over the next ten months, we will…
Precyse University has received praise for its innovative applications and tools for ICD-10 training in a recent KLAS report titled “ICD-10 Consulting: Roadmap to a Successful Transition.” Engagements for Precyse were completed through the use of technology, so the overall performance scores are not directly compared to the other consulting…
Precyse University has received praise for its innovative applications and tools for ICD-10 training in a recent KLAS report titled “ICD-10 Consulting: Roadmap to a Successful Transition.” Engagements for Precyse were completed through the use of technology, so the overall performance scores are not directly compared to the other consulting…
Career Step, an online education company offering corporate education solutions, has announced its partnership with Inquisit, a company focused on facilitating professional healthcare education. This partnership is a result of Career Step’s relationship with Amerinet, a leading national healthcare solutions organization, which has a strategic education partnership with Inquisit, according…
Career Step, an online education company offering corporate education solutions, has announced its partnership with Inquisit, a company focused on facilitating professional healthcare education. This partnership is a result of Career Step’s relationship with Amerinet, a leading national healthcare solutions organization, which has a strategic education partnership with Inquisit, according…
As we all annually make New Year’s resolutions such as losing weight, getting more exercise, spending more time with our families, etc., typically we have good intentions but fall short at the end of the year. ICD-10 is coming quickly this year, and you cannot afford to develop “good intentions”…
As we all annually make New Year’s resolutions such as losing weight, getting more exercise, spending more time with our families, etc., typically we have good intentions but fall short at the end of the year. ICD-10 is coming quickly this year, and you cannot afford to develop “good intentions”…
Some of the more common causes of blood vessel injury include gunshot wounds, stab wounds, blunt trauma (including blunt trauma with fracture or dislocation) and iatrogenic injuries. With more procedures being performed using intravascular techniques of late, the number of iatrogenic injuries to blood vessels has increased. Understanding the differences…
Some of the more common causes of blood vessel injury include gunshot wounds, stab wounds, blunt trauma (including blunt trauma with fracture or dislocation) and iatrogenic injuries. With more procedures being performed using intravascular techniques of late, the number of iatrogenic injuries to blood vessels has increased. Understanding the differences…
EDITOR’S NOTE: This is the first in a two-part series To be successful using ICD-10, payers, providers and vendors should follow six simple steps for management of code transition from ICD-9. It is critical that each organization apply a common mapping consistently in order to meet the compliance date. Industry…
EDITOR’S NOTE: This is the first in a two-part series To be successful using ICD-10, payers, providers and vendors should follow six simple steps for management of code transition from ICD-9. It is critical that each organization apply a common mapping consistently in order to meet the compliance date. Industry…
The ability of any organization to transition to ICD-10 successfully will be dictated by both the specificity and adequacy of documentation – and whether that documentation will be detailed enough for coders to code accurately under ICD-10. This will require a tremendous amount of training and education, not just for…
The ability of any organization to transition to ICD-10 successfully will be dictated by both the specificity and adequacy of documentation – and whether that documentation will be detailed enough for coders to code accurately under ICD-10. This will require a tremendous amount of training and education, not just for…
Here we are in 2013, assuming you use the same type of calendar I use (if you do not use the same calendar, please skip over this paragraph). Watching the ball drop in Times Square a few days ago, a question came to mind: When are people going to quit…
Here we are in 2013, assuming you use the same type of calendar I use (if you do not use the same calendar, please skip over this paragraph). Watching the ball drop in Times Square a few days ago, a question came to mind: When are people going to quit…
EDITOR’S NOTE: The following is the script from Denny Flint’s appearance on Talk Ten Tuesday on Tuesday of this week. I just got back from visiting six cities in 12 days. While the view from the road is laps ahead of where we were this time last year when it…
EDITOR’S NOTE: The following is the script from Denny Flint’s appearance on Talk Ten Tuesday on Tuesday of this week. I just got back from visiting six cities in 12 days. While the view from the road is laps ahead of where we were this time last year when it…
Clinical documentation improvement (CDI) specialists and coding educators nationwide have started looking at the need for additional detail that will be required when ICD-10-CM and ICD-10-PCS are implemented on Oct. 1, 2014. But there is a possible problem connected to these activities. The issue is simply that not every detail…
Career Step, one of healthcare’s leading educational companies and the provider of The ICD-10 Solution, has signed an agreement to be a major sponsor of ICD10monitor. The agreement was announced jointly by Michael Hodgson, vice president of healthcare and corporate partnerships for Career Step, and Chuck Buck, publisher of ICD10monitor.…
EDITOR'S NOTE: This is final installment of a two-part series featuring a recent Talk Ten Tuesday radio interview with Denesecia Green from CMS. During her recent interview on Talk Ten Tuesday, Denesecia Green said CMS is working with National Government Services (NGS) and industry stakeholders to establish end-to-end testing definitions,…
EDITOR'S NOTE: This is the first in a two-part series featuring a recent Talk Ten Tuesday radio interview with Denesecia Green from CMS. Is your practice or organization covered by HIPAA? If so, you’re required by law to make the Version 5010 upgrade. If you haven’t made the upgrade to…
Just as sure as the menorah is on display at the deli and Santa Claus can be seen stuffing himself down that cheesy cardboard chimney at the hardware store, one day soon you will notice when you arrive home that, in your stack of holiday cards, there indeed will be…
Creating an ICD-10 training plan might seem like a simple task to include as part of your ICD-10 project planning, but is it? Unless you work at a small medical practice, I would say it is a very important yet daunting task. There is still confusion about who needs training,…
EDITOR’S NOTE: This is the final installment in a three-part series on data analytics. As indicated in my article in the October 30, 2012, ICD-10 Monitor, providers must perform data analytics now so that they can drill down and identify documentation weaknesses.  Phase one includes running your data, and phase…
We all agree that testing is going to be a critical phase of the ICD-10 transition. The system upgrades, testing and adjudication of test data results with external partners will be complex. The development of your master testing plans will serve as a road map for testing and will define…
We all agree that testing is going to be a critical phase of the ICD-10 transition. The system upgrades, testing and adjudication of test data results with external partners will be complex. The development of your master testing plans will serve as a road map for testing and will define…
As we progress toward the Oct. 1, 2014 implementation deadline, some differences in opinion are arising regarding who bears the burden of knowledge relevant to ICD-10. Clearly, the coding industry is rapidly gaining the requisite education to transition to ICD-10, and numerous IT solutions are developed or under development, but…
Postoperative pain typically is considered a normal part of the recovery process following most forms of surgery. Such pain often can be controlled using typical measures such as pre-operative, non-steroidal, anti-inflammatory medications; local anesthetics injected into the operative wound prior to suturing; postoperative analgesics; and even intra-operative or post-operative injection…
Career Step, one of healthcare’s leading educational companies and the provider of The ICD-10 Solution, has signed an agreement to be a major sponsor of ICD10monitor. The agreement was announced jointly by Michael Hodgson, vice president of healthcare and corporate partnerships for Career Step, and Chuck Buck, publisher of ICD10monitor.…
Podcast Date: 12/11/2012 Which is your biggest concern related to I-10 Testing readiness? Number of Response(s) Response Ratio A. Provider readiness 137 53% B. Payer readiness 91 35% C. Vendor readiness 31 12% Total Results: 291 100%
The winter season begins on Dec. 21 (the winter solstice and the shortest day of the year, if you live north of the equator) and ends in March. Among several major religions, nationalities and ethnicities, winter brings with it holidays, which often include traditions of gift-giving, celebration, and, in most…
The winter season begins on Dec. 21 (the winter solstice and the shortest day of the year, if you live north of the equator) and ends in March. Among several major religions, nationalities and ethnicities, winter brings with it holidays, which often include traditions of gift-giving, celebration, and, in most…
If you are a physician, your eyes may glaze over instantaneously whenever you hear someone speak of ICD-10. Physicians, as well as most clinicians (speaking of myself), are generally not accustomed to change. Rightfully so for the last 30-plus years (and technically since 1979), hospitals have been reporting inpatient surgical…
Realizing the opportunities and avoiding the risks associated with the migration to ICD-10 will depend fundamentally on the individuals within each healthcare organization and their ability to thrive within this changing environment. What is required is an organization-wide approach that: Shows the impact of the ICD-10 migration across the organization;…
EDITOR’S NOTE: This is the last installment of a two-part series about ICD-10 readiness. In Part 1 of “Assessing ICD-10 Readiness,” I talked about the different perceptions in the industry regarding the varying degrees of readiness among providers. In part, this is because of the inherent issues involved with self-assessments.…
The online Urban Dictionary defines “chicken scratch”— also known as illegible medical record documentation in the healthcare industry—as follows: “Incredibly messy handwriting that is nearly impossible to read. Usually the only person who can read it is the person that wrote it. Sometimes not even they can read it after…
EDITOR’S NOTE: This is the second in a two-part series. There were very few changes to the ICD-10-CM Draft code set for 2013 – as was expected due to the partial code freeze that will be in effect through 2014. Changes in the 2013 ICD-10-CM Draft code set primarily consisted…
EDITOR’S NOTE: This is the final installment in a two-part series on clinical documentation improvement. Claim delays with slowed production means reduction in revenue. It is difficult to determine the amount of change that would be involved with the additional time necessary to document care, but will be based on…
Thanksgiving is an emotional holiday for many folks. People travel hundreds or even thousands of miles to be with people they only see maybe once a year (and then sometimes rediscover why once a year is way too often). You know that at the first Thanksgiving with the pilgrims, there…
Operative reports for breast procedures often confuse coding professionals because physicians use certain phrases—such as biopsy, lumpectomy, and excisional biopsy—interchangeably in their documentation. Just because physicians know what they mean does not mean that coding professionals will know unless they have an understanding of the procedure and the specificity of…
Podcast Date: 11/27/2012 Where is your organization related to I-10 Testing? Number of Response(s) Response Ratio A. Haven't addressed it yet 52 18% B. We are doing our assessment 73 25% C. It's in our implementation plan 112 38% D. We have begun testing 34 12% E. Not applicable 20…
EDITOR’S NOTE: This is the first in a two-part series. There were very few changes to the ICD-10-CM Draft code set for 2013 – as was expected due to the partial code freeze that will be in effect through 2014. Changes in the 2013 ICD-10-CM Draft code set primarily consisted…
EDITOR’S NOTE: This is the first installment in a two-part series on clinical documentation improvement. Because of the greater specificity of ICD-10-CM and ICD-10-PCS along with the opportunity to report the severity of a patient’s condition in more detail, it is anticipated most health plans will require a more detailed…
EDITOR’S NOTE: This is the second of a two-part series taking a close look at a collaborative approach to ICD-10 testing. The first of the two biggest issues the industry must deal with is that end-to-end testing, through which information flows from provider to payer and back again, will not…
As we anticipate the adoption of ICD-10-CM, there is a bit of uncertainty regarding non-covered entities as cited in the Health Insurance Portability and Accountability Act of 1996 (HIPAA). One of the largest groups of these non-covered entities is the workers’ compensation insurers. Although they are not a covered entity…
Podcast Date: 11/13/2012 What will your practice do if your state workers' comp does not require acceptance of ICD-10 CM codes after Oct. 1 2014? Number of Response(s) Response Ratio A. Maintain dual billing systems for at least one year 108 55% B. Submit I-10-CM codes with electronic claims, let…
Now that the implementation date for ICD-10 is finalized, the next step many are tasked with is to figure out the training schedule for education. It is prudent to make the best use of the two-year timeline remaining; however, many continue to ask themselves….Is it too soon to start training…
EDITOR’S NOTE: This is the first in a two-part series. No one really knows which ICD-10-CM codes will be deemed “medically necessary” for which procedures – at least, not yet. However, we can make educated guesses.
The quality of a decision most often is a function of the information you rely on to make that decision. In the next two years, ICD-10 program managers will have to decide: What partners should I perform transaction testing with? How can I use my resources best to help ensure…
EDITOR’S NOTE: John Pitsikoulis, who lives in Downingtown, PA, which is outside of Philadelphia, rode through Sandy with minimal damage. A horrendous storm battered the Northeast recently, killing more than 100 people and causing tens of billions of dollars in damage. I always have been taught that material things, while…
If you are one of the thousands of 17 people who bother to read my contribution each month, you know I’m opinionated, somewhat caustic, and borderline rude I can be somewhat acerbic in my presentation. I have been advised by 42 air-headed pseudo-intellectuals one individual that I should take it…
As we move clinical documentation forward into the world of ICD-10 and value-based purchasing, the accurate coding and reporting of complications of care likely will become even more of an area of focus for healthcare facilities. This increased scrutiny only will underscore the ongoing struggle to balance the accurate reporting…
A galaxy of ICD-10 healthcare experts are lined up for their appearances on Talk-Ten-Tuesday, the live 30-minute Internet radio broadcast every Tuesday morning beginning at 10 a.m. Eastern. Coming up today will be the following thought leaders:
Last month on Talk Ten Tuesday, I thought it would be fun to do something a little different, so I performed an ICD-10 rap song I wrote called “Coder’s Paradise.” Except for my singing on the chorus (by the way… I thought I could sing. My mom says I can…
Last month on Talk Ten Tuesday, I thought it would be fun to do something a little different, so I performed an ICD-10 rap song I wrote called “Coder’s Paradise.” Except for my singing on the chorus (by the way… I thought I could sing. My mom says I can…
As facilities begin their ICD-10 preparations, one thing to keep in mind is coding audits. Coding is not a “once you learn the basics, you are set” type of job. To keep coding skills strong and healthy requires on-going exercise and stretching. You can never have too much education, training,…
I’m writing this article in my cold, dark home, having been without power for the past 48 hours due to Hurricane Sandy’s wrath and (in my opinion) my power company’s lack of understanding of the magnitude of the storm’s requirements and a lack of planning. It’s been a sleepless couple…
As we prepare for the implementation of ICD-10, there is much discussion in the industry about the need for better documentation because of the more detailed nature of the new codes. The ultimate educational goal in the next two years is to show physicians and other practitioners how more specific…
Podcast Date: 10/30/2012 What percent if your payers are incorporating HCCs into their payment structure? Number of Response(s) Response Ratio A. Minimal less than 10% 20 12% B. Moderate 11-25% 19 11% C. More than 25% 20 12% D. None 12 7% E. Not applicable 98 58% Total Results: 169…
EDITOR’S NOTE: This is the first in a two-part series on the collaborative approach to ICD-10 testing. The ICD-10 date has been set, organizations are mobilizing, and the airwaves are flush with numerous ICD-10 testing strategies to help the healthcare industry cope with the challenges of both internal and external…
As expected, commercial payers started working on ICD-10 readiness several years ago and are integrating very specific contract language addressing ICD-10 and the potential impact on payment differentials. It is imperative as part of your ICD-10 implementation planning to include a review of all your managed care and commercial payer…
Now that we have a new ICD-10 implementation date of October 1, 2014, it is time to get back on track. Industry experts agree that providers should be focusing on two tasks: Performing data analytics and finalizing education plans. As you may know, Talk-Ten-Tuesday airs every Tuesday at 10 a.m.…
For the last few days, folks on the East coast have been wondering whether and when Hurricane Sandy with its high winds and flooding will hit. No matter how well we prepare, it’s already causing havoc, producing anxiety and even a little fear at the disruptions it will cause. By…
Podcast Date: 10/23/2012 What type of Physician response are you getting to your queries? Number of Response(s) Response Ratio A. Agree with majority 156 53% B. Disagree with majority 3 1% C. Ask for clarification 35 12% D. No response most of the time 33 11% E. Not applicable to…
Have you ever pondered why residents and medical students do not understand how to document? Having been associated with resident physicians and medical students all of my career, I have been baffled trying to comprehend which part of “documentation in a medical record” they do not understand. Last evening, we…
Fiscal year 2013 began on October 1 for the inpatient prospective payment system (IPPS) along with its expanded versions of Medicare quality initiatives, including the Hospital Acquired Condition (HAC) Program. As you know, present on admission (POA) reporting figures into the determination of whether a condition is hospital-acquired or not.
Like all other healthcare providers, radiology providers must plan for ICD-10 system implementation by building organizational awareness and developing a communication plan. To help achieve that goal, the Centers for Medicare & Medicaid Services (CMS) have provided a “formal roadmap.”
E-supply chains are not unique to other industries, but it is a concept that is not considered aligned with patient care, when in fact the healthcare supply chain is measured by its ability to deliver value to the end customer: the patient! The E-supply change, or E Health, will require…
E-supply chains are not unique to other industries, but it is a concept that is not considered aligned with patient care, when in fact the healthcare supply chain is measured by its ability to deliver value to the end customer: the patient! The E-supply change, or E Health, will require…
EDITOR’S NOTE: This is the first of a two-part series about ICD-10 readiness. If you read enough about ICD-10, you’ll hear differing opinions about industry readiness. In some reports, a majority of entities are close to being on track and in others the entire industry is lagging dangerously behind. It…
Podcast Date: 10/16/2012 What is your Physician response rate? Number of Response(s) Response Ratio A. 70% or greater 92 31% B. 30-69% 99 34% C. Up to 29% 24 8% D.We don't have a CDIP 78 27% Total Results: 293 100%
My company is dedicated to all things ICD-10 all the time, so it’s important for us to stay abreast of what’s happening around the country, and we do that by occasionally polling health care organizations. For last month’s survey, we focused on small-to-medium-sized practices and asked two simple questions: “What…
My company is dedicated to all things ICD-10 all the time, so it’s important for us to stay abreast of what’s happening around the country, and we do that by occasionally polling health care organizations. For last month’s survey, we focused on small-to-medium-sized practices and asked two simple questions: “What…
There is a word that has long been held sacred by the chiropractic profession: The so-called vertebral “subluxation.” Throughout ICD-9, the term “subluxation” is used to describe a “partial dislocation,” which is not how it is defined by many chiropractors. Medicare defines it reasonably well on behalf of the chiropractic…
There is a word that has long been held sacred by the chiropractic profession: The so-called vertebral “subluxation.” Throughout ICD-9, the term “subluxation” is used to describe a “partial dislocation,” which is not how it is defined by many chiropractors. Medicare defines it reasonably well on behalf of the chiropractic…
Most healthcare organizations recognize that they have to know more about what their vendors, trading partners and providers are doing to get ready for ICD-10 – and what will affect their readiness. Information you must get from those entities includes their project plan statuses, which IT systems they use, and…
Developing an ICD-10 project plan for complying with the October 2014 deadline is one important first step many organizations have accomplished. While there are some great resources for organizations to utilize in order to manage key remediation components involving assessment and implementation, many organizations are relying on a “check-the-box” methodology…
Developing an ICD-10 project plan for complying with the October 2014 deadline is one important first step many organizations have accomplished. While there are some great resources for organizations to utilize in order to manage key remediation components involving assessment and implementation, many organizations are relying on a “check-the-box” methodology…
The clock is ticking leading up to October 2014, and there are now only 24 months left before the transition to ICD-10-CM/PCS. This seems like plenty of time, but if organizations haven’t started their preparations yet, they must do so now. Although the main thrust of any ICD-10 conversation revolves…
Podcast Date: 10/9/2012 Have you established and end-to-end testing plan for ICD10? Number of Response(s) Response Ratio A. Yes our plan is complete 13 5% B. We are working on our plan 125 46% C. We haven't started working on it yet 66 24% D.What is end-to-end testing? 44 16%…
As I discussed last month, engaging your physicians in the transition to ICD-10, despite your best efforts and months of planning, may continue to seem a daunting task – a notion fueled by the recent delay, peer skepticism and a lack of focus on a requirement that won’t be implemented…
As I discussed last month, engaging your physicians in the transition to ICD-10, despite your best efforts and months of planning, may continue to seem a daunting task – a notion fueled by the recent delay, peer skepticism and a lack of focus on a requirement that won’t be implemented…
I have been working on an e-learning program for ICD-10-PCS, which allowed me to review coding conventions and guidelines for Section 1 – Obstetrics. Because most of my focus since attending the American Health Information Management Association (AHIMA) ICD-10 Trainer Workshops has been on ICD-10-CM and the Medical and Surgical…
Let’s face it: During the ICD-10 “dark period” (the time from when the federal government in February announced that there was the potential for a delay to the recent August announcement of a final rule on the implementation date), provider organizations didn’t do a whole lot to advance their ICD-10…
In what might the first healthcare parody of the Carly Rae Jepsen’s mega hit, “Call Me Maybe,” Maria Bounos last week sang her version adding to the list on Internet parodies on the song that seems to have Americans humming these days. Bounos sang her version during the Wednesday edition…
In what might the first healthcare parody of the Carly Rae Jepsen’s mega hit, “Call Me Maybe,” Maria Bounos last week sang her version adding to the list on Internet parodies on the song that seems to have Americans humming these days. Bounos sang her version during the Wednesday edition…