Updated on: March 17, 2016

Politics and Data Analytics: Not Strange Bedfellows

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Original story posted on: January 23, 2012

Despite his lost last Saturday in South Carolina, a week ago last Tuesday, former Massachusetts Gov. Mitt Romney won the New Hampshire GOP primary, capturing 39.4 percent of the vote in an accomplishment many political observers credited to the candidate's use of data analytics to weed out voters unlikely to support him and to focus resources on those who would.

 

It's like the "2012 Stage One for Acute Care Coding" the American Health Information Management Association (AHIMA) recommends to its members in approaching the implementation of ICD-10 - a strategy emphasizing awareness, assessment and focused training. In healthcare, data analytics is being used by recovery auditors who are looking for aberrant claims and billing errors.

In the case of ICD-10 readiness, providers are being encouraged to use data analytics to understand the projected impact of ICD-10 on their facilities by identifying areas in which they should focus training and education immediately to reduce reimbursement exposure. Recognition of the value of data analytics in helping providers make the transition from ICD-9 to ICD-10 seemed evident in a recent online poll indicating that 34 percent of respondents were using data analytics to determine clinical documentation risks - while another 40 percent said they planned to do so.

The poll, which asked the question, "Have you done any data analytics of ICD-9 to ICD-10 coding to determine where documentation risk is?" was conducted during Talk-Ten-Tuesday, ICD10monitor.com's live weekly podcast.

Seventeen percent of respondents reported that they were unsure about its use in their facilities, while 7 percent reported that data analytics were not applicable to their organizations.

"These results are very encouraging because they clearly demonstrate that, at least for this audience ... there is a clear understanding of how analytics can and should play a role in preparing for ICD-10," said Paul Van Fossan, director of hospital reimbursement and analytics for Optuminsight. "On the other hand, there are still a significant number of organizations (40 percent) that have yet to engage in an analytics-driven assessment.  It should come as no surprise to anyone that 2012 will most certainly be a very busy year of ICD-10-driven activities as we continue to prepare for October 2013."

Poll Results

Have you done any data analytics of ICD-9 to ICD-10 coding to determine

where documentation risk is?

 

A

Yes

34%

B.

No, but we plan to

40%

C.

No, and we do not plan to

1%

D.

Unsure

17%

E.

Not applicable to my organization

7%

 

 

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.
Chuck Buck

Chuck Buck is the publisher of ICD10monitor and is the executive producer and program host of Talk Ten Tuesdays.