HATA survey reveals membership dissatisfaction with prior authorization transactions. In a recent report to the U.S. Senate Committee on Finance, the Government Accountability Office (GAO) was asked to examine the Centers for Medicare & Medicaid Services’ (CMS’s) prior authorization programs, including its benefits and challenges. The GAO spoke with many…
The ICD-10 migration was by most accounts highly successful, despite its enormity of scope and effort. Since there will likely be other large changes coming down the road, the Workgroup for Electronic Data Interchange (WEDI) felt it would be important to understand why this transition went so well and to…
EDITOR’S NOTE: Co-authors Greene and Wilson are recognized industry leaders and serve as the co-chairs of the WEDI Property & Casualty Subworkgroup. A general assumption had been that states would be aligning their worker’s compensation regulations with the rest of those of the healthcare industry in order to adopt the ICD-10…
The Workgroup for Electronic Data Interchange (WEDI) recently launched an industry-wide survey to assess the overall implementation of ICD-10. The survey results will be evaluated and compiled into a report for the healthcare industry. This is WEDI’s twelfth ICD-10 survey, but it differs significantly from the others. WEDI has been…
The Workgroup for Electronic Data Interchange (WEDI) recently launched an industry-wide survey to assess the overall implementation of ICD-10. The survey results will be evaluated and compiled into a report for the healthcare industry.This is WEDI’s twelfth ICD-10 survey, but it differs significantly from the others. WEDI has been conducting…
EDITOR’S NOTE: President Barack Obama is asking Congress for more than $1.8 billion in emergency funding to combat the Zika virus here and abroad it was announced yesterday,  We have a code!
Sherry Wilson Tina Greene As part of our efforts to track and help the industry respond to worker’s compensation challenges associated with the transition from ICD-9 to ICD-10, we will be penning a two-part series on the topic. This article is focused on the front end of post-implementation findings and…
Various industry agencies, organizations, payers, providers, and physicians are reporting that there has been a reasonably smooth start for such a gigantic undertaking as the recent implementation of ICD-10. Like all momentous challenges, there have been some hot spots, some notable failures, some minor toe-stubbing, and some smooth sailing. Keep…
Now that ICD-10 is a reality in U.S. healthcare, providers are finding that Oct. 1, 2015 didn’t bring with it the doomsday scenario they thought it might – but they also know that ICD-10-related challenges that aren’t apparent now may manifest themselves in the coming months.  The latest data from…
EDITOR’S NOTE – This is the second installment in a two-part series on industry reaction to the U.S. House of Representatives passage of the H.R. 2 bill, from which ICD-10 escaped unscathed. For many ICD-10 stakeholders, the U.S. Senate’s passage of the Medicare reform bill last Tuesday was a fait…
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