EHR - ICD10monitor

Two major rules published last month included major changes to the healthcare industry. First, the Centers for Medicare & Medicaid Services (CMS) issued its long-awaited Medicare Access and CHIP Reauthorization Act (MACRA) final rule on paying Medicare Part B providers for quality and performance. This new system, titled the Merit-Based Incentive…
With the specificity of ICD-10, it is important to use tools and technology to assist with coding. Computer-assisted coding (CAC) is one method that can benefit a practitioner, but can also harm them if it is not set up or used appropriately. Technology is only as good as it is programmed,…
Are you familiar with IBM’s supercomputer Watson? IBM’s stated aspiration is to make it “the world’s best diagnostician,” because it can store way more medical information than a human doctor and makes decisions based on evidence, free of cognitive biases. It is consistent, and, according to the company, “given the…
ICD-10 implementation success to date has been a result of collaboration and leveraging technology and education. Just as we experienced with planning for the successful implementation of ICD-10, we have learned that it takes a team of healthcare colleagues working together and sharing expertise across the continuum of patient care…
One of the biggest lingering questions facing the healthcare industry today is this: how do we keep physicians from becoming administrators rather than clinicians?Having a quality clinical documentation improvement (CDI) program in place can grant physicians the necessary flexibility and time to dedicate to their patients while still providing an…
On Feb. 5, Hollywood Presbyterian Medical Center experienced an electronic health record (EHR) outage that began due to ransomware. This type of malware had shut down the hospital’s internal computer system and communication devices, with only a software “key” capable of reopening the internal data files. The hospital has reported…
The federal mandate for conversion of medical record-keeping to a purely electronic format for the purposes of developing statistics and its associated tracking of quality of healthcare delivery and billing for services (known as value-based purchasing) is virtually complete in the United States. 
So, how are we physicians coping with denials?  Despite the many apocalyptic predictions regarding the ICD-10 transition, for healthcare organizations and the nation, ICD-10 has moved along rather swiftly to date. By now, most of us have seen the Centers for Medicare & Medicaid Services (CMS) October statement, which noted…
Although ICD-10 implementation has gone amazingly well, there are specialty-specific challenges arising for some practices and groups. For example, orthopedics has an incredibly large list of extremely specific codes. That can be very frustrating for physicians who must treat patients when it is not their primary or only specialty, and they may…
After multiple delays, ICD-10 is now the national (and to some degree, international) standard for the definition of each patient’s health state.    While there are many different standards in other areas, this is the only standard of its kind for the definition of patient condition that is nationally mandated…
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