As the US healthcare industry faces yet another delay in ICD-10-CM/PCS implementation, with a new compliance date of October 1, 2015, questions continue to arise as to whether there are any alternatives for replacement of ICD-9-CM other than implementation of ICD-10-CM/PCS. In particular, use of SNOMED CT or waiting for ICD-11 are both alternatives that have received attention.

CAQH COREThe mission of the CAQH initiative is to be the catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patien

While “population health management” may be one of those terms that means something different to each person who hears it, the words capture the overall spirit and momentum of healthcare reform in a unique way.  Providers are thinking big when it comes to a patient’s engagement, responsibility, and preventative care, and they’re leveraging technology to do it through provider led population health management.

Every day, in the course of using cell phones, credit cards, search engines, websites, and medical devices, we leave digital "footprints." Aggregated and analyzed, these data flows, which occur with and without our knowledge, have the potential to paint a detailed health profile of individuals, as well as to describe whole communities based on location, health conditions, or other factors.

It took several electronic nudges before Patti Schwebel booked an appointment for an overdue mammogram. Her doctors at Kaiser Permanente diagnosed breast cancer two years ago after the films revealed a lump.

Best PracticesIn our previous blog we walked you through the complexity of submitting a clean medical claim. In this blog we will walk you through 7 best practices of medical claims processing to employ when managing the claims submission process.

"Here at [redacted] we've decided to wait until next year to do anything more about ICD-10," my friend and former colleague wrote in an email the other day. "The thinking is, why should we keep training people now? They'll forget what they learned, and we'll have to do it again anyway."

Health information exchange is one arrow in the quiver that may lead to promised improvement in the coordination, efficiency and effectiveness of health care services based on the sharing of data contained in individual patients' electronic health records.

An article in the current issue of Medical Economics examines some of the technical, legal and ethical issues around patient consent to the collection and transmission of protected health information by health information exchanges.

Cyber criminals are being drawn to the healthcare industry like moths to a flame and providers are more vulnerable as the sharing of electronic health records proliferates.

To help diminish both those trends, the Institute for Health Technology Transformation (iHT2) recently compiled its “10 Steps to Maintaining Data Privacy in a Changing Mobile World.”

I started on the journey to ICD-10 compliance eager to get this transition done, just like any other regulatory project. I didn't anticipate any insurmountable problems that would slow down implementation within our health system. ICD-10 is a modernization of the international standard for diagnosis codes, and until recently the Centers for Medicare and Medicaid Services was pushing to make the US variation the standard for submitting insurance claims, with a firm deadline of October 1.