Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

ICD-10 Implementation

Black Book Names Optum360 Top HIM, Coding Outsourcing Vendor

October 5, 2016 - Optum360 earned the top spot for health information management (HIM) and computer-assisted coding outsourcing vendor among hospital chains, systems, corporations, and integrated delivery networks as well as independent inpatient facilities, according to a recent Black Book Market survey. The top vendor list based on client experience and customer loyalty also included nThrive (MedAssets +...


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Lessons Learned from the First Year of ICD-10 Implementation

by Jacqueline Belliveau

With the anniversary of ICD-10 compliance approaching, many providers are looking back on the past year to see how the new coding system has affected their organizations as well as preparing for fast approaching updates. At Baptist Health South...

CMS Prepares Providers for End of ICD-10 Coding Flexibilities

by Jacqueline Belliveau

Starting on October 1, CMS plans to thaw the freeze on ICD-10 implementation by adding more codes and allowing review contractors to deny claims based on level of specificity. To help healthcare providers prepare for updates to ICD-10 coding...

AHIMA Reviews Top ICD-10 Implementation, Coding Challenges

by Jacqueline Belliveau

In the days leading up to the go-live of ICD-10 implementation, many healthcare providers feared that the new system would decrease productivity and cause more claim denials. However, in the eight months since the launch, most healthcare providers...

Coding Productivity Fell by 14% After ICD-10 Implementation

by Jacqueline Belliveau

As the anniversary of ICD-10 implementation approaches, a survey from the American Health Information Management Association (AHIMA) Foundation has revealed that coding productivity and accuracy has marginally declined since ICD-10 began. “Health...

How to Manage ICD-10 Implementation Updates, Maximize Revenue

by Jacqueline Belliveau

Just as most healthcare stakeholders reported that ICD-10 implementation ran smoother than expected, CMS will be releasing 5,500 new codes beginning in October. While it may sound like a large update to the system, the new codes could help providers...

ICD-10 Implementation Ran Smoother than Originally Expected

by Catherine Sampson

On May 9, the Workgroup for Electronic Data Interchange (WEDI), announced that the ICD-10 implementation process was moderately smooth because costs were mostly in line with expectations and testing improved. Additionally, productivity levels...

CMS, CDC Add More than 5,000 Codes to ICD-10 Coding System

by Vera Gruessner

Last week, the Centers for Disease Control and Prevention along with the Centers for Medicare & Medicaid Services (CMS) announced some major news for the ICD-10 coding system. The two organizations have added more than 5,000 new ICD-10 diagnosis...

CMS Details How to Resolve ICD-10 Implementation Issues

by Jacqueline Belliveau

In the second update about ICD-10 implementation, CMS has released infographic and statement guidance on how to address issues and questions about IDC-10. The recent statement encourages providers to create a feedback system to review clinical...

CMS Demonstrates How to Track ICD-10 Implementation Progress

by Jacqueline Belliveau

CMS has recently released an infographic urging healthcare providers to assess and analyze their ICD-10 progress by identifying key performance indicators (KPIs) and creating baselines for analysis for each KPI. The recent announcement highlights...

3 Key Steps to Continue ICD-10 Implementation Progress

by Vera Gruessner

Now that the ICD-10 implementation has been deemed a relative success throughout the healthcare industry, the Centers for Medicare & Medicaid Services (CMS) are focused on continuing the progress related to the ICD-10 implementation. CMS...

ICD-10 Claim Denial Rate Remains Low among Most Providers

by Vera Gruessner

It seems that the ICD-10 implementation has not had a very negative effect on the ICD-10 claim denial rate, which hasn’t risen much since the October 1 deadline. For example, RelayHealth Financial, a revenue cycle management solutions provider,...

CMS Releases Post-ICD-10 Claims Denial Reimbursement Metrics

by Jacqueline DiChiara

Post-ICD-10 implementation claims denial is a top 2016 focus for healthcare organizations. According to last month’s ICD-10 survey from Porter Research and Navicure, healthcare organizations cite value-based care as a leading focus. Sixty...

Revenue Cycle Management Success is About the Fundamentals

by Jacqueline DiChiara

Revenue cycle management success is the heart of any healthcare organization. Defined as the clinical and administrative management of claims management, payment, and revenue production, revenue cycle management is in essence one large financial...

Education Investment Strengthens Revenue Cycle Management

by Jacqueline DiChiara

The secret to revenue cycle management success may lie in education. Healthcare executives are beginning to understand the monetary value of education and its effect on revenue cycle. But staff preparation levels are still a top concern for healthcare...

What Are the Greatest Revenue Cycle Management Challenges?

by Jacqueline DiChiara

RevCycleIntelligence.com recently polled over 60 readers to assess revenue cycle management challenges and opportunities, from the front-end, to the back-end, and everything in between. Readers said collecting payment from a patient in a timely...

4 HIMSS16 Revenue Cycle Management, Value-Based Care Focuses

by Jacqueline DiChiara

The topics of revenue cycle management innovation and value-based care will be of key importance at HIMSS16, one of the largest healthcare information technology (IT) conferences of the year, held next month in Las Vegas. Promoting financial...

Revenue Cycle Management a Post-ICD-10 Implementation Focus

by Jacqueline DiChiara

Healthcare organizations are focused on strengthening revenue cycle management processes in a post-ICD-10 environment, according to Porter Research and Navicure’s national ICD-10-centered survey. As the concluding chapter of a...

AMA, CMS Lead Discussion on Evolving Healthcare Market Today

by Jacqueline DiChiara

The American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) are pairing up to lead a discussion today about the ongoing state of the evolving healthcare market. The discussion will be held at 5PM (PT) at...

A Very Happy New Year from RevCycleIntelligence.com!

by Jacqueline DiChiara

2015 was The Year of ICD-10. News of grace period delays, deadline extensions, claims management woes, and discussions about a proposed freeze topped our most popular articles of the year. “The long-awaited U.S. transition to...

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