Blogs

Demystify IPPS with Our Improved Integrated MS-DRG Grouper and Calculator!

We are pleased to announce our new and improved provider-specific MS-DRG Grouper and Calculator, powered by New Health Analytics. Demystify payment under the Inpatient Prospective Payment System, and understand and compare payment for different MS-DRGs, or for the same MS-DRG over time.

Dateline San Diego: AHIMA: This is What is Happening in San Diego

Originally Posted in ICD10monitor.com

Listen to the Talk Ten Tuesday Podcast

As always, AHIMA delivers a great convention filled with the latest and greatest industry knowledge and technology! Two of the greatest and most meaningful takeaways this year are related to Big Data and ICD-10, both of which tie nicely together.

ICD-10 Resources: Four Educational Webinar Replays

As we near the one-year mark to the updated ICD-10 deadline, we are continuing to provide ongoing educational resources to directly address the ongoing risks and challenges relating to the adoption of ICD-10 throughout your organization. Visit our online resource center to watch a replay of our four most recent ICD-10-related educational webinars:

New States Maintaining Separate Medicaid Sanction Lists

Don’t forget that Alaska, Louisiana, Minnesota, Missouri, North Carolina and North Dakota now maintain separate Medicaid exclusion and sanction lists. And if you're not staying up to date with your sanction screening, your organization is at risk for severe penalties. Sanction Screening Services (S3™) delivers the next generation of self-managed and full service sanction and exclusion checking with up-to-date state and federal databases.

How we can help you "Ramp Up" your ICD-10 Operations

Rayellen Kishbach's picture

On July 31, 2014, CMS announced that the U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10. According to CMS:

"This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015."

How do Medical Review professionals keep up?

Rayellen Kishbach's picture

The ever-increasing pace of healthcare benefit and coverage policy change makes it harder than ever for medical review professionals to make quick, completely informed policy and reimbursement decisions. Without the right information and tools, your organization’s exposure to risk increases. This risk is multiplied when you have to monitor and comply with updates across multiple states.

Understand Local and National Coverage with MAC Coverage Articles

Rayellen Kishbach's picture

We know understanding Medicare coverage is a challenge, and we've just made this challenge easier by upgrading all of our health care products to include Medicare Administrative Contractor (MAC) Local Coverage Articles. These articles can provide a deeper explanation of the MAC Local Coverage Determination (LCD) logic, or explain special topics like non-covered services, self-administered drug lists, coding rules for National Coverage Determinations (NCDs) and more.

Demystify Inpatient Reimbursement with Simple Tools

Rayellen Kishbach's picture

Understanding the Inpatient Prospective Payment System can be quite a challenge (see below for key references!), but MediRegs subscribers can know right now with our MS-DRG electronic codebook, MS-DRG Grouper, and MS-DRG Calculator. We’ve recently released a significantly improved provider-specific MS-DRG calculator, powered by New Health Analytics. This calculator demonstrates MS-DRG payments under the Inpatient Prospective Payment System and includes the following enhancements:

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