Blogs

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:

Coding is easier with electronic references

Rayellen Kishbach's picture

Every day, I hear from clients who are frustrated by having to access so many different references, including payer websites, encoders, paper references, and the government websites. It is always rewarding to train new users on the Coding Suite, seeing the “Aha!” moments when they realize that they can get all of the information they need in one source.

Inpatient PPS Rule - Easier to Understand in E-Book Format

Rayellen Kishbach's picture

CMS has published the FY2015 IPPS Final Rule Rule, and MediRegs makes reading and understanding this rule easier with our electronic book version and payment data files. In this blog article, I will tell you where to find IPPS resources and what to expect in your product alerts.

Webinar

For a quick review of the FY2015 IPPS Rule, check out the Presentation Slides from our FY2015 IPPS Final Review webinar.

ICD-10 Delay Provides Opportunity for Data-Based Assessment and Planning

Rayellen Kishbach's picture

By now, we all have come to realize that ICD-10 preparation is not a boiler-plate process; each organization has it's own unique challenges and opportunities. The delay gives every organization a chance to take a careful look at their own specifics - and a good place to start is the bottom line! Do you have a solid understanding of the payment impact your organization will face under ICD-10?

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