Blogs

Predicting Payment Impact of ICD-10 through Analytics

We enjoyed attending the 2012 AHIMA ICD-10 Summit and the chance to see Louis F Rossiter, PhD, Director Scientific Methods from New Health Analytics and Maria Bounos RN, MPM, CPC-H, Business Development Manager from Wolters Kluwer Law & Business present on Predicting Payment Impact of ICD-10 through Analytics.

CMS Proposed Regulations on Overpayments: Are you at Risk?

I always find it fun when we get an extra day in the year. I think you should spend it doing something extraordinary. This year, I had the pleasure of doing just that by attending the Healthcare Provider Executive Roundtable Focusing on Governance, Regulatory, and Risk Management Hot Topics. The event, sponsored by Deloitte and Wolters Kluwer Law & Business, featured a number of experts talking about the future of healthcare delivery in light of regulatory changes including the Healthcare Reform Laws.

Managing Risk and Achieving Security: Focus on the Business Associate Relationship (webinar replay)

Click her to see a replay of the Managing Risk and Achieving Security: Focus on the Business Associate Relationship Webinar.  Covered Entities need to be aware of the critical role that Business Associates play in assuring security of confidential information.  Today’s regulatory environment, patient/consumer engagement, and progress toward achieving regional and national health information exchange make the CE/BA relationship a primary concern for privacy and security officers.

Medical Device Reimbursement Strategies (Webinar Replay)

Click her to see a replay of the Medical Device Reimbursement Strategies Webinar. Reimbursement continues to be a critical driver that impacts sales and presents challenges for device manufacturers. This webinar will outline what “reimbursement” is and how it can impact your medical device (either positively or negatively). Critical elements to create a solid reimbursement strategy will be discussed and a checklist provided to help navigate the reimbursement landscape for a new product or procedure.

Getting Familiar with State Sanction Screening Obligations (Webinar Replay)

Click here to see a replay of the Getting Familiar with State Sanction Screening Obligations Webinar and gain a better understanding of 2012 CPT changes as we cover the following topics: Healthcare providers, as a Condition of Participation, must screen all those with whom they employ or contract with against published sanction data.

ICD-10 MS-DRG Pilot Grouper Testing

The PILOT MS-DRG Grouper is available now in the following MediRegs products: Compliance & Regulation Suite, Audit & Revenue Resource Center and Coding & Revenue Resource Center.  On the left-hand navigation pane, under Lookup and Payment Tools, notice 2 different links; the pilot version is marked "ICD-10", and it should be understood that this logic is for testing and predicting.  Use the original grouper for current year ICD-9 grouping logic.

OPPS Final Rule Review (Webinar Replay)

Click Here to view a replay of OPPS Final Rule Review Webinar. This session will prepare hospital staff for compliance with Medicare outpatient billing guidelines in 2012 by reviewing the key provisions of the Medicare Outpatient Prospective Payment System (OPPS) Final Rule. The session will discuss and summarize 2012 Medicare payment policy and billing guideline changes for hospitals.

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