The Greenway Blog

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ICD-10? Why can’t we just take a shortcut to ICD-11?

Skip ICD-10 for ICD-11 blogIf there’s one thing healthcare providers want, it’s more time. More time with their patients, with their families and more time to prepare for upcoming initiatives affecting their practices — specifically, ICD-10.

So as we drift further away from the original deadline of the ICD-10 transition and toward the newest date of Oct. 1 — hearing rumors of even more delays along the way — there’s one question on everyone’s mind:

“Why don’t we just skip ICD-10 and go straight to ICD-11?” revealed Mike Enos, coding consultant. “That’s the question I get asked a lot — and it makes me chuckle.”

To some, overlooking ICD-10 seems like a feasible solution. ICD-11 is already in its Beta draft, and it is expected to be finalized and submitted to the World Health Assembly in 2017, only two years after the expected U.S. ICD-10 transition date — barring any further delays, of course. So why not make the leap straight to ICD-11?

According to Mike, it’s not quite that simple.

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How Greenway Health and EHRA are Provider Advocates in Washington

EHRA in WashingtonWhen Greenway Health co-founded the national Electronic Health Record Association (EHRA) more than a decade ago, it was one of only a handful of health IT companies that came together to represent the best interests of our provider customers and their patients.

This presence in our nation’s capital became more important with the passing of the HITECH Act in 2009 that brought the meaningful use program, and again in 2010 with the Affordable Care Act, which led to public and private accountable care organizations and new payment models for providers. Together, these initiatives increased provider reliance on advanced HIT not only for day-to-day care delivery but for data collection and reporting necessary to ensure appropriate reimbursement for meeting established quality standards.

Today, 40 companies comprise the association, and its reach has also grown among the federal agencies and Congressional committees being interacted with, from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) to the Food and Drug Administration (FDA) and even the Federal Trade Commission (FTC).
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Coding Experts: Prepare for ICD-10 by Training, Testing and Tackling Technology

Nancy EnosAs providers look with uncertainty toward the October deadline for ICD-10, some of their most-asked questions remain unanswered: Will the shift be delayed again? Will my revenue be impacted? Will my staff training be sufficient?

While we can’t see into the future, we do have the knowledge and insights of coding consultant Mike Enos along with Nancy Enos, one of the first in the country to be an AAPC Certified ICD-10 instructor. Together, they answer a few key questions about potential further delays and what your practice should be doing right now to get ready for the ICD-10 transition.

Q: Are we sure ICD-10 isn’t going to be delayed again?

Nancy: That is the question! My friends at the MGMA government affairs office in Washington, D.C., were as surprised as everyone else about the delay last April. They say their crystal ball is still as unreliable as it was last year, but they don’t anticipate another delay. I talked to someone from the Massachusetts Medical Society on the ground in D.C. who said that none of the legislators want to hear a word about another ICD-10 delay. They’ve been there, done that, and they’re intending to move forward. All indications say there will be no delay.

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‘You don’t know what you don’t know’ — especially about revenue cycle management

revenue cycle management-doc-frustrated

Most physicians have a firm grasp on the clinical aspects of their practices. But because they’re not directly involved in medical coding and billing, it can be difficult for them to monitor financial performance and identify changes that lead to a more profitable practice.

Dr. Bryan Jick of Fair Oaks Women’s Health experienced this first-hand when his practice went through a major transition — but his billing didn’t follow suit.

“I moved into a new office, and at the same time I moved, I added another doctor. My overhead went up quite a bit, so cash flow became a huge issue,” Dr. Jick explained. “After the move, the outgoing cash was much higher and the incoming cash didn’t match it, and we started going into the red.”

The biller on staff simply didn’t have the knowledge or experience to manage the practice through the transition. And Dr. Jick didn’t know enough about billing to identify and address that problem.

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Transitioning from Volume to Value: 3 Keys to Managing the Change

Marketplace-Blog-Update-icon-JanuaryThis month’s Marketplace update is brought to you by Jerry Shultz, President, Lightbeam Health.

Change is a constant in healthcare — and this year promises to be no exception. The ICD-10 transition is quickly approaching, transparency in pricing is expanding daily and the demand pendulum has swung to consumerism. In addition to these challenges, healthcare providers are facing one of the biggest changes yet: the shift in how providers get paid…from volume to value.

So how do healthcare providers successfully make this transition? To start, practices must focus on the three following key actions that serve as a framework for a comprehensive strategic plan.

Optimize revenue

Catalyst for Payment Reform recently released the National Scorecard on Payment Reform 2014, reporting that 40 percent of all commercial in-network payments classify as value-based. Still, there are many obstacles to optimizing all sources of revenue, especially because most EHR technology is engineered for fee-for-service reimbursement rather than value-based models.

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ICD-10 Transition: 3 Myths Debunked by an Expert

ICD-10-graphicHealthcare organizations have seen delay after delay in transitioning from the ICD-9 coding system to ICD-10. Originally set for 2013, the shift was pushed back most recently from Oct. 1, 2014, to Oct. 1, 2015.

But despite that additional time for practices to learn about and prepare for the transition, there are still many misconceptions surrounding the impending coding change.

Sue Bowman, senior director, coding, policy and compliance at the American Health Information Management Association (AHIMA) addresses three of those misconceptions — and explains the truth — below.

You can learn more about healthcare’s transition to ICD-10 by getting our e-Book,Preparing for October: Revenue Cycle Management for 2015 ICD-10 Go-Live.”

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