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ZirMed Offers Top 5 Tips as Providers Transition to ICD-10

Recommendations Based on 17 Months of End-To-End ICD-10 Testing with Provider Organizations and Payers

Louisville, KY – September 24, 2015 ZirMed®, which empowers healthcare organizations to optimize revenue and population health with the nation’s only comprehensive end-to-end platform of cloud-based financial and clinical performance management solutions, announced a top-five list of strategies to help ease providers through the impending transition from ICD-9 to ICD-10.

Based on its experience conducting end-to-end testing with its clients and with payers since April 2014, the company has developed the following recommendations for providers:

  • Develop a list of commonly used codes. Determine which diagnoses are most commonly used by the organization and create a chart with the correct ICD-10 codes as a quick reference to save time and reduce errors.
  • Create a master list of ICD-10-related assignments. Designate responsibilities ahead of time to reduce staff confusion and frustration post-transition.
  • Prioritize denied claims. The shift from ICD-9 to ICD-10 is expected to increase denials significantly. Providers should focus on appealing those claims that have the most significant revenue impact and the highest success rates and let the less impactful denials slide.
  • Assess organizational workflow and revenue impact. Plan to track the organization’s performance during and after the transition. Identify problem areas quickly and take corrective action.
  • Set staff up for success. Schedule fewer appointments the week after October 1 to allow extra time for coding and training questions.

One of ZirMed’s Wisconsin-based clients, ThedaCare, engaged with ZirMed early on in the planning process and shared an update on its efforts prior to go-live. Beth Malchetske, Director of Business Integration explains, “By focusing on the things we can control, we empower our teams to address issues before the transition, instead of waiting until a claim is at the payer awaiting reimbursement. And by making sure all the steps are followed, we’re ensuring our facilities get paid as quickly as possible post-go-live.”

ZirMed’s systems and solutions are completely ICD-10-compatible. The company offers a free ICD-10 readiness assessment, to help providers evaluate the impact that ICD-10 will have on their organizations. ZirMed also provides ICD-10 educational tools to its clients, including:

  • The ICD Translator, which helps providers understand changes from ICD-9 to ICD-10
  • A diagnostic usage report that shows each organization a list of its most commonly used diagnosis codes, sorted by volume and frequency
  • A payer dashboard that sorts each organization’s top payers by volume and helps clients identify which payers are offering ICD-10 testing

“ZirMed has been hard at work to make sure that our clients have the best plan, solutions, and support to make the transition to ICD-10 as smooth as possible,” said Crystal Ewing, ZirMed Senior Business Analyst and Manager of Regulatory Strategy. “Providers should understand that they are not alone and there are products and services available to them to help them fix rejected claims, identify critical benchmarks, and prioritize training opportunities. No one knows exactly what will happen after the October 1 deadline, and there are certain to be bumps in the road, which is why contingency planning is critical.”

For more recommendations, and to learn more about ZirMed’s comprehensive ICD-10 strategy, please visit the company’s ICD-10 Resource Center.

About ZirMed®

ZirMed empowers healthcare organizations of all sizes and types to optimize revenue and population health with the nation’s only comprehensive end-to-end platform of cloud-based financial and clinical performance management solutions—including patient access, charge integrity, claims management, AR management, patient responsibility, and population health management. By combining breakthrough predictive analytics technology with innovative software development and the industry’s most advanced transactional network, ZirMed solutions extract actionable insights that improve our clients’ revenue cycles and support effective management of population health—while streamlining workflows, increasing operating efficiencies, and driving bottom-line performance. ZirMed’s technology and client support continue to be honored with top industry awards, including KLAS®, Healthcare Informatics, Best of SaaS Showplace (BoSS), and Black Book Rankings. To learn how ZirMed can help your healthcare organization boost its financial and clinical performance in an era of changing reimbursement models and rising operating costs, visit www.ZirMed.com.

September 24, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

WEDI Survey Suggests Mixed Industry ICD-10 Readiness

Responses from more than 1,100 vendors, health plans and providers indicate ICD-10 delay has slowed some readiness activities; compliance date uncertainty cited as top obstacle

RESTON, Va. — April 6, 2015 The Workgroup for Electronic Data Interchange (WEDI), the nation’s leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange, announced the release of its findings from its February 2015 ICD-10 Industry Readiness Survey.  In its March 31 letter to the HHS Secretary, WEDI reported concern with the current level of industry preparedness noting that many organizations did not take full advantage of the additional time afforded by the one-year delay.

“Unless all industry segments take the initiative to make a dedicated effort and move forward with their implementation work, there will be significant disruption on Oct. 1, 2015,” said Devin Jopp, Ed.D, president and CEO of WEDI.

Highlights from the latest survey findings include:

  • Compliance date uncertainty: Uncertainty around further delays was listed as a primary obstacle to implementation, appearing on more than 50 percent of all responses for vendors, health plans and providers.
  • Health plan testing: More than 50 percent of health plans have begun external testing, and of these, a few have completed testing. This is a slight improvement from the prior survey.
  • Vendor product availability: About 60 percent indicated their vendor products were available or they had started customer testing. This is a slight decrease from about two-thirds in the August 2014 survey. However, the number that responded ‘unknown’ decreased from one eighth to just a handful.
  • Provider testing: Only 25 percent of provider respondents had begun external testing and only a few others had completed this step. This is actually a decrease from the about 35 percent of provider respondents that had begun external testing in the August 2014 survey.

“Based on the survey results, it appears the delay has had a negative impact on some readiness activities—especially external testing. Uncertainty over further delays was listed as a top obstacle across all industry segments,” said Jim Daley, WEDI past-chair and ICD-10 Workgroup co-chair. “While the delay provided more time for the transition to ICD-10, many organizations did not take full advantage of this additional time and many providers are falling further behind.”

About the Survey
The survey results are based on responses from 1,174 respondents, consisting of 796 providers, 173 vendors and 205 health plans. The number of responses more than doubled from the last ICD-10 survey WEDI conducted in August 2014.

This is the tenth ICD-10 readiness survey WEDI has conducted since 2009, all of which were done in an effort to gain a broad perspective on the readiness status for different sections of the industry, and to gauge how quickly they are progressing towards the Oct. 1, 2015 implementation deadline. The full survey results are contained in WEDI’s letter to the Department of Health and Human Services (HHS). More information on WEDI events and ICD-10 work products are also available on the WEDI website atwww.wedi.org/workgroups/icd-10.

About WEDI

The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of health IT to improve healthcare information exchange in order to enhance the quality of care, improve efficiency, and reduce costs of our nation’s healthcare system. WEDI was formed in 1991 by the Secretary of Health and Human Services (HHS) and was designated in the 1996 HIPAA legislation as an advisor to HHS. WEDI’s membership includes a broad coalition of organizations, including: hospitals, providers, health plans, vendors, government agencies, consumers, not-for-profit organizations, and standards development organizations. To learn more, visit www.wedi.org and connect with us on Twitter, Facebook and LinkedIn.

April 6, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

WEDI Releases ICD-10 Readiness Survey for Industry Participation

Providers, health plans, vendors and clearinghouses to submit responses before March 6 

RESTON, Va. — February 12, 2015— The Workgroup for Electronic Data Interchange (WEDI), the nation’s leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange, announced the release of an ICD-10 readiness survey to determine how well the healthcare industry is progressing towards the Oct. 1, 2015 implementation deadline. The survey results will be evaluated and compiled into a report for the industry.

Providers, health plans, vendors and clearinghouses are invited to participate in this important initiative to help monitor progress as we move closer toward the implementation deadline. The survey is available here. The final submission deadline is March 6, 2015.

“WEDI has been conducting these surveys since 2009, allowing us to gain a broad perspective on the readiness status for different sections of the industry, and to gauge how quickly they are progressing,” says Jim Daley, WEDI past-chair and ICD-10 Workgroup co-chair. “Since the shift to ICD-10 represents such a significant change to the industry, it is imperative that all organizations stay diligently focused and continue the necessary preparations in order to make the conversion in Oct. 2015 as smooth as possible. This survey is an important part of the educational and advisory roles our organization plays within the industry on ICD-10 and other health IT matters – bringing together all industry sectors to deliver a successful transition.”

As an advisor to the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA), WEDI brings to the attention of the Centers for Medicare & Medicaid Services (CMS) issues that it believes warrant review and consideration, and continually reports the results of these periodic ICD-10 readiness surveys to CMS.

WEDI will continue to conduct surveys throughout 2015, and information collected from these surveys will help determine where additional outreach and education is needed.

About WEDI
The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of health IT to improve healthcare information exchange in order to enhance the quality of care, improve efficiency, and reduce costs of our nation’s healthcare system. WEDI was formed in 1991 by the Secretary of Health and Human Services (HHS) and was designated in the 1996 HIPAA legislation as an advisor to HHS. WEDI’s membership includes a broad coalition of organizations, including: hospitals, providers, health plans, vendors, government agencies, consumers, not-for-profit organizations, and standards development organizations. To learn more, visit www.wedi.org and connect with us on Twitter, Facebook and LinkedIn.

February 12, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HIMSS Calls for Maintaining October 1, 2013 ICD-10 Implementation Deadline for Most Healthcare Entities – #HIMSS12

ICD-10 represents one of the most comprehensive projects in healthcare today with far-reaching impacts throughout the healthcare delivery system. An added layer of complexity involves the implementation of other significant programs, such as Meaningful Use and 5010, in a similar period of time.  In light of these multiple requirements, HIMSS has polled the provider community to ascertain ICD-10 readiness.

HIMSS’ research of providers suggests that most of the larger providers are taking the necessary steps to be ready for ICD-10 by CMS’ existing regulatory timeframe of October 1, 2013. Based on forthcoming research to be released at the HIMSS Annual Conference & Exhibition next week, nearly 90 percent of the 302 healthcare IT executives responding to HIMSS’ 23rd Annual Leadership Survey said they expect to complete the conversion to ICD-10 by the deadline.  In fact, two-thirds of respondents (67 percent) indicated that implementing ICD-10 continues to be their top focus for financial IT systems.

HIMSS believes that there is achievable value in the adoption of ICD-10 by October 1, 2013 for most healthcare stakeholders. The use of this more robust and upgraded data classification system, with the capacity to include current medical knowledge and 21st century patient procedures, will improve healthcare. Therefore, HIMSS urges maintaining the existing deadline of October 1, 2013 for most providers.

HIMSS members suggest that any delay in the implementation of ICD-10 could result in additional provider costs.  Examples of these costs include maintaining two separate systems, retaining the services of consultants for longer than anticipated, and re-training staff. That is on top of multi-million dollar financial investments that have been budgeted to meet the ICD-10 deadline.  These investments include, but are not limited to, related activities such as training, securing project resources, obtaining consultants and performing vendor analyses. Nineteen percent of respondents to the HIMSS Leadership Survey said their organization had spent more than $1 million on the conversion to ICD-10.

HIMSS believes there are several reasons why ICD-10 implementation should retain its current timeline, including:

  • ICD-10 is the very basic foundation for other healthcare transformation efforts, including Meaningful Use.
  • ICD-10-CM/PCS will have positive implications for patients. Better clinical intelligence data can describe multiple levels of severity, which should result in improved care algorithms to support accurate, more individualized patient care and lead to or promulgate improved outcomes.
  • ICD-10-CM/PCS will provide more accurate payment structures for providers over time.
  •  ICD-10 has the potential to reduce costly requests for health information.
  • Increased research capabilities, quality metrics and public health tracking and reporting made possible due to ICD-10 cannot be overemphasized
  • The ICD-9 numbering system cannot accommodate today’s current medical technology used for patient procedures
  • Continued use of ICD-9, with its limited codes, will hinder progress towards clinical best practice and evidence-based medicine.

The final rule mandating implementation of ICD-10 was published in the Federal Register on January 16, 2009 with a compliance date of October 1, 2013. For the past three years, impacted stakeholders have been planning for the monumental change, which is systemic in nature. HIMSS’ policy regarding ICD-10 states that, “All sectors of the health industry, including those outside of HHS and the federal agencies, should use ICD-10 as a foundational element.”

While HIMSS understands and recognizes that there are providers facing resource challenges to meet the compliance date, the conversion to ICD-10 code sets will affect more positive outcomes for patients.  To that end, the Society offers a comprehensive and credible portfolio of ICD-10 related tools, resources, education, and community for health providers. Today, HIMSS and AHIMA will be releasing its “ICD-10 Critical Pathway to Getting Started – 2012 and Beyond.”  This readiness tool is designed to help providers, just starting on the ICD-10 conversion effort, to achieve the October 1, 2013 deadline.

About HIMSS

HIMSS is a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Founded 51 years ago, HIMSS and its related organizations are headquartered in Chicago with additional offices in the United States, Europe and Asia. HIMSS represents more than 44,000 individual members, of which more than two thirds work in healthcare provider, governmental and not-for-profit organizations. HIMSS also includes over 570 corporate members and more than 170 not-for-profit organizations that share our mission of transforming healthcare through the effective use of information technology and management systems. HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems’ contributions to improving the quality, safety, access, and cost-effectiveness of patient care. To learn more about HIMSS and to find out how to join us and our members in advancing our cause, please visit our website at www.himss.org.

February 17, 2012 I Written By