Coding took twice as long for the ICD-10 frontrunner and it was proving inaccurate during the first phase, despite putting their best coders on the project. Both improved in phase 2. Here's what they learned.
By bringing behavioral health into the statewide HIE, expanding medical home model practices, and tracking the results, Maine health stakeholders are eyeing an iterative, locally-designed approach to reform.
Medicare Advantage (MA) plans are private health plans that have contracted with Medicare to receive a fixed monthly fee in exchange for providing comprehensive healthcare to plan members. In order to provide appropriate care to beneficiaries with varying medical conditions, plans are paid according to the Risk Adjustment Factor (RAF) score of each patient. Insufficient documentation of chronic conditions can be an obstacle to MA reimbursement. However, even when a condition has been properly documented by the provider, it is often not coded and submitted to Medicare. Read this white paper to learn how to take the complexity out of MA reimbursement.
In this Web seminar, learn firsthand from five healthcare organizations how, after integrating Perceptive Software enterprise content management (ECM) products, they are realizing cost and time-saving benefits enterprise-wide. The customer panel will share lessons learned and best practices for deploying ECM technology with their business and health information systems.
Even if the administration and CGI Federal, the contractor doing much of the health insurance marketplace IT work, did actually share the code with developers could the open source community put it to work?
The third annual National Health IT Week comes just before the public start of CMS's largest responsibilities, insurance exchanges and Medicaid expansion, and before a critical juncture in nationwide HIE.