ICD-10 RedAs the east coast braces for Hurricane Joaquin, the US healthcare system has just been hit by a tsunami of code changes. Today, doctors, hospitals and health insurers must start using a new diagnosis code set fondly known as – ICD-10. There is much trepidation surrounding the shift and many unknowns, but the change also brings with it many benefits.

The National Committee for Quality Assurance (NCQA) has released a system that compares health insurance plan ratings based on patient satisfaction, treatment and outcomes. The system allows users to search insurance plans by state, plan name or type, and order their rankings based on combined HCAHPS, Healthcare Effectiveness Data and Information Set measures and NCQA accreditation.

CMSFor those of you hoping the potential government shut-down would postpone ICD-10, don’t count on it. In a media call Thursday, CMS Deputy Administrator Dr. Patrick Conway said CMS is prepared to go forward with the implementation of ICD-10 even if there is a government shutdown.

ICD-10 RedThe following article was originally published on The CMS Blog

By Dr. Bill Rogers, ICD-10 Ombudsman

ICD-10 Oct. 1 Deadline e-hrWhile preoccupation with ICD-10 will eventually give way to the next big deadline-driven change in healthcare, value-based reimbursement, right now it’s one of two high priorities for the busy ambulatory practice. The other? Patient satisfaction.

Certificate of CompletionProvider credentialing and enrollment is an absolute necessity when running a successful physician practice.

eMDsIn March 2015, MDeverywhere announced a merger with eMDs, a leading provider of electronic health records. The merger has allowed us to offer a fully integrated clinical, financial and administrative system designed to help physicians build a better practice.

Your EHR is the most important tool in the ICD-9 to ICD-10 conversion. Since mapping from ICD-9 to ICD-10 will in most cases not be one-to-one, EHRs help guide providers to the appropriate ICD-10 diagnosis.

ContractWith increasingly complex contract terms and the proliferation of plan products with the creation of the healthcare exchanges, it is more critical (and difficult!) than ever for physician groups to manage payer contracting through physician contract negotiation. Review Your Contracts The devil is in the details.

CMSCMS announced it will start testing value-based insurance models on Medicare Advantage plans starting in 2017. The program is an opportunity for Medicare Advantage plans (MA plans) to offer clinically-nuanced benefit packages aimed at improving quality of care while also reducing costs.