The deadline to ICD-10 transition is Oct. 1, 2014. Please hurry as time is running out!
Understandably, many hospitals are concerned with competing priorities rather than the ICD-10 transition. According to the Centers for Medicare and Medicaid Services (CMS), there will be no more delays. What does this mean for your organization? The days of member hospitals straggling behind on ICD-10 preparation has come to an end. ICD-10 is more than just code training. If you’re not ready to submit ICD-10 claims by Oct. 1, 2014, you won’t be paid. It’s that simple.
What steps can your organization take now? View the CMS ICD-10 Planning Checklist or American Medical Association ICD-10 Checklist at these links:
The Dallas-Fort Worth Hospital Council (DFWHC) Foundation is here to put the pieces of the ICD-10 puzzle together with you.
We know and understand that ICD-10 goes beyond being compliant. It’s also about improving quality care and making a greater impact on the patient population. Here are some additional ICD-10 links that should assist you:
For additional information, please do not hesitate to contact the DFWHC Foundation at email@example.com.
The deadline to ICD-10 transition is Oct. 1, 2014. Please hurry as time is running out!
Popular illusionist David Hira has been signed to serve as keynote speaker for the Dallas-Fort Worth Hospital Council Foundation’s 18th Annual Employee of the Year Luncheon, April 22 in the main ballroom of Irving Convention Center. Hira’s signing supports the 2014 theme “Great Employees Bring Magic to Healthcare.”
Hira’s love for magic began when he was a child in Chicago when he saw his first live magician at the McCormick Place Convention Center. He instantly fell in love with magic and began performing shows in school. Watching master magician David Copperfield on television inspired his performances and he began to see that his magic was more than entertainment – it was proof that anything is possible! Hira’s performances across the globe have displayed his ability to inspire lives through magic.
For 17 years, the Employee of the Year Luncheon has been an opportunity to salute the North Texas hospital workforce, a crucial group of employees making a difference in the health of area residents. In the fashion of an awards show, recipients will be announced and asked to come to the stage to receive their honor.
Nomination forms have been distributed to hospitals and can be downloaded here. Executive and Hospital sponsorship packets are now available. For more information, contact Kristin Alexander, Danette Tidwell or Chris Wilson. You can also call 972-719-4900.
A celebration of dedicated North Texas hospital employees, the Dallas-Fort Worth Hospital Council Foundation’s 18th Annual Employee of the Year Luncheon will take place April 22 at the Irving Convention Center. A reception begins at 11 a.m. followed by the luncheon and awards from 12:00-2:00 p.m.
Nominees are now being accepted in all categories and must be received by Friday, March 21.
Please click on the graphic below to download all forms.
You can also download the same forms in a Microsoft Word file here.
For Executive Sponsorship information, please click here.
For Hospital Sponsorship information, please click here.
For general information, please contact Chris Wilson at firstname.lastname@example.org, Danette Tidwell at email@example.com, Sally Williams at firstname.lastname@example.org or Kristin Alexander at email@example.com. You can also call 972-719-4900.
Last month, I commented on a recent article on the “Top 10 Challenges Facing Physicians in 2014” (by J. Bendix, D.R. Verdon, A. Ritchie, D. Marbury, in Medical Economics, 12/15/13) and discussed 2014 as the year of government mandates. This month I would like to discuss how 2014 will be the year for cost control and many payer headaches.
Payment for Medical Services
Fifteen of the 16 key financial provisions of the Affordable Care Act (ACA) will take place in 2014. Coverage for new health insurance exchange enrollees begin January 1.
Payers are consolidating networks and repositioning markets as a result of the ACA. As a result, many physicians received termination notices in more than 10 states regarding network consolidation for Medicare Advantage. Narrow networks limit choice for patients with a smaller pool of providers and hospitals.
Therefore, 2014 will be about cost control. Traditional fee-for-service is moving toward a payment structure leaning toward compensation based on outcomes. Some of the more recent models have included Patient Centered Medical Home (PCMH), Physician Quality Reporting System (PQRS), bundled payments for services, and shared savings programs (where physicians split savings with the insurer). Some of the high-deductable health plans will also pose a collection challenge for physician practices.
Obviously, strong physician data analytics can be of high advantage to a physician practice group when looking at and negotiating these various new payment models.
The ACA has caused many insurance companies to make drastic changes – such as dropping physicians from panels, and therefore causing patients to scramble for new plans and new doctors. This has made the whole process of finding quality healthcare for patients even more confusing and tedious. Insurance companies are now dictating which doctor, which medicine, which test, how long in the hospital, etc. Prior authorization activities from the payers can cost a practice up to $3,430 per full-time physician (2013 study in Journal of American Board of Family Medicine). The uncertainty surrounding health insurance will continue to fall on physicians, and ultimately on patients as well.
Physician data analytics can help your practice track payers and your internal authorizations procedures over time, and improve the overall payments with each payer. Data analytics will be critical in managing payment panels by insurance company, as well as tracking the quality of service performed for each patient assigned to a particular payer.
In summary, 2014 will be a year for more intensive tracking of detailed quality and payment data by each payer and each patient. This will become critical in negotiating with each payer in subsequent years in order to effectively show the quality and cost of providing services for each patient and each payer.
The University of Texas Southwestern Medical Center (UTSW) hosted a rewarding two-day symposium on global health, February 8-9. This educational event was a great learning and brain-storming session for dedicated weekend attendees!
The 3rd Annual UTSW Office of Global Health Conference covered many key best practices including evidence-based health programs and measuring the impact of these efforts. It was a great opportunity to hear from professionals dedicated to working towards reducing mortality rates across the world due to AIDS, malaria, tuberculosis and other diseases.
An amazing talk, “Sustainable Program Development in Pediatric AIDS: Lessons from the Field in Romania and Sub-Saharan Africa,” was hosted by Dr. Mark Kline, president and founder of the Baylor International Pediatric AIDS Initiative (BIPAI). It was illuminating to hear about efforts to drastically decrease the mortality rate in Romanian children, which was a staggering 45 percent in 1996. Today, BIPAI has 14 international pediatric centers providing healthcare to children and parents.
Dr. Scott Kellermann shared his experiences of providing healthcare to Batwa Pygmies in the Bwindi Forest. In 2000, when Dr. Kellermann first visited, the area had a 38-percent childhood mortality rate (20 percent higher than the average of Uganda). Dr. Kellermann was applauded multiple times during his presentation as he detailed his team’s work to drop the childhood mortality rate to 6 percent by 2012.
From Vanderbilt School of Medicine, Dr. John Tarpley shared his efforts on preparing the compatible workforce of Kenya. He developed an International Surgery Rotations program which provides opportunities to medical school trainees while sharing their knowledge with foreign counterparts. The program supports academic exchange programs in Kenya and Nigeria.
Dr. Mark Harris, an anesthesiologist from The University of Utah, explained the critical need for a surgery workforce in Sub- Saharan Africa (SSA). He said 56 million people need surgery today in SSA and worldwide, two billion citizens lack access to surgery. He has developed a model to facilitate specialized anesthesia training for medical students in Ghana.
The faculty of UTSW also presented their work on academic and field research in global health. Student presentations were my favorite during the conference, with their commitment to improve healthcare in underserved countries inspiring.
I would like to personally thank these dedicated global health workers for their efforts in addressing the disparities in healthcare across the world and making this world a better place for everyone.