Context4 Healthcare would like to assess the data and technology needs of DME Providers. Please take our survey at the link below.
http://www.zoomerang.com/Survey/?p=WEB22A6797KXNH
Wednesday, January 27, 2010
Monday, January 11, 2010
Updated Draft 2010 ICD-10-CM Files Released By CMS and CDC
A major update was released this week by both CMS (ICD-10-PCS which is the procedure portion) and the CDC (ICD-9-CM which is the diagnosis portion) updating their previous draft versions. On the diagnosis side, 1,982 new codes were added, 983 codes deleted and 1,029 codes revised. For the procedure codes, there are 2,193 new codes, 2,823 codes deleted, and 737 codes revised. While this sounds like a lot, it’s actually just a small percentage of the approximately 70,000 codes contained in each of the two groups of codes.
In addition, the GEM files (used for mapping ICD-9-CM to/from ICD-10-CM/PCS) have also been updated along with revised 2010 Coding Guidelines, Indexes, Drug Tables, Reference Manuals and updated mapping for MSDRG reimbursement. It is anticipated that these files will now continue to be updated annually until the final implementation target date of 10/1/2013.
Context4 Healthcare has the complete ICD-10-CM and ICD-10-PCS code set files (codes and complete descriptions) available in data friendly file formats.
In addition, the GEM files (used for mapping ICD-9-CM to/from ICD-10-CM/PCS) have also been updated along with revised 2010 Coding Guidelines, Indexes, Drug Tables, Reference Manuals and updated mapping for MSDRG reimbursement. It is anticipated that these files will now continue to be updated annually until the final implementation target date of 10/1/2013.
Context4 Healthcare has the complete ICD-10-CM and ICD-10-PCS code set files (codes and complete descriptions) available in data friendly file formats.
Wednesday, January 6, 2010
Context4 Healthcare January DME Newsletter
Context4 Healthcare January newsletter released focusing on DME:
http://www.context4healthcare.com/pdf/Newsletter_January_2010.pdf
http://www.context4healthcare.com/pdf/Newsletter_January_2010.pdf
Tuesday, January 5, 2010
Context4 Healthcare, Inc. Emerges as Leading Provider of Healthcare UCR Fee Databases
Naperville, IL - Jan. 5, 2010 - Context4 Healthcare, Inc., (Context) which provides technology solutions for reimbursement challenges in the healthcare industry announced today that its recently revised and enhanced usual, customary and reasonable fee (UCR) databases are poised to support providers and payors as they respond to increasing scrutiny of out-of-network rates for medical claims.
"Over the past few years, the healthcare industry has experienced a great deal of turmoil related to the reliability of UCR fee databases available to help establish appropriate rates," notes Mark Earles, CEO of Context4 Healthcare. "We anticipate that this trend will only grow in upcoming months, with increased claims review and audit activity."
Because over one billion new charge points are added annually, Context products are considered to be the most reliable UCR Fee Databases on the market today. "Payors and providers now have access to a highly defensible, up-to-date source of healthcare fee data, which can assist them in setting fair and reasonable rates," he says.
Development of comprehensive UCR databases like those offered by Context addresses escalating concerns. Often, even within the same community, one provider will charge one fee for a defined service while another may charge three times that rate. "It's been difficult at times to determine what charge is most appropriate for any given service in any given geographic area," Earles points out.
Context also markets this UCR fee data to providers in the form of Custom Physician Fee Reports, as it has since 1994. Providers can access fee data specific to their speciality in any three-digit ZIP code region of the United States.
Earles notes that UCR data is essential to virtually all segments of the healthcare marketplace. "The information assists third-party administrators and payor organizations in ensuring that submitted provider charges are reasonable. In addition, providers can use the Custom Physician Fee Reports as reference material when negotiating contracts with payors or to set appropriate charges for their services. Even healthcare consultants rely upon our fee data for work with their clients."
Context4 Healthcare UCR fee methodology was developed by a team of healthcare experts, mathematicians and statisticians, and has been updated and revised bi-annually over the past 15 years using billions of actual submitted provider charges from throughout the United States. The databases have been widely used and accepted by both payors and providers in all 50 states.
"Although we strongly believe that both payors and provider organizations should use multiple reference tools to set their fee schedules and reimbursement rates, we are confident that Context provides users with highly specific and cost-effective fee management solutions that are credible and defensible," Earles adds.
"Over the past few years, the healthcare industry has experienced a great deal of turmoil related to the reliability of UCR fee databases available to help establish appropriate rates," notes Mark Earles, CEO of Context4 Healthcare. "We anticipate that this trend will only grow in upcoming months, with increased claims review and audit activity."
Because over one billion new charge points are added annually, Context products are considered to be the most reliable UCR Fee Databases on the market today. "Payors and providers now have access to a highly defensible, up-to-date source of healthcare fee data, which can assist them in setting fair and reasonable rates," he says.
Development of comprehensive UCR databases like those offered by Context addresses escalating concerns. Often, even within the same community, one provider will charge one fee for a defined service while another may charge three times that rate. "It's been difficult at times to determine what charge is most appropriate for any given service in any given geographic area," Earles points out.
Context also markets this UCR fee data to providers in the form of Custom Physician Fee Reports, as it has since 1994. Providers can access fee data specific to their speciality in any three-digit ZIP code region of the United States.
Earles notes that UCR data is essential to virtually all segments of the healthcare marketplace. "The information assists third-party administrators and payor organizations in ensuring that submitted provider charges are reasonable. In addition, providers can use the Custom Physician Fee Reports as reference material when negotiating contracts with payors or to set appropriate charges for their services. Even healthcare consultants rely upon our fee data for work with their clients."
Context4 Healthcare UCR fee methodology was developed by a team of healthcare experts, mathematicians and statisticians, and has been updated and revised bi-annually over the past 15 years using billions of actual submitted provider charges from throughout the United States. The databases have been widely used and accepted by both payors and providers in all 50 states.
"Although we strongly believe that both payors and provider organizations should use multiple reference tools to set their fee schedules and reimbursement rates, we are confident that Context provides users with highly specific and cost-effective fee management solutions that are credible and defensible," Earles adds.
Subscribe to:
Posts (Atom)