ICD-10… It’s a Good Thing… Really!

ICD-10... It’s a Good Thing… Really!Healthcare is at its core based on science. It is the science of accurately diagnosing and treating the sick and wounded. That being said, how can having more specific information be a bad thing? How can having more data from which to make decisions be a bad thing? Will it be a hard switch to make?—Of course it will. It will be a first class pain in the tush. But, it will be a good thing in the end. ICD-10 will make accurate diagnosing of issues easier, more accurate and the ability to track what works and what does not work better, easier and faster.nnStay tuned for more Todd’s Tips!nn


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Todd150About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners

nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment. 
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.

Can't Stand the Heat, Get Out of the Kitchen

Can't Stand the Heat, Get Out of the KitchenX15.0XXA — Contact with hot stove (kitchen), initial encounternX15.1XXA — Contact with hot toaster, initial encounternY93.G3 — Activity, cooking and bakingnY27.2 — Contact with hot fluidsnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!

ICD-10 Preparation: Start Testing with Payers!

ICD-10 Preparation: Start Testing with Payers!Communicating with healthcare payers is a process, one involving more than simply handing them a medical claim. Here are some tips to help with the process.nnCreating better relationships with your payers before Oct. 1, in fact, enables providers to glean important insights about testing results, changes to reimbursement, how to handle denied claims. Early communication will also help healthcare providers test the ICD-10 claims process and prepare for DRG shifts. This puts a price tag on procrastination.nnBut how to begin?n

The first step is to survey healthcare payers to understand ICD-10 readiness by asking:

n1. Are you prepared to meet the ICD-10 deadline of Oct. 1?n2. Where is your organization in the transition process?n3. Will you conduct external testing?n4. What will we need to test with you?n5. When will you be ready to accept test transactions from my practice?n6. Will you be dual processing, and if so, when will you start?n7. What will happen if something goes wrong?n8. Who will be my primary contact at your organization for the ICD-10 transition?n9. Can we set up regular check-in meetings to keep our progress on track?n10. Do you anticipate any changes in policies or delays in payments to result from the switch to ICD-10?nnIn return, providers should expect to communicate the status of your transition, establish regular check-ins, and be willing to share any information, particularly surprises, with your payers.nnThis part of the ICD-10 transition will take time and effort but there will be reward — less financial disruption and stress.nnThis article originally posted on GovHealthIT.com.

Springtime Blues?

Springtime Blues?R45.1 — Restlessness and agitationnR45.2 — UnhappinessnR45.3 — Demoralization and apathynR45.4 — Irritability and angernnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2015 implementation date. Please don’t hesitate to contact us for all of your training and education needs!

It Is All About "The Spend"

It Is All About "The Spend"Your providers see waste in the system every day.nnServices that are done (by other providers and facilities), but not needed for a particular patient’s care—Make note of these! Use them when you sit down to re-negotiate your next rate increase with the payers. You don’t need the specific patients (this is protected information), you need to make it known that paying you well, will help you help them.n

I know how you (payer) can save on my cases….nnI can take more cases to an Ambulatory Care CenternnI can use this radiology location rather than the hospitals…nnBut, you have to meet me halfway, share the savings, give me a goal for savings and I will exceed it…

nStay tuned for more Todd’s Tips!nn


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Todd150About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners

nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment. 
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.