Medicaid #ICD10 workarounds in California, three other states worry providers

On Oct. 1, Medicaid programs in California and three other states will not fully convert from the ICD-9 to the ICD-10 coding system. Instead, they have received CMS approval to convert claims coded in the ICD-10 system into ICD-9 codes, and use the older system to calculate payments to providers.

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In order to do this they will have to run two parallel systems one on ICD 9 and the other on ICD 10 as there are almost no Medical only providers. Once again CMS is trying to save us from ourselves.

For-profit hospitals making more money, with a stable forecast

As hospitals around the country continue to consolidate and streamline operations, a leaner healthcare industry is also becoming more profitable. Moody’s Investors Service Monday said there’s a stable outlook for the U.S. for-profit hospital sector.

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“This is very similar to what we saw in the early 90’s when HMO’s drove consolidation and duplication out of the system. Once these one time gains are realized the hard work of creating a much more efficient, which by definition will be more integrated,  system begins. As we saw the early gains of the 90’s evaporate with time version 2 with bundled payments is putting the onus on the providers and not just on the plans as in version 1.” Shawn Evans, DC Risk Solutions