Sunday, July 30, 2017

Arm Your Team for Victory

What will define those who claim victory and those who are defeated in the battle towards value based care? Will it be those organizations with the most money, power and seats at the table? Or will it be those who are nimble, flexible and open to change?

I believe it will be both. As victory will not be defined by the owners and head coaches but instead by how the players execute on the field. It will be the game time decisions that matter most.

A quarterback who can read the defense and adjust accordingly will provide far greater value to the offense than the most athletic quarterback who misses the blitz every time.

Perhaps Napoleon said it best, “Battles are won by the power of the mind.” For in a game of inches, the winners and losers will be defined by those who can execute in the moments that matter most.

Prepare your team for victory with information at the point of care!

ERM Consulting has developed the industries best tools for players on the frontline.

Coding and Documentation Guide for Providers and Coders

This 42 page guide includes proper ICD-10 coding and clinical documentation for the most common diagnoses included in the risk models. A complete list of CMS-HCCs with RAF and demographics included. Order 1 for your entire team! Orders of 100 or more can be white labeled with your logo at no charge. Please email logo to after purchase.

CMS-HCC Quick Coder

This 36 page guide contains a list of the most common HCC codes in the Medicare (CMS-HCC) model. Common codes are included from both the medical and prescription models. Orders of 100 or more can be white labeled with your logo at no charge. Please email logo to after purchase.

Ohio Doctors Would Report Opioid Diagnosis Codes Under Deal

Ohio doctors have reached tentative agreement with the Kasich administration on a proposed rule requiring them to report the specific diagnosis of every patient who receives a prescription painkiller.

Ohio doctors would report the specific diagnosis of every patient who receives a prescription painkiller under a tentative agreement reached Friday with the Kasich administration.

The 11th-hour compromise between the Republican governor's office, the state Medical Board and associations representing doctors and hospitals followed months of wrangling over new opioid prescribing rules proposed in April in a state that leads the nation in opioid addiction and death.

A record 3,050 Ohioans died from drug overdoses in 2015, a figure expected to jump sharply once 2016 figures are tallied.

The compromise on prescription reporting was reached in time for a legislative rule-making panel's scheduled vote Monday.

The disputed rule required prescribers to enter what's known as an ICD-10 code into Ohio's online reporting database for every controlled substance prescription. The administration argued the reporting mandate was critical to fighting Ohio's top status for opioid abuse and death.

Under the compromise, hospitals and doctors' offices would report codes for opioids right away, but they would have an additional nine months to begin reporting all other controlled substances.

Medical Board Director A.J. Groeber said collecting ICD-10 codes — in other words, knowing what conditions doctors are treating using potentially addictive opioids — is "the linchpin" both to effective regulation and education.

"It's not just about going after the bad actors," Groeber said. "We want to be able to do that, but we also want to educate the vast majority of our well-intentioned licensees to make sure that they know that they can treat patients effectively with fewer pills and fewer days' supply."

Ohio State Medical Association spokesman Reggie Fields said doctors didn't object to the goal, but to the method for accomplishing it, which they saw as unworkable.

"The bottom-line goal here is to try to improve the opioid prescribing that's taking place across the state of Ohio, and we are in complete agreement with that," Fields said. "The only issue we had here was the vehicle that had been proposed to get there was just unfeasible to be able to accomplish, because of the administrative and financial burden."

Ohio Hospital Association spokesman John Palmer said that was because the list of ICD-10 codes is massive and many doctors' offices and hospitals are not yet set up to incorporate the relatively new code system into their reporting.

"There are thousands upon thousands of codes, from things like knee replacements to hip replacements to a splinter or an Orca whale bite or a tiger bite," he said. "So it's just a whole slew of different diagnoses codes."