Healthcare Information Technology

About Healthcare information technology, Health plans,Testing, EDI, 837, Payers, Claims,Configuration and Claim Adjudication.

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▼ 2015 (4)
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  - Series 2 : Healthcare Claim Pricing : What is Type...
  - Series 1 :Healthcare Claim Pricing : What is Place...
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How to prepare ICD-10 EDI claims file from existing ICD-9 files or convert ICD-9 files to ICD-10 files - Part1

http://urtesting.blogspot.com/ A quick guide to prepare ICD-10 Edi files There are 2 change that need to be done to prepare ICD-10 clai...
ICD-10 Testing for No Maps codes( orphan codes)

http://urtesting.blogspot.com/ Interesting aspect for ICD-10 testing to test the ICD-9 codes that are no longer valid and test the ICD-10...
Duplicate Diagnosis codes in ICD-9 and ICD-10

http://urtesting.blogspot.com/ if your system is not storing ICD-9 and ICD-10 codes in your database with its type code then you are go...
Healthcare claims pricing : How to identify claim is Professional( Medical) claim or Institutional ( Facility or Hospital) claim

http://urtesting.blogspot.com/ Healthcare claims pricing is very complex concept and ever evolving based on the healthcare rules and regu...
Automation tool- converts ICD-9 edi claim file to ICD-10 edi claim file.

http://urtesting.blogspot.com/ One of my friend has developed a automation tool that takes the icd9 claims as input and generates icd-1...
HMO Vs PPO

http://urtesting.blogspot.com/ HMO vs PPO BASIC Concepts HMO – Health Maintenance Organization PPO – Preferred Provider Org...
Series 2 : Healthcare Claim Pricing : What is Type of Bill ( TOB) and why it matters ?

http://urtesting.blogspot.com/ As we discussed Place of Service(POS) is required for all Professional claims similarly Type of Bill (...
How to prepare ICD-10 EDI claims file from existing ICD-9 files or convert ICD-9 files to ICD-10 files( Part-2)

http://urtesting.blogspot.com/ This is in continuation of part-1... HIPAA 5010 ICD-9 claims with conversion to ICD-10 claims. This examp...
ICD-10 Testing : Operational Neutrality,Financial Neutrality and Benefit Neutrality

http://urtesting.blogspot.com/ ICD-10 Testing : As a part of overall ICD-10 testing , don't ignore Operational Neutrality, Financia...
Series 1 :Healthcare Claim Pricing : What is Place of Service (POS) and why it matters ?

http://urtesting.blogspot.com/ Place of Service is one of the most important concepts to understand for claims as well as benefit configur...

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How to prepare ICD-10 EDI claims file from existing ICD-9 files or convert ICD-9 files to ICD-10 files - Part1

http://urtesting.blogspot.com/ A quick guide to prepare ICD-10 Edi files There are 2 change that need to be done to prepare ICD-10 clai...
ICD-10 Testing for No Maps codes( orphan codes)

http://urtesting.blogspot.com/ Interesting aspect for ICD-10 testing to test the ICD-9 codes that are no longer valid and test the ICD-10...
Duplicate Diagnosis codes in ICD-9 and ICD-10

http://urtesting.blogspot.com/ if your system is not storing ICD-9 and ICD-10 codes in your database with its type code then you are go...
Healthcare claims pricing : How to identify claim is Professional( Medical) claim or Institutional ( Facility or Hospital) claim

http://urtesting.blogspot.com/ Healthcare claims pricing is very complex concept and ever evolving based on the healthcare rules and regu...
Automation tool- converts ICD-9 edi claim file to ICD-10 edi claim file.

http://urtesting.blogspot.com/ One of my friend has developed a automation tool that takes the icd9 claims as input and generates icd-1...
HMO Vs PPO

http://urtesting.blogspot.com/ HMO vs PPO BASIC Concepts HMO – Health Maintenance Organization PPO – Preferred Provider Org...
Series 2 : Healthcare Claim Pricing : What is Type of Bill ( TOB) and why it matters ?

http://urtesting.blogspot.com/ As we discussed Place of Service(POS) is required for all Professional claims similarly Type of Bill (...
How to prepare ICD-10 EDI claims file from existing ICD-9 files or convert ICD-9 files to ICD-10 files( Part-2)

http://urtesting.blogspot.com/ This is in continuation of part-1... HIPAA 5010 ICD-9 claims with conversion to ICD-10 claims. This examp...
ICD-10 Testing : Operational Neutrality,Financial Neutrality and Benefit Neutrality

http://urtesting.blogspot.com/ ICD-10 Testing : As a part of overall ICD-10 testing , don't ignore Operational Neutrality, Financia...
Series 1 :Healthcare Claim Pricing : What is Place of Service (POS) and why it matters ?

http://urtesting.blogspot.com/ Place of Service is one of the most important concepts to understand for claims as well as benefit configur...

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