Health experts urge insurance, pay changes

By Susan Heavey

WASHINGTON (Reuters) – U.S. lawmakers returning next week to work on major healthcare legislation need to focus on insurance market reforms, consumer rebates and other measures that will curb soaring costs over time, economic and health experts said on Tuesday.

The group of academics outlined dozens of changes [...]

ICD-10 Will Reduce Payment Errors and Claims Denials, but Will Also Help Fraud Investigators

By Nina Youngstrom, Managing Editor,

Payment errors should be reduced significantly under ICD-10 diagnosis and procedure codes, which must be implemented by Oct. 1, 2013. Experts say that improvements over ICD-9 — including less ambiguity, more specificity, and standardized terminology and combination codes— will help hospitals improve their compliance. [...]