EHR and ICD-10 Convergence: Using a Synergistic Approach

ICD-10 and Meaningful Use Webinar – Synergies, Workflows Risks and Opportunities

 

Context and Learning Objectives

  • The recent CMS / AMA announcement on ICD-10 implementation; who is now eligible for a reprieve on their ICD-10 completion date; and what it means for certain providers, health IT companies and payers
  • The 10+ Meaningful Use Stage 2 measures and 20+ EHR clinical processes impacted by ICD-10
  • How structured discrete data for problem lists can support ICD-10
  • The clinician knowledge management crisis – overflows of data instantiate a need for specialized data ontologies and interoperable patient data to guide physician clinical documentation in EHRs to support ICD-10
  • Best practices your organization should be using right now

About the Speaker

Michael Arrigo is Managing Partner of No World Borders, a healthcare information technology and regulatory consulting group. He has provided expert testimony in cases before the Federal Trade Commission in Washington, D.C., and in State Court in California, Oregon, Washington, Texas, Michigan and Florida. He and his team advise healthcare organizations and investors regarding healthcare-related regulations, including medical records clinical documentation, coding and billing, the International Classification of Diseases version 10 (ICD-10), and the Health Information Technology for Economic and Clinical Health Act (HITECH Act). He also advises healthcare organizations regarding healthcare claims reimbursement and coverage determination provisions of the Patient Protection and Affordable Care Act of 2010. Mr. Arrigo previously worked for Silicon Valley companies including Oracle, HP Symantec and Intel, and served as Senior Vice President of eCommerce for Fidelity and CoreLogic.

Related Posts

Affordable Care Act Expert Witness

Tags: , ,

Michael F. Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. His vision for the firm is to continue acquisition of skills and technology that support the intersection of clinical data and administrative health data where the eligibility for medically necessary care is determined. He leads a team that provides litigation consulting as well as advisory regarding medical coding, medical billing, medical bill review and HIPAA Privacy and Security best practices for healthcare clients, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, physician compensation, Insurance bad faith, payor-provider disputes, ERISA plan-third-party administrator disputes, third-party liability, and the Medicare Secondary Payer Act (MSPA) MMSEA Section 111 reporting. He uses these skills in disputes regarding the valuation of pharmaceuticals and drug costs and in the review and audit of pain management and opioid prescribers under state Standards and the Controlled Substances Act. He consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises ERISA self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been interviewed quoted in the Wall Street Journal, New York Times, and National Public Radio, Fortune, KNX 1070 Radio, Kaiser Health News, NBC Television News, The Capitol Forum and other media outlets. See https://www.noworldborders.com/news/ and https://www.noworldborders.com/clients/ for more about the company.