Starting Aug. 1, pharmaceutical and medical device companies must begin tracking and preparing to publicly report payments and other transfers of value made to physicians under the Physician Payments Sunshine Act. Doctors should ask industry representatives for an opportunity to review and, if necessary, correct all information that will be submitted to the government.
While most health IT professionals are probably more focused on implementing or maintaining systems than they are tracking larger healthcare trends, they should be aware of five areas where IT concerns factor into the drive toward, and the success of, consolidation.
Medicare patients' chances of being admitted to the hospital or kept for observation depend on which hospital they go to -- even when their symptoms are the same, noted Health & Human Services' Office of the Inspector General in a report released July 30.
The Centers for Medicare & Medicaid Services on July 26 announced temporary moratoria on the enrollment of new home health provider and ambulance supplier enrollments in Medicare, Medicaid and the Children’s Health Insurance Program in fraud "hot spot" areas of Florida, Illinois and Texas.
The American College of Physicians' Medical Home Builder tool has been renamed ACP Practice Advisor to reflect a broader scope of use, the organization announced on July 26. It includes two modules that internists can use to achieve Self-Evaluation of Practice Performance points towards Maintenance of Certification.
The requirements for Stage 2 meaningful use are more stringent, said John Glaser, CEO of Siemens Health Services, during a July 24 Senate Finance Committee hearing on health IT. He recommended a delay to October 2015.
Tasked with reviewing national public health quality efforts and the Healthy People 2020 strategy, the Institute of Medicine came to a conclusion shared by others: Partners in the health system use a complex array of measures of quality in a manner that seems uncoordinated.
The legislation proposes to repeal Medicare's sustainable growth rate formula and transition to a stable system. A voice vote moves the bill to the full House Energy and Commerce Committee, which is expected to consider it before lawmakers' month-long August recess.
Applying ICD-10 to Crohn's diseaseJuly 17, 2013 | Tom Ormondroyd - Vice President and General Manager, Precyse Learning Solutions, Bruce Scott, MD - Precyse ICD-10 Consultant, Christian Oliver - Associate Vice President, Catalog and Courseware, Healthstream
The following clinical scenario presents a case study in which ICD-9 code descriptions would be too generic. Learn why ICD-10 has better descriptions for this case.
How ICD-10 will benefit physiciansJuly 17, 2013 | Tom Ormondroyd - Vice President and General Manager, Precyse Learning Solutions, Bruce Scott, MD - Precyse ICD-10 Consultant, Christian Oliver - Associate Vice President, Catalog and Courseware, Healthstream
Physicians have reason to question the timing and value of ICD-10 as they have many competing priorities due to a multitude of concurrent regulatory, technology and industry changes. Nonetheless, ICD-10 implementation presents physicians with five benefits that have the potential to be major game-changers.
The Centers for Medicare & Medicaid Services has added new and updated information to its FAQ system. A new question addresses what happens to incentive payments if a provider retires or opts out of Medicare/Medicaid. An updated question addresses whether a submitted attestation may be amended.
Are you ready to start shopping for your first electronic health record system? If you haven't yet purchased one and you're not determined to keep a paper-based record system in your office, then the time to move forward is now. Here are some tips to get you started.
ICD-10 will affect every aspect of the physician's practice, including patient encounters, clinical and financial workflow and, depending on the circumstances, compensation, reimbursement and future career opportunities. Physicians who take decisive steps to fully integrate ICD-10 codes into their clinical practice stand to benefit in several ways.
ICD-10 has 69,099 codes – and growing annually. What do staff and providers need to know about the impact of these changes on EHR system configuration, addressing modifications in clinical operations and end-user training? Download this complimentary white paper to learn what you need to consider when creating a plan of action for the change-over, including the significance of software, timelines, implementation and contingency planning.
Physicians Medical Center faced increasing challenges with decentralized patient information among its various practice locations. CEO, Sharron Grodzinsky wanted to prepare the group for imminent changes in the industry and decided that integrating its Electronic Health Record and Practice Management systems was the right decision. Read this story to learn how the medical center has realized better care, centralized and easily accessible patient data, as well as eligibility for Medicare incentives for using ePrescribing.
Unlike many physician practices that have qualified for financial incentives, the physicians of Youngsville Medical Clinic were recent adopters of the EHR technology. Deborah Vidos, LPN, Office Manager, described the practice’s reasons for selecting and implementing their EHR system in April 2010. In July 2011, the practice received the full incentive payment, adding financial returns to the many clinical benefits already realized by the EHR. Read this story to find out how they also realized more accurate and complete clinical documentation and facilitation of continuous improvement activities.
Physician practice revenue cycles are full of complexities that impact profitability, from avoiding lost revenue opportunities, to managing denials and working to collect payments in a timely manner. Flexible revenue cycle management (RCM) solutions have been developed so you can manage your revenue cycle in house and spend more time focusing on patients. During this webinar you'll learn how to increase collection rates from payers and patients, proactively manage denials and measure key performance indicators to benchmark against peers.
As healthcare costs and insurance premiums continue to rise at a pace far surpassing inflation, payers have responded to the mounting economic pressures by employing complex billing and coding rules to eliminate inappropriate payments. Lacking adequate error detection and research tools, the typical healthcare business suffers from a backlog of denied claims and diminished revenues. Read this paper to learn how to rescue your flagging Medicare reimbursements.
Are you looking to gain a better understanding of the meaningful use requirements? Do you want to avoid federal penalties and qualify for incentive payments instead? This white paper will teach you all about meaningful use, when the incentives kick in, and how much money you could potentially receive. Download now and find out how you can earn between $44,000 and $63,750!
So if you and/or your practice are still grappling with conceptualizing the 2,000-page ACA statute, as most institutions seem to be, here are some helpful resources that may point you down the path the enlightenment.
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and Optimus Healthcare Partners (Optimus) today announced the launch of an Accountable Care Organization (ACO) agreement to deliver more effective care at lower costs to more than 40,000 Horizon BCBSNJ members. The new ACO agreement will include 42 primary care practices and 104 primary care physicians within 11 New Jersey counties.
Veridex, LLC announced that the Centers for Medicare and Medicaid Services (CMS) will determine payment rates for two new Current Procedural Technology (CPT) codes for circulating tumor cell (CTC) testing. CPT codes are assigned by the American Medical Association (AMA) to medical, surgical, and diagnostic services to communicate uniform information about medical services and procedures among physicians, patients, payers and others for administrative, financial, and analytical purposes.
HIMSS, the Healthcare Information and Management Systems Society, and Healthcare IT News, the industry's leading news source for health IT, have partnered to present The Privacy & Security Forum. The event will bring together CIOs and IT executives for a day-and-a-half of collaboration, networking and presentations by leading health IT professionals, industry thought leaders and key government officials.
Cigna and Roper St. Francis Healthcare announced that they have reached an agreement on a new contract. Physicians directly employed by the healthcare system, Roper St. Francis Physician Partners, will once again be part of the Cigna network of participating health care professionals effective August 15, 2012. Cigna customers who receive services from these physicians will again be covered at the in-network benefit level, according to the terms of their health care benefits plan.
Building on its established record for clinical quality, MinuteClinic, the walk-in medical clinics inside CVS/pharmacy, has become the first retail clinic provider to achieve three consecutive accreditation awards from The Joint Commission. MinuteClinic has earned The Joint Commission's Gold Seal of Approval™ a third time by demonstrating compliance with the commission's national standards for health care quality and safety.
The Generic Pharmaceutical Association (GPhA) released an independently conducted analysis showing that the savings to consumers and the U.S. health care system from the use of generic prescription drugs has risen to a current rate of $1 billion every other day — totaling $193 billion in 2011 and more than $1 trillion over the last 10 years(2002-2011).
Health information network Availity has announced a four-part webinar series designed to help medical providers prepare for impending inpatient diagnosis and procedure code changes associated with ICD-10.
Over the past two years, Oregon's Health Information Technology Extension Center (O-HITEC) has been working with Oregon healthcare providers to overcome the challenges of adopting and implementing electronic health records (EHRs).