Coding

Codified data is the prerequisite for both health care billing and clinical documentation. Topics here include: ICD-10, the role of the HIM department in I.T. efforts, data formats and standards, participation in payer incentive programs and upholding regulatory requirements.

Transactions Processing Accreditation Criteria Finalized for 2013

Joseph Goedert | Jan 17

The Electronic Healthcare Network Accreditation Commission, which certifies entities that process transactions or exchange health information for meeting best practices, has released final criteria for its 11 programs in 2013.

Electronic Data Interchange

Revenue Cycle & Payments

Group Practices

Hospitals

Payers

Policy & Regulation

Insurance Survey: Top Initiative for 2013: Improve Claims Processes and Systems

Chris McMahon of Insurance Networking News | Jan 14

Lowering costs by improving claims processes and systems is the top initiative for insurance claims professionals.

Payers

Policy & Regulation

Revenue Cycle & Payments

Electronic Data Interchange

Why Trade Press Social Media is Quick, Free Value

Joseph Goedert | Jan 10

One site, one screen, one time a day, gives you a quick snapshot of the news and easy links to the stories that interest you. That’s what trade press social media sites can offer.

Consumer Health

EHR

Health Info Exchange

Data Security

Group Practices

Hospitals

Payers

Revenue Cycle & Payments

Medical Imaging

Policy & Regulation

Vendor News

Blues’ Analytics Arm Buys Intelimedix

Joseph Goedert | Jan 08

Blue Health Intelligence, the database/analytics services division of the Blue Cross and Blue Shield Association, has acquired analytics vendor Intelimedix for an undisclosed sum.

Decision Support

Data Repositories

Revenue Cycle & Payments

Disease Management

Payers

Vendor News

Chronic Care

Report Ranks Provider Satisfaction with HIM Vendors

Joseph Goedert | Jan 08

A new report from vendor research firm KLAS Enterprises examines health information management personnel satisfaction with outsourced services vendors in such areas as transcription, coding, scanning and release of information

Group Practices

Document Management

Hospitals

EHR

Policy & Regulation

Vendor News

CMS Delays HIPAA ‘Operating Rules’ Enforcement

Joseph Goedert | Jan 07

The Centers for Medicare and Medicaid Services on January 3 issued notification that it will not enforce compliance with new “operating rules” for the HIPAA eligibility and claim status transactions until March 31, 2013. The compliance date for the rules was January 1, 2013.

Electronic Data Interchange

Group Practices

Hospitals

Payers

Revenue Cycle & Payments

Revenue Cycle Management

Practice Management

Policy & Regulation

Passport Expands EDI Market with Buy of Data Systems Group

Joseph Goedert | Jan 07

Revenue cycle management vendor Passport Health Communications has acquired transactions processor Data Systems Group in Sacramento, Calif., for an undisclosed sum.

Electronic Data Interchange

Group Practices

Hospitals

Practice Management

Revenue Cycle Management

Revenue Cycle & Payments

Payers

Vendor News

CMS Seeks More Ideas on Conducting End-to-End ICD-10 Testing

Jan 04

The Centers for Medicare and Medicaid Services has been working with the Healthcare Billing & Management Association and some other groups on developing consensus for end-to-end testing for migration to ICD-10 codes.

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EHR

Electronic Data Interchange

Group Practices

Hospitals

Payers

Policy & Regulation

Revenue Cycle Management

Revenue Cycle & Payments

Clearinghouse Offers Analytics on its Claims Data

Joseph Goedert | Jan 04

Claims clearinghouse ZirMed Inc. has introduced data analytics software to enable clients to measure how their revenue cycle management processes compare with peers and to identify areas for improvement.

Electronic Data Interchange

Revenue Cycle & Payments

Revenue Cycle Management

Practice Management

Vendor News

Group Practices

Hospitals

CMS Explains Some Medicare Changes in Fiscal Cliff Law

Joseph Goedert | Jan 03

The new Fiscal Cliff law includes several changes to Medicare policies beyond the annual “Doc-Fix” payment policy.

Policy & Regulation

Revenue Cycle & Payments

Revenue Cycle Management

Hospitals

Group Practices

Electronic Data Interchange

TriZetto Buy Targets Automating Payment Processes

Joseph Goedert | Jan 02

Payer software vendor TriZetto Corp. has acquired Healthcare Productivity Automation, which sells a claims workflow tool to automate manual payment processes by providers and insurers. Terms of the acquisition were not disclosed.

Vendor News

Payers

Revenue Cycle & Payments

Electronic Data Interchange

CMS Wants Help Easing Hospital Quality Reporting

Joseph Goedert | Jan 02

The federal government is seeking easier ways for hospitals to report data under the Hospital Inpatient Quality Reporting Program.

Consumer Health

EHR

Hospitals

Policy & Regulation

Suppliers to FDA: Speed the Medical Device Identifier

Joseph Goedert | Nov 13

The Healthcare Supply Chain Association is asking the Food and Drug Administration to cut the timeframe for implementing a unique device identification system for medical devices from seven years to three years.

Group Practices

Hardware

Medical Imaging

Medication Management

Hospitals

Policy & Regulation

HIT Vendor News Roundup: Navicure, Prognosis & ICA

Joseph Goedert | Nov 13

New products, alliances and go-lives are among recent announcements from health information technology vendors:

Revenue Cycle Management

Revenue Cycle & Payments

Vendor News

EHR

Hospitals

Group Practices

Health Info Exchange

Electronic Data Interchange

Conifer Buys Dell’s Health Care Revenue Cycle Business

Joseph Goedert | Nov 09

Revenue cycle management services vendor Conifer Health solutions, a subsidiary of Tenet Healthcare Corp., has acquired the revenue cycle management business of Dell Inc.

Revenue Cycle Management

Revenue Cycle & Payments

Vendor News

Group Practices

Hospitals

Electronic Data Interchange