Revenue Cycle & Payments

The Price of I.T. Progress?

Looking to build better care coordination, health systems are buying physician groups in droves. Making the deal work, however, requires careful management on the I.T. front.
New CMS Policy on Payment Window in Physician Fee Schedule
Survey Tracks Who's Handling RAC Audits
AHIMA Goes Online with ICD-10
Group Practices
EHR
Hospitals
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Top Stories

Obama: Make Federal Data Available, Friendly and Useful, and Soon

04:44PM ET

Hospital Laptop Theft = 2,159 Notifications

04:38PM ET

CMS Reminder: Register Early for EHR Meaningful Use

04:35PM ET

The Faces of Performance

03:18PM ET

Aetna Beefs Up its Mobile App

12:08PM ET

AMA Pushes E-Billing of Workers’ Comp Claims

The American Medical Association is supporting a state rule that encourages electronic processing of workers’ compensation claims.
Electronic Data Interchange
Group Practices
Revenue Cycle Management
Policy & Regulation

Aetna CEO: Health Insurers Face Extinction

It’s not often that you hear the leader of a Fortune 100 company publicly acknowledge the imminent demise of his venerable, profitable business model.
Comments (4)

Review of Medicaid Audit Program Finds Big Flaws

Flaws in processes and use of data are significantly hindering recoupment of Medicaid overpayments under the Medicaid Integrity Contractor Audit program, according to a new report from the Department of Health and Human Services’ Office of Inspector General.
Payers
Group Practices
Hospitals
Revenue Cycle Management
Policy & Regulation
Electronic Data Interchange
Coding

ICD-10 Survey: Readiness Poor Across the Board

A recent survey of 2,600 providers, insurers and vendors finds all three sectors remain seriously behind in ICD-10 preparations.
Coding
Electronic Data Interchange
EHR
Health Info Exchange
Practice Management
Payers
Group Practices
Hospitals
Policy & Regulation

ICD-10 Delay: 7 Things Practices Can Do With the Extra Time

The Department of Health and Human Services recently confirmed its intent to push back the Oct. 1, 2013, ICD-10 compliance deadline for certain health care entities. However, HHS has not yet specified a new deadline or defined which entities will be covered by the change, and many physician practices are wondering if they should delay their transition or continue on as planned.
Coding
Electronic Data Interchange
Revenue Cycle Management
Group Practices

HIPAA 6020 Put on Back Burner, for Now

Health care stakeholders struggling to comply with the HIPAA 5010 transaction sets need not worry about one thing-- the next-generation 6020 transactions are not coming to a theater near you any time soon.
Electronic Data Interchange
Coding
Group Practices
Hospitals
Payers

Consultant/Patient: Health Status Quo Unsustainable

Consultant Paul Keckley underwent knee surgery in December 2011, experienced significant complications, and a month later published the first of a series of articles on his experience through the health system as a patient. Here's an update:
Comments (1)
Consumer Health
Revenue Cycle Management
Hospitals
Health Info Exchange
Decision Support
Disease Management
EHR
Group Practices
Medication Management
Payers

IRS Notices Address Employer Pay-or-Play Under Reform

In a series of three notices, the IRS has signaled the approach that it may take on certain key issues arising under the employer shared responsibility, or "pay or play,” provisions of the Affordable Care Act and is seeking comment on these and other questions. All of the matters discussed in the notices will ultimately be addressed in regulations.
Payers
Policy & Regulation
Revenue Cycle Management

Association for HIT Leaders Comments on ICD-10

The College of Healthcare Information Management Executives, in a comment letter, expresses support for the government’s decision to delay ICD-10 implementation to October 2014.
Coding
EHR
Decision Support
Group Practices
Hospitals
Revenue Cycle Management
Policy & Regulation
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The Price of I.T. Progress?

Looking to build better care coordination, health systems are buying physician groups in droves. Making the deal work, however, requires careful management on the I.T. front.

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