Healthcare Revenue Cycle, ICD-10 Latest News

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.

Group Practices

EHR

Hospitals

CMS Data: 95% of Medicare RAC ‘Corrections’ Are Overpayments

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New Interoperability Training Tools Focus on Stage 2 Criteria

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Intermountain Tracking Patients’ Cumulative Radiation Exposure

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AHA Welcomes Senate Legislation to Rein in RACs

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New Analytics Initiative for Consultancy Encore Health

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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.
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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.
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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.
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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:
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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.
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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

Payers