Revenue Cycle & Payments

CMS Picks Pioneer ACO Participants

The Centers for Medicare and Medicaid Services has selected 32 delivery systems to participate in the Pioneer Accountable Care Organization program authorized under the Affordable Care Act.
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Top Stories

HIMSS12 Notable and Quotable, Part Deux

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NPRM for Stage 2 of Meaningful Use Available on Feb. 23

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Kaiser Permanente’s Big EHR Bet Paying Off

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Auto-Orders to the Rescue

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The Avatar Will See You Now

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Operating Rules for EFT/ERA on the Horizon

The Centers for Medicare and Medicaid Services plans to soon publish an interim final rule to require adoption of standards and "operating rules" for electronic funds transfer and remittance advice HIPAA transactions.
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Online Educator Adds to ICD-10 Products

Health Care Compliance Strategies, which sells online compliance and competency training courses, has a new offering in its ICD-10 compliance suite.
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ANSI, HL7 Ask to Lead Development of Attachments Operating Rule

Standards development organizations ANSI ASC X12 and Health Level Seven International have requested being jointly named as the entity to develop "operating rules" for the electronic HIPAA claims attachments transaction.
Electronic Data Interchange
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Analyzing the Sharp End of Health Care

Perioperative services account for a huge chunk of hospital revenue, but they also account for a sizable slice of costs and medical errors. At the University of California–Irvine Medical Center, perioperative and anesthesia services were managed with rudimentary information technologies when Zeev Kain, M.D., came on board in 2008 as chairman of anesthesiology and perioperative care.
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Health Analytics
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Medicare Pilots Three Revenue Cycle Programs

The Centers for Medicare and Medicaid Services will start three new demonstration programs in 2012 designed to cut improper Medicare payments.
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AMA Plans to Fight ICD-10

The American Medical Association during its semi-annual policy making session has adopted a policy of fighting to stop implementation of the ICD-10 diagnosis and procedure code sets.
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Coding
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New Optum Research Unit Eyes Accountable Care

The Optum unit of UnitedHealth Group has formed a research institute focusing on accountable care organizations and similar outcomes- and value-based coordinated care programs.
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Final Rule on Medicare Claims Availability Expected Soon

The Centers for Medicare and Medicaid Services plans to publish a final rule to make standardized extracts of Medicare claims data available to measure the performance of providers and suppliers.
Health Analytics
Electronic Data Interchange
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Hospitals
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Medicare Readying Bundled Payments Database

The Centers for Medicare and Medicaid Services will create a new database, known as a system of records, to support the Medicare Shared Savings Program and Pioneer ACO Model, collectively known as the ACO Program.
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