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Revamping Radiology Workflows for Improved Billing Accuracy: A Large Hospital’s Experience

After multiple delays, healthcare organizations across the country are now required to code diagnoses and procedures using the 10th revision of International Statistical Classification of Disease and Related Health Problems, better known as ICD-10. Implementing this new coding system has been a pain point for many hospitals. With more than 68000 codes (up from ICD-9’s 14000), ICD-10 brings a variety of mapping and other technology issues that can hinder provider workflows and interfere with timely reimbursements. But with the October 15, 2015 deadline now passed, the onus is on hospitals, both in the business office and in the treatment room, to find creative ways to make it work. 

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Medicare/Medicaid

What’s Best for Medicare Docs? Healthcare Policy Experts Weigh in on MACRA Payment Tracks

April 29, 2016  |  Rajiv Leventhal
article
Healthcare policy folks discuss the MIPS versus advanced APMs track options under the just-released MACRA proposed rule.

AHRQ Names New Director

April 29, 2016  |  David Raths
article
Andrew Bindman, M.D., a primary care physician who has practiced, taught, and conducted health services research at San Francisco General Hospital, has been named the new director of the federal Agency for Health Research and Quality (AHRQ).

Within MACRA Proposed Rule, Health IT Leaders Ponder the Complexity of the “New” Meaningful Use

April 28, 2016  |  Rajiv Leventhal
article
With the release of a proposed MACRA rule on April 27, the federal government announced changes to the existing MU program, leaving Medicare physicians with nearly 1,000 pages of reading to examine how the new program, called Advancing Care Information, and...

Healthcare Professional Associations Respond to New CMS Proposal for MD Reporting

April 27, 2016  |  Mark Hagland
article
The first statements by healthcare professional associations regarding CMS’s announcement of a new quality reporting program for physicians began emerging on Wednesday evening, hours after the announcement

BREAKING NEWS: CMS Announces Long-Awaited MACRA Proposed Rule; Program Includes MU Makeover for MDs

April 27, 2016  |  Mark Hagland
article
CMS officials announce their plan to replace the meaningful use program for Medicare-participating physicians with a new program under the MIPS program, called Advancing Care Information

AHA Brief: Coverage for Telehealth Services Not Keeping Pace with Care Delivery Innovations

April 26, 2016  |  Heather Landi
news
There is a growing body of evidence that telehealth can not only expand access to services but also create cost savings, yet limited coverage impedes the expansion of telehealth services, the American Hospital Association wrote in a recent brief on telemedicine.

Washington Debrief: Efforts Continue for 90-day Reporting Period for 2016

April 25, 2016  |  Leslie Kriegstein, Vice President of Congressional Affairs, CHIME
article
Last week bills were introduced into both the House and Senate to direct the Centers for Medicare and Medicaid Services (CMS) to institute a 90-day reporting period for Meaningful Use program participants for 2016.

Small Georgia Hospital Uses Business Intelligence Strategy to Drive Performance Improvement

April 22, 2016  |  Heather Landi
article
Union General Hospital in rural north Georgia recently implemented a business intelligence strategy with the goal of putting data into the hands of case managers and clinicians to drive real-time decision-making to improve efficiency and quality of care.

CMS Delays Release of New Hospital Star Ratings

April 21, 2016  |  Rajiv Leventhal
news
The Centers for Medicare & Medicaid Services (CMS) has delayed its plans to release its new quality star ratings for U.S. hospitals until July at the earliest.

Congressmen Introduce Health IT Bill That Would Shorten MU Reporting Period

April 20, 2016  |  Rajiv Leventhal
news
U.S. Senators Rob Portman (R-Ohio) and Michael Bennet (D-Colo.), and others, have introduced the Flexibility in Electronic Health Record (EHR) Reporting Act, a bill with bipartisan support that would make modifications to the meaningful use program.

For Telemedicine Providers, the Policy Landscape Continues to Have Both Gains and Losses, Report Says

April 20, 2016  |  Heather Landi
news
When it comes to telehealth laws and reimbursement policies, legislators and policy makers across the country seem to be taking one step forward and then one step back, according to a new report from The Center for Connected Health Policy (CCHP).

During Subcommittee on Health Hearing, M.D. Leaders Show Cautious Optimism for MACRA’s Potential

April 19, 2016  |  Rajiv Leventhal
article
During a House Energy & Commerce Subcommittee on Health hearing on April 19, various physician leaders gave their thoughts on the key elements needed for a smooth transition into the upcoming Medicare Access and CHIP Reauthorization Act (MACRA).

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