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Coding, Homebound Status, and Awareness of Common Edits: Paid But Will You Retain Your Revenue? An Update.

No matter which MAC or RAC reviews your agency, high risk probes are on the rise. The intermediaries are mandated by CMS to monitor areas of greater risk. The RACs are paid by contingency on aberrant findings. When either finds trends of concern they...

Published Tue, Jan 01 2013 11:54 AM by Select Data

Filed under: CMS, Home Health, Compliance, OIG, ICD-10-CM Coding, RACs, MACs, NAHC

Proper Coding, Homebound Status, and Awareness of Common Edits: Paid But Will You Retain Your Revenue? An Update.

No matter which MAC or RAC reviews your agency, high risk probes are on the rise. The intermediaries are mandated by CMS to monitor areas of greater risk. The RACs are paid by contingency on aberrant findings and their algorithms are making findings easier...

Published Tue, Jan 01 2013 11:54 AM by Select Data

Filed under: CMS, Home Health, Compliance, OIG, ICD-10-CM Coding, RACs, MACs, NAHC

2013 – A Year of Surprises

In the blink of an eye, a New Year has appeared and with it the need to look into our crystal ball (or is it a magic 8 ball) to make our annual predictions for the healthcare IT sector. Personally, … Continue reading →

Published Mon, Jan 01 2013 12:44 PM by Chilmark Research

Filed under: CMS, EHR, health information exchange, ACO, consumer health, Acquisition, Analytics, Connected Health, Fitbit, mHealth, WebMD, consumer engagement, Nike, biometric

Blue Button Plus may make its way into MU Stage 3

The Office of the National Coordinator for Health Information Technology (ONC) is working to promote more patient engagement and access with their own records. One avenue of this work is with the Meaningful Use Stage 2 guidelines, but the office is also working with data holders and app developers to encourage the development of a [...] Read More...

Published Thu, Jan 01 2013 6:54 AM by mobihealthnews

Filed under: hipaa, CMS, Meaningful Use, Uncategorized, ONC, electronic health records, EHRs, ONCHIT, Blue Button, Meaningful Use Stage 2, Blue Button Plus

CMS announces 106 new ACOs

The Centers for Medicare & Medicaid Services (CMS) just announced 106 new Accountable Care Organizations (ACOs) in this press release today . Since passage of the Affordable Care Act, more than 250 Accountable Care Organizations have been established. Do you know if your state has an ACO? Read More...

Published Thu, Jan 01 2013 3:41 PM by Medicine and Technology

Filed under: Medicare, CMS, Medicaid, accountable care organizations, ACO

The Role of Compliance : Home Health and Hospital Readmissions

This is THE topic one sees everywhere; trade journals, conferences, CMS, MLN, State Alerts, Home Health Associations. This topic is no longer just an operational and financial issue. Boards of Directors are looking to the Corporate Compliance Department...

Published Tue, Jan 01 2013 2:06 PM by Select Data

Filed under: hipaa, CMS, Home Health, Compliance, hospitals, ACO, Affordable Care Act, ACA, MLN, Affordable Care Act (ACA), HIPPA, Patient Centered Medical Homes, Hospital Readmission Reductions Program (HRRP), Corporate Compliance, (HRRP), Transitional Care Initiatives, Hospital Readmission Reductions Program

Infographic: ACO Activity Assessment

This is a nice infographic on some of the ACO activity around the country. Filed under: Healthcare, Infographic, Managed Care, Research, Value Propositions Tagged: ACO, cms, Infographic

Published Mon, Dec 12 2012 6:23 AM by Enabling Healthy Decisions

Filed under: CMS, Healthcare, Research, ACO, Managed Care, Value Propositions, Infographic

Infographic: Improving Primary Care With Pharmacists

This is an infographic on an interesting program out of USC which received money from the CMS innovation fund. Filed under: Healthcare, Infographic, Leadership, PBM / Pharmacy, Research, Value Propositions Tagged: cms, innovation, pharmacist

Published Sat, Dec 12 2012 9:38 AM by Enabling Healthy Decisions

Filed under: CMS, Healthcare, Innovation, Research, PBM / Pharmacy, Value Propositions, Leadership, Infographic, pharmacist

Psychiatric Nursing in Home Health and Care of Patients with Depression

Depression is a common, debilitating mood disorder. It is commonly seen among patients over 65 years of age with chronic medical disorders. To provide care for these individuals, home health agencies are developing psychiatric nursing programs with more...

Published Wed, Dec 12 2012 2:18 PM by Select Data

Filed under: CMS, Home Health, depression, MACs, Homebound Status, Psychiatric Home Care, Major Depressive Disorder (MDD), Home Health Programs, Psych Nursing Home, MDD

Broadening the Nature of Interoperability

As the headlines surrounding Stage 2 focus on specific interoperability tied to summary of care, information exchange in many forms is really the broader theme as meaningful use helps drive care coordination. As Stage 2 nears, it’s time to nurture caregivers...

Published Tue, Dec 12 2012 1:13 PM by BlogEHR

Filed under: CMS, Meaningful Use, EHR, ONC, Justin Barnes, interoperability, ACO, Shared Savings, care coordination, HealthIT, value-based medicine

The Real Fiscal Cliff, Not the Puny One in the News Today

Published Sun, Dec 12 2012 2:24 AM by The Doctor Weighs In

Filed under: CMS, People in healthcare, Health care professionals, Payment, Health care & health policy, Politics & public policy, Tom Emerick, Cracking Health Costs, fiscal cliff

The Fiscal Cliff and its Impact on Health

With the election season finally closed and Congress back from the Thanksgiving holiday, media outlets across the country have taken hold of their next obsession the “fiscal cliff”. The dire financial straits our country now faces is the result of Congressional...

Published Wed, Nov 11 2012 10:00 AM by EHR Bloggers

Filed under: Medicare, CMS, HITECH, HIT, Health Policy, ACA

Summary of the CMS Released 2013 Final Rule

Market Basket and Payment Rate Update On November 2, 2012, CMS released the Medicare Home Health Final Rule for the Home Health Prospective Payment System 2013. The proposal includes the 2013 Market Basket Index (MBI) update of 2.3%, the required 1 point...

Published Tue, Nov 11 2012 5:07 PM by Select Data

Filed under: Medicare, CMS, Home Health, Select Data, Compliance, Face to Face Encounters, ACA, Affordable Care Act (ACA), Therapy, NAHC, ICD-9CM Coding, M1024, Market Basket Index, LUPA Rates

Long Term Care in Home Health Possibility Due to Class-Action Suit

A nationwide class-action lawsuit brought by Medicare beneficiaries would eliminate the present CMS policy requiring Medicare beneficiaries to show a likelihood of medical and/or functional improvement before Medicare will pay for skilled nursing, physical...

Published Mon, Nov 11 2012 5:40 PM by Select Data

Filed under: Medicare, CMS, Home Health, Compliance, Legislation, long term care, Medical Benefit Policy Manual

Solving the ICD-10 Equation

ICD-10 ready software + Prepared Health Care Offices = Successful ICD-10 Implementation We now have less than two short years in order to prepare for the October 1, 2014 ICD-10 deadline. Successful implementation will take effort by physician’s offices and their vendors. With this in mind, you might have some questions when it comes to the ADP AdvancedMD side of… Read more

Published Mon, Nov 11 2012 11:05 AM by AdvancedMD | Blog

Filed under: Regulatory, Medicare, AdvancedMD, training, CMS, claims, ICD-10, Coding

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