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Conflicts Arise As Health Insurers Diversify

By Jay Hancock for Kaiser Health News Like hospitals and doctors everywhere, Banner Health fights a daily battle to get paid by insurance companies and government agencies for the care it delivers. So the hospital system hired a company called Executive Health Resources to fight back against the likes of Medicare and UnitedHealthcare when they…

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Planning for ICD-10 at the University of Utah Hospitals and Clinics

By Connie S. Tohara for Computerworld When October 1, 2014 arrives, there are a number of potential disasters that await if we’re not fully prepared for the new clinical coding classification, ICD-10. Federal regulators have proposed a Fall 2014 deadline to comply, and we’re taking the initiative head-on at the University of Utah Hospitals and…

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AHIMA, AMA, Others Speak Out on ICD-10 Delay

Originally posted on Healthcare Informatics The American Health Information Management Association (AHIMA) has made it clear that it’s not a huge supporter of the decision from the U.S. Department of Health and Human Services (HHS) to delay the date in which organizations must transition to ICD-10. However, in light of HHS announcing a proposal for…

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ACA Repeal Would Squeeze For-Profit Hospitals

By Margaret Dick Tocknell, for HealthLeaders Media If the Affordable Care Act is fully or partially nullified by the US Supreme Court, for-profit hospital operators will face a credit-negative situation as costs increase and profit margins shrink, according to a special comment report from Moody’s Investors Service. That could be detrimental to the credit position…

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Feds Release New Healthcare Quality Measures

Centers for Medicare and Medicaid Services proposes clinical reporting standards that physicians and hospitals will use to qualify for Stage 2 Meaningful Use bonus payments. By Neil Versel, InformationWeek A month after publishing proposed rules for Stage 2 of the Meaningful Use electronic health records (EHRs) incentive program, the Centers for Medicare and Medicaid Services…

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Doctors & Documentation: How to get physicians on board with ICD-10 initiatives

By Carle Natale for Healthcare IT News ICD-10 implementation is a problem that affects how physicians will practice medicine. But just how to you persuade them that they need to get involved in the training and planning now? The first thing you do is put a physician on the ICD-10 steering committee. That physician is…

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Increased Documentation Requirements and ICD-10: What You Need To Know

By Sebastian Mitchell for Medical Practice Trends There are many daily chores to being a good physician. Patient care, nursing staff issues, medical decision making, patient paper work and referrals, constant prescription refills requests; the list goes on and on. This list goes on even longer if you run your own private practice, to which…

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ACCA: Get on the ICD-10 bandwagon, NOW

CHICAGO—Hospitals must implement a contingency plan to deal with ICD-10, said Mary Phelps and Carol Beehler, both of PricewaterhouseCoopers during a presentation March 22 at the annual meeting of the American College of Cardiovascular Administrators (ACCA). Hospitals should go forward preparing for ICD-10, despite the fact that the Oct. 1, 2013, deadline has been delayed.…

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AHIMA’s Top 10 ICD-10 Documentation Problems

Article by Chris Dimick, Editor-in-Chief at the Journal of AHIMA. This article was originally published on the Journal of AHIMA website on April 18, 2011 and is republished here with permission. ICD-10-CM/PCS offers organizations better data about their patient populations and the services they provide them. The code set’s greater specificity allows coding professionals to…

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Pace of Hospital M&As Likely to Accelerate

By John Commins for HealthLeaders Media Expect the wave of hospital mergers and acquisitions to grow, says the author of a new report from Moody’s Investor Service. The only thing that might slow the accelerating pace of M&As of not-for-profit hospitals and health systems would be if the U.S. Supreme Court overturns the individual mandate…

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