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5 Things Hospitals Should Know About Their Chargemaster and ICD-10

By Bob Herman, for Becker’s Hospital Review ICD-10 is coming, and it will affect virtually every department within a hospital or health system. A question many are asking is, “How exactly will it impact the revenue cycle?” At the 2012 AHIMA Convention and Exhibit, Jeff Pilato, director of revenue cycle at coding firm HRS, broke…

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Providers Respond to Holder, Sebelius on ‘Troubling Indications’ of EHR Fraud

By Mike Miliard, Managing Editor, Healthcare IT News WASHINGTON – Hospital organizations are responding to a stern letter sent Sept. 24 by U.S. Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius, which warns against using electronic health records to artificially inflate Medicare and Medicaid payments. The letter – sent to the…

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Dolbey Unveils Computer-Assisted Coding Complete with Encoder

Chicago, IL – At the American Health Information Management Association (AHIMA) annual conference, Dolbey unveils the first full-functioning Computer-Assisted Coding solution complete with encoder technology. Encoders are software solutions that have been used for many years to assist medical coders in resolving the complexities of coding medical charts for billing.  Computer-Assisted Coding (CAC) is newer…

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CMS Final Rule Delays ICD-10 Compliance, Creates Standard for Health Plan Identifiers

By James Swann for Bloomberg BNA The Centers for Medicare & Medicaid Services Aug. 24 released a final rule confirming a one-year delay in compliance for the ICD-10 code set, moving the date from Oct. 1, 2013, to Oct. 1, 2014. The final rule, which will be published in the Sept. 5 Federal Register, also…

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AHA survey shows dramatic increase in RAC activity

From AHANews.com The number of RAC claim denials is up 24% relative to last quarter, according to the most recent results of the AHA’s RACTrac survey. Medical necessity denials represented the top reason for RAC denials, however, two-third of these were for care found to be provided in the wrong setting, not because the care…

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15 Statistics on How EHR Impacts Physician Practices

By Laura Miller for Becker’s ASC Review Here are 15 statistics on how electronic health records have impacted physician practices, according to the Medscape EHR Report 2012. There were 21,202 respondents in 15 specialties with data collected May 30 through June 15, 2012 from physicians who previously implemented EHR. 26 percent of physicians say that…

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On the Coding Radar: 3 Reasons Why Hospital CEOs Must Pay Attention to ICD-10

Written by Bob Herman for Becker’s Hospital Review Health information management issues are usually concentrated within the revenue cycle department and other similar areas of a hospital, but eventually, the big spotlight items will make their way to the CEO’s desk. One of those HIM issues that is making its way there, if it hasn’t…

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Health Reform Confusion Keeps Consultants Busy

By Gale Scott, Crain’s New York Business The Affordable Care Act’s long-term impact on employers is still uncertain. But one sector is already getting a boost from the law, recently upheld by the U.S. Supreme Court: Business is booming for benefits consulting firms. “We’re swamped,” said Rich Stover, a principal with Buck Consultants in Secaucus,…

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Preparing for RAC Prepayment Reviews

Article Sharon Easterling and Donna D. Wilson, posted by Chris Dimick, Editor-in-Chief at the Journal of AHIMA. This article was originally published on the Journal of AHIMA website on Augist 1, 2012 and is republished here with permission. We are now midway through 2012, and still awaiting the start of RAC prepayment reviews.  The program…

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2012 Most Wired

By Matthew Weinstock | Data By Suzanna Hoppszallern for H&HN Magazine It’s a bumpy road, but the 200-plus hospitals on this year’s Most Wired list are driving toward meaningful use of health care information technology The road to meaningful use of health information technology is riddled with detours, potholes and yield signs. Yet the 2012…

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