Healthcare

The Leapfrog Group names 2015 Top Hospitals: 5 things to know

By Shannon Barnet for Becker’s Infection Control & Clinical Quality The Leapfrog Group has recognized 98 hospitals as Top Hospitals on its 2015 list, up from 94 hospitals in 2014 and 90 in 2013. The list recognizes organizations that performed at the highest national levels in quality and safety. All total, more than 1,600 hospitals…

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The Essentials of Medical Necessity

By Laurie Desjardins, CPC-I for For The Record Vol. 27 No. 11 P. 6 The Social Security Act defines medical necessity as follows: “Notwithstanding any other provisions of this title, no payment may be made under Part A or Part B for any expenses incurred for items or services, which are not reasonable and necessary for the diagnosis…

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2015 Best Hospital IT Departments: Meet the winners

By Mike Miliard for Healthcare IT News Hospital IT departments have a lot on their proverbial plates these days, as they work to help their health systems manage the minutia of meaningful use attestations, deal with the nuts and bolts of the ICD-10 changeover (so far, so good!) and strengthen defenses against data security threats that…

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ICD-10 Moves Healthcare One Step Closer to Improved Documentation

Article by Karen Diop, RN, CDIP. This article was originally published on the Journal of AHIMA website in the “Coding Notes” section in November 2015 and is republished here with permission. Change has become a constant in healthcare. With the introduction of electronic health record (EHR) systems, core measures, the “meaningful use” EHR Incentive Program, value-based purchasing, and the…

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Held by ransomware: Should you really pay criminals to get your data back?

By Tom Sullivan for Healthcare IT News Ransomware attacks and tools are on the rise and perhaps more so than has been widely understood thus far. The gist: Hackers crack into a network via malicious URLs or malware, find data they can encrypt with relatively low-cost tools, and then demand either money or Bitcoins to return it.…

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A few blips mar ICD-10 rollout

By Joseph Conn for Modern Healthcare It’s been mostly smooth sailing with a few rough spots one month into the national conversion to the International Classification of Diseases, 10th Revision, of diagnostic and procedural codes, better known as ICD-10. The CMS issued a statement Thursday saying Medicare fee-for-service claims “are processing normally,” with 4.6 million…

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CMS releases OPPS rule for 2016, finalizes two-midnight changes: 10 things to know

Written by Ayla Ellison for Becker’s Hospital CFO CMS released its final 2016 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule on Friday, which finalizes CMS’ proposal to alter its controversial two-midnight rule and implements previously announced modifications to CMS’ medical review strategy. Here are 10 things to know about the…

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