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IN THIS ISSUE ...

Making Headlines at AAOE this week ...
  • Congress Back from Recess
  • CMS Releases Meaningful Use Stage II Extension


  • Advocacy Update
  • Coffee Talk from the Hill


  • Calendar of Events
  • Calendar


  • Leadership Quote of the Week
  • Leadership Quote of the Week


  • Within Your Practice Walls
  • Study: ICD-10 move could lead to inaccurate patient safety data
  • ONC rule aims to offer more flexibility on EHR certification
  • Improving performance: Show me, don't just tell me
  • Experts reflect on healthcare cloud data security, compliance
  • Proposed physician fee schedule draws criticism from docs, insurers
  • 5 things preventing technology adoption in healthcare
  • Healthcare spending picks up
  • Financial penalties nearing for physician incentive programs




  • MAKING HEADLINES AT AAOE THIS WEEK

    Congress Back from Recess
    AAOE
    Congress returns to the District today after the month-long August Recess! House Majority Leader Kevin McCarthy (R-CA) released the chamber's September Agenda on September 4. This agenda is light on health care issues, save for a few bills that would exempt certain groups from the Affordable Care Act and a few other bills that will not have a chance in the Senate. For the three weeks that members of Congress are in D.C., they will need to pass a continuing resolution funding the government past September 30, 2014, and approve funding to continue the operations of the Export-Import Bank of the United States. Congress will also have to approve President Obama's military strikes in Iraq and potentially Syria against the Islamic State militants.

    On September 9, House Republicans released a continuing resolution that would provide funding for the Federal Government in the amount of $1.1 trillion through December 11, 2014. The House Rules Committee is expected to mark up the legislation on the 10th of September with a vote in the House of Representatives on September 11. House Appropriations Chair Hal Rogers (R-KY) expects the legislation to pass both the House and the Senate easily. The continuing resolution also contains a provision renewing the Export-Import Bank's charter through June 30, 2015.
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    CMS Releases Meaningful Use Stage II Extension
    AAOE
    The Centers for Medicare and Medicaid Services released its final rule that finalizes CMS' proposals to allow providers participating in the Electronic Health Record (EHR) Incentive Programs to use EHR technology that was certified in 2011 for both calendar and fiscal years 2014. Providers now have three (3) options for certified electronic health records technology (CEHRT).
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    ADVOCACY UPDATE


    Coffee Talk from the Hill
    AAOE
    The full U.S. Appeals Court for the District of Columbia announced that it would rehear arguments in Halbig v. Burwell on December 17, 2014. In July, a three judge panel ruled that federal subsidies could only be given to consumers purchasing their insurance through the state-run health insurance exchanges formed after the passage of the Affordable Care Act. That same day in July, a federal appeals court in Virginia ruled that the subsidies can be available to anyone purchasing insurance on either the state-run or federal insurance exchanges. Currently, millions of people are receiving subsidies in the form of a tax credit to help defray the cost of health insurance.
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    CALENDAR OF EVENTS

    Date Time (EST) Event More Information
    Sept. 18 12 - 1 p.m. AAOE Webinar: Release of Information Risk Mitigation Through the Use of Quality Control Processes and Measurements [HTW] Details
    Oct. 2-4 2014 Midwest AAOE Fall Meeting Details
    Oct. 8-10 19th Annual Bones of PA Meeting Details
    Oct. 9 12 - 1:30 p.m. AAOE Webinar: PA/NP/Ancillary Providers [P2P] Details
    Oct. 16 12 - 1 p.m. AAOE Webinar: The Truth about RCM Services [HTW] Details
    Oct. 23 12 - 1:30 p.m. AAOE Webinar: The Role of Marketing and Public Relations in Medicine [HTW] Details
    Nov. 6 12 - 1 p.m. AAOE Webinar: Service as a Culture [P2P] Details
    Nov. 20 12 - 1:30 p.m. AAOE Webinar: How to Manage Compliance Risk in Your Practice Details
    Dec. 11 12 - 1 p.m. AAOE Webinar: Advocacy and Social Media [HTW] Details
    Sept. 24-26 2015 2015 BONES Society of Florida Annual Meeting Details

       [P2P]: AAOE Peer-to-Peer Audio Conference
       [HTW]: Hot Topic Webinar


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    LEADERSHIP QUOTE OF THE WEEK



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    WITHIN YOUR PRACTICE WALLS


    Study: ICD-10 move could lead to inaccurate patient safety data
    Health IT Analytics via iHealthBeat
    Transitioning to ICD-10 coding could negatively affect patient safety reporting and perceptions of hospital quality because of inaccurate comparisons between the new codes and those used under the ICD-9 system, according to a study published in the Journal of the American Medical Informatics Association.
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    ONC rule aims to offer more flexibility on EHR certification
    FierceEMR via iHealthBeat
    Recently, the Office of the National Coordinator for Health IT issued a new final rule on the 2014 certification criteria for electronic health records that offers more flexibility and drops proposed 2015 voluntary criteria.
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    Robotic-Assisted Partial Knee Replacement
    Blue Belt Technologies, Inc.
    "Partial knee replacements “are unforgiving of even a very subtle amount of misalignment or imbalance,” says Jess Lonner, MD, one of the first surgeons to use the Navio system from Blue Belt Technologies to perform a partial knee replacement. “This device reduces variability, enhances the precision with which we can prepare the bone and dramatically improves the ability to balance soft tissues.”
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    Promoted by Blue Belt Technologies, Inc.


    Improving performance: Show me, don't just tell me
    By Christina Thielst
    It is amazing how much you can learn about how processes really work by talking to staff, physicians, patients and others involved in those processes. However, actually observing the workflow and how processes unfold can shine a bright light on what really happens — especially when it comes to patient care. During my career I've had the occasion to ask for a process to be explained and am usually able to identify a few opportunities for improvement with the help of the subject-matter expert offering the description. I've also reached out to others, especially those who have responsibility for processes that intersect with or impact the one being explored.
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    PRODUCT SHOWCASE
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    Experts reflect on healthcare cloud data security, compliance
    Health IT Security
    Though cloud computing technology innovation is constant and healthcare organizations are growing increasingly comfortable with cloud data storage, there are still adoption obstacles. iHT2's Answers to Healthcare Leaders’ Cloud Questions report compared healthcare organizations’ cloud sentiment to cloud providers’ perception of the technology, including security needs.
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    PRODUCT SHOWCASE
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    Proposed physician fee schedule draws criticism from docs, insurers
    Modern Healthcare
    Stakeholders from across the healthcare continuum are raising red flags about provisions of Medicare's proposed physician fee schedule for 2015, including quality incentives and reporting for physicians, a new reimbursement code for chronic-disease management and a fact-finding initiative addressing concerns that Medicare is overcharged after hospitals acquire physician practices.
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    5 things preventing technology adoption in healthcare
    Forbes
    The Stanford Medicine X conference is one of the most publicized events in healthcare. Its hashtag #MedX was a top-trending term on Twitter throughout the recent event event. Every year, thought leaders, physicians, academics and entrepreneurs gather at MedX under common desire: to transform American healthcare through technology. But they also share a common frustration: American healthcare's slow and unsteady embrace of new technology.
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    Healthcare spending picks up
    The Wall Street Journal
    The sprawling U.S. healthcare industry saw revenue rebound last quarter, a sign that stronger spending at hospitals and medical offices could help boost U.S. economic growth to its highest level in eight years. Total revenue at healthcare and social-assistance firms rose 3% in the second quarter from the first three months of the year, the Commerce Department said in its Quarterly Services Survey. Hospital revenue rose 2.8 percent from the first quarter and revenue at physician offices jumped 4.1 percent.
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    FEATURED ARTICLE
    TRENDING ARTICLE
    MOST POPULAR ARTICLE
    Congress Back from Recess
    AAOE
    Congress returns to the District today after the month-long August Recess! House Majority Leader Kevin McCarthy (R-CA) released the chamber's September Agenda on September 4. This agenda is light on health care issues, save for a few bills that would exempt certain groups from the Affordable Care Act and a few other bills that will not have a chance in the Senate.

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    read more
    Physician compensation under Medicaid
    The National Law Review
    In a recent article in the Kaiser Health News, it was reported that just six states and the District of Columbia will use their own money to sustain the level of federal Medicaid payment increase under the Affordable Care Act to primary care doctors. It also notes that two of the states extending the payment increase are Alabama and Mississippi, states that did not expand their Medicaid coverage.

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    How people feel about their employer-sponsored health plans
    The New York Times
    Society is still waiting to get really good information about how people who have bought health plans on the new state marketplaces are liking them. There's some early polling evidence that people are happy to have coverage — but also some accounts that people are frustrated by small doctor networks and struggling to afford medical care even after getting insurance.

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    Financial penalties nearing for physician incentive programs
    Modern Medicine
    Primary care physicians, already squeezed by years of stagnant reimbursements and rising overhead costs, will face a new challenge to their bottom lines starting next year. That's when government financial incentives aimed at encouraging physicians to use electronic health records and report quality metrics will turn into penalties. In addition, two government programs targeted specifically at primary care — the Medicare Primary Care incentive program and the Medicare/Medicaid parity program, are scheduled to expire in the near future. Taken all together, they could add up to a significant drain on practice finances, especially for practices that have chosen not to participate in the Medicare meaningful use or physician quality reporting system
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    Colby Horton, Vice President of Publishing, 469.420.2601
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