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AMA hoping to stop ICD-10 use in billing
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Citing significant burdens to physicians, the American Medical Association approved policy that vigorously opposes the nationwide transition to the new diagnosis coding set known as ICD-10. More

Top 12 uncertainties hovering over healthcare
HealthLeaders Media    Share    Share on FacebookTwitterShare on LinkedinE-mail article
If ever there was a year in which anything could happen in healthcare, 2012 just might be it. Numerous major decisions, regulations and policy rollouts loom, including how severely physicians' pay will be cut and whether the Affordable Care Act itself is a constitutional document. Here are a dozen potential game changers. Get ready for 2012. It's going to be a wild ride, for sure. More

Here comes trouble
Health Data Management    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Industry sentiment on ICD-10 spans the entire spectrum. At one end, some describe it as a potential train wreck. At the other, some say the intricate coding and nomenclature system-which is mandated to take effect industry-wide on Oct. 1, 2013-is the industry's best shot at improving the way it describes, bills and pays for services. The skeptics fear a revenue cycle nightmare in which payments are stalled. The idealists envision a new era of improved documentation, quality and outcomes. More

How doctors are using social media to connect with patients
U.S. News and World Report    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Social media makes it easier than ever for patients and physicians to connect outside the exam room. And while most of the attention has centered on hospitals' efforts, which are often driven by marketing and have relatively large budgets, primary care and other private-practice doctors are building an online presence. More

Save the date: 2012 Legislative Day
The 2012 Legislative Day will be April 11-12 at the Hyatt Regency on Capitol Hill.

Medicare RACs to conduct prepayment reviews for doctors, hospitals
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Medicare contractors will begin prepayment reviews of certain Medicare claims starting in January 2012 in an effort to reduce the estimated billions in improper federal healthcare payments made each year. Physician and hospital organizations reacted warily to the announcement. Although they said doctors and hospitals understand the need to limit errors and fraud in healthcare claims, the reviews could add yet another administrative burden. More

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HIEs: Back from the dead?
MedHealthWorld    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There's been a lot of buzz lately about the importance of health information exchanges and concerns about their sustainability. At a recent industry meeting, for example, one cynic characterized HIEs as "dead men walking." However, to paraphrase Mark Twain, reports of the demise of HIEs may be greatly exaggerated. According to a recent survey by the eHealth Initiative, the past year has seen a net growth of 9 percent in the number of HIEs, which now total 255. Twenty-four HIEs reported having sustainable business models, up from 18 in 2010. More

Consultant: Interest will shift from Medicare ACOs to private payers
Becker's Hospital Review    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As hospitals and other providers begin to have second thoughts about accountable are organizations under Medicare, similar arrangements being organized by private payers are beginning to look like a better alternative, says Rob Parke, a principal and consulting actuary with the New York office of Milliman. Parke is not convinced that CMS' recent announcement of changes in the ACO program will change the trend away from Medicare ACOs. He makes points about providers' declining enthusiasm for Medicare ACOs and the future growth of private-payer arrangements. More

CMS' top ICD-10 challenges — and 3 big opportunities
Government Health IT    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Centers for Medicare and Medicaid Services has its work cut out in transitioning to ICD-10. As the largest payer and the force driving the new code sets in the United States, CMS has a task at least as intimidating as anyone else in implementing ICD-10. But, much like those other private and public health entities that must convert, ICD-10 also creates some opportunities for CMS. More

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