CMSThe American Medical Association (AMA) has added to an earlier policy statement calling on the Centers for Medicare & Medicaid Services (CMS) to drop penalties for not meeting the meaningful use requirements of the electronic health records (EHR) incentive program.

revenue cycle partnerStarting in 2015, New York consumers will have an added layer of protection against out-of-network billing when healthcare providers will be obligated to provide patients with their plan affiliations prior to the provision of non-emergency services, and verbally at the time of the appointment.

Findings from a new survey from AHIMA and the eHealth Initiative show that a significant number of providers are still missing some of the basic building blocks of a successful conversion to ICD-10, including financial impact assessments and plans for internal and external testing.

bestpracticesLast week, MDeverywhere hosted a webinar on best practice revenue cycle processes for hospitalists.  Included in that was information on best practices in coding and documentation.  More specifics on that topic are included in a free white paper entitled Breaking the Code Toward Higher Revenue: Coding Best Practices for Hospitalists.

Bundled PaymentsBy ushering in Republican control of the Senate and extending the party's control of the House, the election results last week may bring about important changes for the health industry in the coming year.

Doctor with MoneyThe healthcare system in the United States has historically been oriented around the tertiary or institutional setting of care.  As costs have outstripped resources and technology has enabled greater flexibility in appropriate care setting, we are increasingly shifting to an Ambulatory-centric model.

Yapprovedclaimesterday we wrote about the highlights from the final payment policies and payment rates published on October 31. 2014 for services furnished under the Medicare Physician Fee Schedule (PFS) by CMS on or after Jan. 1, 2015. Here is more detail on some of the Key Provisions of the rule.  Additional provisions will be covered in tomorrow’s blog.

Many providers struggle to improve quality, lower costs and enhance the patient experience in today’s value-based environment. In order to thrive, providers must embrace a new ambulatory system of care driven by population health management. Dr. Michael Renzi, CMO of Continuum Health Alliance presents practical strategies for implementing population health management within your organization, including specifics about five key components required for success:

The Centers for Medicare and Medicaid Services late Friday afternoon published the final Physician Fee Schedule rule for 2015.  The rule brings a number of changes that doctors and practice managers need to understand about chronic care, telehealth and meaningful use.

Doctor with MoneyEnrollment for 2015 for ACA-mandated exchange plans begins in 2 weeks. In year two there are many new plan participants and price points. This blog posts offers a summary of some of the major changes.