It took several electronic nudges before Patti Schwebel booked an appointment for an overdue mammogram. Her doctors at Kaiser Permanente diagnosed breast cancer two years ago after the films revealed a lump.

Best PracticesIn our previous blog we walked you through the complexity of submitting a clean medical claim. In this blog we will walk you through 7 best practices of medical claims processing to employ when managing the claims submission process.

"Here at [redacted] we've decided to wait until next year to do anything more about ICD-10," my friend and former colleague wrote in an email the other day. "The thinking is, why should we keep training people now? They'll forget what they learned, and we'll have to do it again anyway."

Health information exchange is one arrow in the quiver that may lead to promised improvement in the coordination, efficiency and effectiveness of health care services based on the sharing of data contained in individual patients' electronic health records.

An article in the current issue of Medical Economics examines some of the technical, legal and ethical issues around patient consent to the collection and transmission of protected health information by health information exchanges.

Cyber criminals are being drawn to the healthcare industry like moths to a flame and providers are more vulnerable as the sharing of electronic health records proliferates.

To help diminish both those trends, the Institute for Health Technology Transformation (iHT2) recently compiled its “10 Steps to Maintaining Data Privacy in a Changing Mobile World.”

I started on the journey to ICD-10 compliance eager to get this transition done, just like any other regulatory project. I didn't anticipate any insurmountable problems that would slow down implementation within our health system. ICD-10 is a modernization of the international standard for diagnosis codes, and until recently the Centers for Medicare and Medicaid Services was pushing to make the US variation the standard for submitting insurance claims, with a firm deadline of October 1.

The federal government fleshing out the details of a 10-year plan to put in place interoperability standards for electronic health records. This June, the Office of the National Coordinator for Health IT outlined basic policy building blocks in a vision paper.

Even if your practice is not participating in Meaningful Use, there are many reasons to implement EHR software and start using a patient portal to connect with your patients – the biggest reason being the positive impact these technologies can have on patient care.

Approved ClaimA medical claim is simply data – I saw this patient (patient demographics), on this day (DOS encounter data), they have this problem (coding), I did this for them (coding) and they have this insurance (insurance data).

Although board certification was once a lifelong credential, obligations mount for physicians to maintain their certifications throughout their careers.