The changes in medical care over the last five decades have been dramatic. Technological and scientific advances have given patients access to a level of medical diagnosis and care previously undreamed of.
During this time, Medicare, Medicaid and the Affordable Care Act (ACA) provided more people with the opportunity to take advantage of that care. Yet despite all that extraordinary progress towards value based healthcare something is missing, states J. Joseph Marr, MD, a retired academic
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
CMS Reports 81% of ICD-10 Test Claims Accepted
81 percent of submitted ICD-10 test claims were accepted during the first ICD-10 end-to-end testing from January 26 through February 3, 2015, according to CMS. 661 healthcare organizations including providers, clearinghouses and billing agencies participated submitting a total of 14,929 ICD-10 test claims, 12,149 of which were accepted. Overall, the results demonstrate the CMS systems are ready to accept ICD-10 claims.
ICD-10 claim test results found the reasons for rejected claims
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ADP AdvancedMD Releases ICD-10 Toolkit Mobile App
ADP AdvancedMD has announced the release and availability of AdvancedMD ICD-10 Toolkit mobile app that gives private practices a suite of ICD-10 preparation tools available in the iTunes Store. Now anyone with an iPhone or iPad running iOS8 can easily test their readiness and train staff for the October 1st deadline, free of charge. Customers of AdvancedMD practice management software can also leverage the app to add ICD-10 codes to their charge slip templates.
The app was created as part of
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Is Primary Care Dead?
There are close to a quarter million primary care physicians in the U.S., more than any other individual specialty, and about half the total number of all specialists combined. Yet, somehow, primary care seems to lack the power and social influence necessary to chart its own professional course. As the availability and granularity of specialist physicians increased, the value proposition of a generalist primary care doctor seems to have become unclear to those who pay for medical services and to
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Survey Reveals ICD-10 Cash Flow Impact Greatest Concern for Physician Practices
59% of physician practices are most concerned about ICD-10 cash flow impact and revenue, according to key findings from Navicure third ICD-10 readiness survey, deployed in January 2015 in conjunction with Porter Research. The findings revealed physician practices are generally optimistic about being ready for the October 1, 2015, transition date, although only 21 percent feel they are currently on track with preparation efforts. However, when physician practices were asked how much they budgeted
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Top 4 Population Health Management Challenges
As the healthcare delivery model shifts towards value based healthcare, the need for effective population health management solutions continues to grow. However, for many providers choosing the right PHM solution is still uncharted territory and the correct path isn't always clearly marked. According to a recent Chilmark Research report, healthcare organizations are currently struggling with evolving models of reimbursement while PHM vendors have yet to successfully build solutions to fully meet
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Computer Assisted Coding Market Expected to Reach $3.5B by 2019
The global computer assisted coding (CAC) market is expected to grow at a double-digit CAGR and reach $3.5 Billion by 2019 largely driven by the ICD-10 transition, according to a new research report by MarketsandMarkets. The report finds providers are increasingly turning to CAC solutions to help reduce coding errors, increase coder productivity and offer quality healthcare. This can be attributed to various factors such as rapid growth in the number of healthcare facilities,
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Survey Reveals ICD-10 Costs for Small Physician Practices Significantly Lower
ICD-10 costs for small physician practices are significantly much lower than expected, according to a new study released today by the Professional Association of Health Care Office Management (PAHCOM). The survey of 276 physician practices of fewer than six providers revealed that total ICD-10 transition costs for an entire practice averaged $8,167. Per provider expenditures averaged $3,430 for a practice with a single provider to $1,838 for a practice with six providers. There were
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Summa Health System and Humana Forms ACO in Akron
Summa Health System's accountable care organization (ACO) – NewHealth Collaborative and Humana have formed a new ACO agreement to improve health and more coordinated services for the growing number of Humana Medicare Advantage (MA) members in Akron. The new agreement will include value-based incentives tied to performance improvement and will offer more personalized care and a broad range of population management tools like, predictive analytics and chronic care, disease management
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TMA, Blue Cross Offer Physicians ACO Options to Remain Independent
According to the 2014 TMA Survey of Texas Physicians, approximately two-thirds of Texas physicians work for themselves or in practices that are wholly owned and controlled by other physicians. Most of these independent physicians traditionally have not had access to the tools and resources needed to participate in an ACO.
To help address this, the Texas Medical Association (TMA) and Blue Cross and Blue Shield of Texas (BCBSTX) are partnering on a first-of-its kind joint effort to offer
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