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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

NY Gov Cuomo Approves EPCS Delay to March 2016

by Jasmine Pennic 03/16/2015 1 Comment

Electronic Prescriptions for Controlled Substances

On Friday, New York Gov. Andrew Cuomo signed legislation that would postpone the deadline for doctors in the state of New York to use only electronic prescriptions to March 27, 2016 . According to lawmakers, many physicians still lack the required federal approval for their computer systems to perform electronic prescriptions for controlled substances (EPCS) intended to prevent prescription fraud, Washington Times report.   “This is a victory for patient safety,” said Dr. Andrew Kleinman,
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CMS Unveils Next Generation ACO Model

by HITC Staff 03/11/2015 Leave a Comment

Meaningful Use Penalties_Meaningful Use_Partial Code Free_Senators Urge CMS to Establish Clear Metrics for ICD-10 Testing

On Tuesday, the Centers for Medicare & Medicaid Services’ Innovation Center (CMS Innovation Center) launched the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery initiative. The next Generation ACO Model will offer a new opportunities in accountable care designed to set predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and attain the highest quality standards of care. Initiative Details The
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Why the ICD-10 Dual Coding Proposal Is A Recipe for Disaster

by Our Thought Leaders 03/09/2015 Leave a Comment

Coalition for ICD-10

The Coalition for ICD-10 has issued a new position statement in response to the latest trial balloon from ICD-10 opponents, which  proposes that CMS allow a ICD-10 dual coding system approach in which small physician offices would be able to submit claims coded in either ICD-10 or ICD-9 during a transition period after Oct. 1, 2015.  Members of the Coalition are united in making the following statement: Concerns have been raised about the potential financial impact on small physician offices
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Why Healthcare Price Transparency Is So Murky

by David Brooks 03/09/2015 Leave a Comment

I’ve spent the better part of the last two years trying to improve price transparency in healthcare. When my startup, Medlio, began down this path, we had a very simple vision - that consumers should be able to use their smartphones to find, connect, and transact with their healthcare providers. By "transact," I mean schedule appointments, submit medical forms and insurance information, receive an upfront estimate of the cost of the visit, make payment, and receive their data afterwards. Now,
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Has For-Profit Healthcare Destroyed The Soul of Medicine?

by HITC Staff 03/05/2015 1 Comment

Corporate For-Profit Healthcare

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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CMS Reports 81% of ICD-10 Test Claims Accepted

by HITC Staff 02/27/2015 Leave a Comment

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

by Fred Pennic 02/26/2015 Leave a Comment

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?

by Margalit Gur-Arie 02/25/2015 Leave a Comment

Physician Burnout_10 Mandatory Issues for Physicians to Watch in 2015_Comprehensive Primary Care Plus Model

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

by Fred Pennic 02/25/2015 Leave a Comment

ICD-10 Impact on Cash Flow_EHR Implementations

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

by HITC Staff 02/18/2015 Leave a Comment

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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