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

Sytrue Partners with XIFIN to Improve Billing Practices & Enhance Reimbursement

by Fred Pennic 10/07/2014 Leave a Comment

SyTrue

SyTrue, Inc., a healthcare information services provider and developer of proprietary technologies used to translate unstructured medical data into useable clinical information, announced today it has entered into a multi-year agreement with XIFIN Inc., a leading provider of financial and health economic optimization solutions for diagnostic service providers. The three-year agreement initially supports two service areas: First, XIFIN will use SyTrue’s innovative patent-pending technologies
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ICD-10: Bracing for Minimal Disruption to Your Healthcare Organization

by Jasmine Pennic 10/02/2014 Leave a Comment

ICD-10 Bracing for Minimal Disruption to Your Healthcare Organization

ICD-10 is the largest healthcare mandate in history: Are You Ready? Many in healthcare are focused on meeting the requirements of the Affordable Care Act, but ask clinicians and they will tell you it is the upcoming conversion to ICD-10 that has their undivided attention. Why? - The precision documentation requirements are exponentially higher than what was required by ICD-9 - For the first time, ICD-10 puts the responsibility for accurate coding solely in the hands of the physician. -
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Nuances Launches Clintegrity 360 Compliance Services at AHIMA 2014

by Jasmine Pennic 09/29/2014 Leave a Comment

Nuance Unveils The Industry’s Largest Medical Imaging Network for Image Sharing

Today at AHIMA, Nuance announced the expansion of its healthcare consulting services to help organizations more holistically respond to compliance, physician engagement, ICD-10, and shifting payment models. The newest offering, Clintegrity 360 | Compliance Services, provides the management tools and training required to effectively monitor complex coding requirements, and leverage technology to avoid issues that may affect the reliability of hospital reimbursement. Nuance Clintegrity 360 |
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Value-Based Arrangements: 41% of Physicians Distrust Payers

by Jasmine Pennic 09/26/2014 Leave a Comment

Value-Based Arrangements

According the recently conducted 2014 FTI Consulting Payer-Provider Survey, 41 percent of physicians not currently in a value-based arrangements say their biggest obstacle to entering into one is their distrust of payers. The study also found that only 16 percent of all physicians surveyed were willing to accept the financial risk – a key element of many value-based relationships sought by insurers. This lack of trust will be a huge hurdle for payers to overcome as they often cite physician
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WEDI Survey Reveals ICD-10 Delay Negatively Impacted Provider Readiness

by Fred Pennic 09/25/2014 Leave a Comment

WEDI Survey Reveals ICD-10 Delay Negatively Impacted Provider Readiness

The ICD-10 delay to October 1, 2015 has negatively impacted provider progress causing two-thirds of providers to slow down efforts or place them on hold altogether, according to recent Workgroup for Electronic Data Interchange (WEDI) industry preparedness survey results. The survey reveals that while the ICD-10 delay was supposed to provide healthcare organizations more time to be prepared to the ICD-10, many organizations are failing to take advantage of the additional time. 
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10 Harbingers of Disruptive Change in Healthcare

by Fred Pennic 09/24/2014 Leave a Comment

IMS Health

As the global market for drugs surpasses $1 trillion this year, growing payer scrutiny of value for money is just one of the factors that will drive disruptive change in the use of medicines over the next decade. The ten harbingers of change identified by the IMS Institute reflect the deep and rapid changes in the global health sector that are upending business models and forcing all stakeholders to re-evaluate their approaches to bringing healthcare to patients. They point to a future of
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Value-Based Health Care is Antithetic to Patient-Centered Care

by Margalit Gur-Arie 09/22/2014 Leave a Comment

Value-Based Health Care is Antithetic to Patient-Centered Care_ Value-based Care in Oncology

Value-based health care is antithetic to patient-centered care. Value-based health care is also diametrically opposed to excellence, transparency and competitive markets. And value-based health care is a shrewdly selected and disingenuously applied misnomer. Value-based pricing is not a health-care innovation. Value-based pricing is why a plastic cup filled with tepid beer costs $8 at the ballpark, why a pack of gum costs $2.50 at the airport and why an Under Armour pair of socks costs $15.
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Florida Blue and Baptist Health Care Corporation Form ACO

by Fred Pennic 09/16/2014 Leave a Comment

Florida Blue and Baptist Health Care Corporation Form ACO

On Monday, Florida Blue and Baptist Health Care Corporation announce the execution of an ACO agreement that aims to improve the quality and efficiency of patient care in northwest Florida. Through this arrangement, the organizations plan to improve the patient experience by enhancing the coordination of care between BHC and Florida Blue. Built around the Baptist Medical Group (BMG) network of physicians, the BHC accountable care organization will provide coordinated care to patients with the
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M*Modal Unveils New ICD-10 Provider Coding Services

by Jasmine Pennic 09/10/2014 1 Comment

M*Modal Will Receive Approval to Emerge From Chapter 11

  To help the healthcare industry address medical coder shortages in advance of the ICD-10 mandate, while preserving accurate revenue realization, M*Modal today announced the availability of comprehensive outpatient medical coding services. M*Modal’s technology-enabled services program combines coding experts with advanced cloud-based solutions to deliver quality results with fast-turn-around time, enabling organizations to offload high-volume outpatient coding, increase productivity and
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The Squeeze Is On For U.S. Hospitals

by Edmund Billings MD 09/03/2014 Leave a Comment

Vista and Epic: ICD-10 Delay to 2015_Congress Did the Right Thing

Lots of financial scrambling, but the numbers still don’t add up Is healthcare a business? In the United States, the question has been asked time and again but never satisfactorily answered. By virtue of publically financed healthcare systems, the rest of the developed world has decided, to a greater or lesser extent, that medicine and healthcare are not pure businesses—that citizens have a right to care, even when they can’t pay all associated costs. It’s starting to look like Americans
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