New financing program aims to minimize the impact of ICD-10 revenue delay or lock-up by providing two funding options to provide a safety net for private practices. Of the 298 CIOs and other IT leaders that participated in the HIMSS Leadership Survey, seventy percent said meeting ICD-10 requirements was their #1 priority. For private physicians, meeting ICD-10 by October is a serious hurdle. If they don’t get it right, it could cause a major cash crunch. ADP AdvancedMD, a company
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Senators Urge CMS to Establish Clear Metrics for ICD-10 Testing
On Tuesday, four republican senators sent a letter to CMS expressing concerns regarding the limited "brevity and scope" of front end ICD-10 testing scheduled for the week of March 3, 2014. The letter sent to CMS Administrator Marilyn Tavenner warned, "before either Medicare or Medicaid could conceivably transition to any new diagnostic coding method, CMS must establish clear metrics and perform system-wide tests to certify its readiness." 10 Questions for CMS The letter was signed by
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Proposed SGR Doc Fix – It’s Different This Time
Evan Steele shares how the SGR Doc Fix will create a new MIPS payment system that would rely heavily on quality measurement, data sharing, and interoperability. Year after year, physicians live for months with the uncertainty and angst of threatened, often draconian, Medicare reimbursement cuts born out of the Sustainable Growth Rate (SGR) budgeting formula. And every year, intense lobbying and complex negotiations lead to short-term patches that maintain or slightly increase reimbursement
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AMA Releases Updated ICD-10 Implementation Costs for Physician Practices
ICD-10 implementation costs for physician practices are expected to be significantly more costly than previously estimated, according to an updated cost analysis report from the AMA (American Medical Association). The updated 2014 AMA cost analysis study written by Carolyn Hartley, Physicians EHR, and Stanley Nachimson from Nachimson Advisors takes into account the convergence of dynamic and financially demanding physician requirements which include: Costs associated with paying for
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Episode Analytics: Essential Tools for New Healthcare Models Report
New iHT2 report shows how payors, providers, and ACOs, can leverage episode analytics against cross continuum episodes of care to decrease avoidable complications and cut waste in healthcare. Executive Summary The wide variations in healthcare cost and quality, a perennial issue for payers, have become important to providers as well with the advent of accountable care organizations (ACOs) and the increasing number of healthcare systems taking financial risk. These organizations need
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Quality Clinically Integrated Orgs Cited As Key Growth Strategy to Healthcare Transformation
With hospital consolidation on the rise, 43 percent of C-Suite executives thought that having a quality clinically integrated organization is the most successful growth strategy to healthcare transformation, according to to recent polling conducted by MedAssets at its annual Healthcare Executive Forum. Results from the event polling show more than 75 percent of attendees indicated that their healthcare organization is engaged in transformational initiatives in the face of healthcare reform
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Infographic: Differences Between ACO Patients & Non ACO Patients
Infographic illustrates the key differences between ACO patients and non-ACO (Accountable Care Organizations) patients created by Addictive Analytics. The infographic features recent research findings from Arnold Epstein and other researchers comparing ACOs with non-ACO providers using publicly available data from the Centers for Medicare and Medicaid Services, the American Hospital Association’s 2011 Annual Survey of Hospitals, the U.S. census, and the Dartmouth Atlas of Health
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Trizetto and Wellcentive Partner to Provide Advanced Solutions for Collaborative Care
TriZetto and Wellcentive partnership offers advanced solutions for collaborative care.
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The Average ACO Will Risk $3.5 Million Before Any Possible Savings
The average ACO startup costs in the first 12 months is $2.0 million with a range from $300,000 to $6,700,000, according to recent NAACOS survey. The National Association of ACOs first national survey of the 2012 and 2013 Medicare ACOs reveals the average ACO start-up costs are higher than initially estimated by CMS, due to slow savings. In fact, the average ACO will risk $3.5 million plus any feasibility and pre-application costs until it can see any cash flow relief from possible
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ICD-10 Testing and Readiness: No Longer a Marathon, It’s a Sprint
A full-out sprint for ICD-10 testing and readiness has yet to begin. But there are signs that many hospitals are, at least, lacing up their track shoes.
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