What You
Should Know:
- FAIR Health brief finds the total costs for all hospitalized COVID-19 patients range from a low of $362 billion in charges and $139 billion in estimated allowed amounts to a high of $1.449 trillion in charges and $558 billion in estimated allowed amounts, depending on the incidence rate of the infection in the US population.
- The total average charge per COVID-19 patient requiring an inpatient stay is $73,300 and the total average estimated allowed amount per
Read More
Wolters Kluwer, SAS Integrate to Power Real-World Evidence (RWE) Analytics
- SAS to leverage Wolters Kluwer’s Health Language portfolio of data quality solutions to power real-world evidence (RWE) analytics within SAS Health.
- Through a disease-centric approach, Health Language will enable SAS Health’s clients to more effectively manage reference data, such as ICD-10, CPT® and SNOMED CT, establish relationships between clinical and claims data and extract value from unstructured text within the medical record–providing a comprehensive view of a patient’s clinical
Read More
Amazon Comprehend Medical Adds Ontology Linking to Help Clinicians Detect Medication and Medical Conditions in Unstructured Clinical Text
- Amazon Comprehend Medical, Amazon’s HIPAA eligible natural language processing service that uses machine learning to find insights in unstructured texts, announced a new capability of linking information to medical ontologies. - The new ontology-linking feature will help clinicians to detect medication and medical conditions in unstructured clinical text. Amazon will now support ICD-10-CM and RxNorm ontologies through Comprehend Medical. Amazon Comprehend, a HIPAA eligible natural language
Read More
10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar
Read More
How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?
Sloan Clardy, President, Technology Solutions at nThrive
The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack
Read More
Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Rebecca Marsh, VP of Advisory Solutions, nThrive
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not
Read More
AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model
The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The goal of the collaboration is to help professionals in skilled nursing facilities (SNF) prepare for the upcoming payment reimbursement change.New, Value-based Patient Driven Payment Model (PDPM) Beginning October 1, 2019, the Centers for Medicare and Medicaid
Read More
AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health
UnitedHealthcare and the American Medical Association (AMA) are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being.
New ICD-10 related to Social Determinants of Health (SDOH)
Today, nearly 80%
Read More
Healthcare Analytics Market to Reach $18.7B by 2020
The global healthcare analytics market is expected to reach $18.7 Billion by 2020 from $5.8 Billion in 2015, according to a new market research report by MarketsandMarkets. Among end users, the healthcare providers segment is expected to grow at the highest CAGR during this forecast period. The demand in this market is highly driven by federal mandates such as the implementation of EHRs and ICD-10 code sets, shift towards value-based medicine, and the increased focus on quality care and reduced
Read More
ICD-10 Delay 1 Year to 2014, HHS Announces
The Department of Health and Human Services (HHS) Announces ICD-10 Delay 1 Year to 2014
Read More
