In final medical loss ratio rules for Medicare Advantage and prescription drug plans, CMS offered a fairly broad set of allowable IT expenses under the category of quality improvement, with some exceptions.
Medicare Advantage (MA) plans are private health plans that have contracted with Medicare to receive a fixed monthly fee in exchange for providing comprehensive healthcare to plan members. In order to provide appropriate care to beneficiaries with varying medical conditions, plans are paid according to the Risk Adjustment Factor (RAF) score of each patient. Insufficient documentation of chronic conditions can be an obstacle to MA reimbursement. However, even when a condition has been properly documented by the provider, it is often not coded and submitted to Medicare. Read this white paper to learn how to take the complexity out of MA reimbursement.
In this Web seminar, learn firsthand from five healthcare organizations how, after integrating Perceptive Software enterprise content management (ECM) products, they are realizing cost and time-saving benefits enterprise-wide. The customer panel will share lessons learned and best practices for deploying ECM technology with their business and health information systems.
This week in Government Health IT: Reports expose state and local governments as ill-prepared, whether that be for Big Data or cyber-attacks. Also, think tanks talk patient-centered care for cost-savings.
While the President and Congress look for deficit reduction paths and healthcare organizations brace for Medicare changes, the duo from the Fiscal Commission is renewing its plans for spending cuts ($600 billion in healthcare) and new tax revenue.
A large percentage of the Americans that the Affordable Care Act aims to bring into the insurance pool access the Web primarily through their smartphones. For the ACA to achieve its potential, federal and state governments must reach those citizens where it's most convenient for the consumer.