Congress has prepared a bill that would repeal Medicare's troubled physician payment system, paving the way for reform -- if only a way of funding the bill could be agreed upon. The American Medical Association is more optimistic about passage of this bill than it has been in the past ten years.
Among the largest problems Medicare ACOs have encountered are "data inconsistency from CMS" and "translating the data into actionable information." Nevertheless, they're charging ahead -- banking on better care and financial savings.
Spanning four presidents and two military branches between them, the new CIO and COO are tasked with supporting, and in the case of COO, holding accountable, Medicare, Medicaid and other programs, at a time when the nation's healthcare system is under great changes.
Medicare review contractors are increasingly offering more than just mail and fax communication options. But there are still a few key functions CMS wants to digitize and a few areas still noted for high payment error rates.
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.
Once medical practices install ICD-10 compliant software and train all their staff members appropriately, they can't call it good. They need to work with their trading partners to keep business on track after Oct. 1.
Even if the administration and CGI Federal, the contractor doing much of the health insurance marketplace IT work, did actually share the code with developers could the open source community put it to work?