Center of Medicare and Medicaid services released the final accountable care organization rule. ACO’s consist of physicians, hospitals, and other providers in various combinations that attempt to coordinate the care of Medicare patients with the goal of improving its quality while reducing costs. Successful ACOs would be entitled to share any savings they produce for […]
Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process; the coding professionals are frequently faced with ethical challenges. There are stringent medical Billing guidelines in place for the entire gamut of coding practices which include issues such as the privacy […]
Despite such indicators from time to time, the incidence of legal errors has only been destined to move upwards. Physicians, whose core-concern being medical efficiency through best medical practices, cannot be expected of too much in this regard. Yet, because of it being integral to their practices’ sustenance and growth, its significance cannot be underestimated. […]
The inherent nature of Health Insurance is such that it is highly susceptible to fraud and abuse by unscrupulous healthcare providers and beneficiaries. Consequently, there has been an unbridled rate of fraud and abuse amounting to billions of dollars – a reliable statistics puts it around 300 billion dollars, and still counting. Whereas, primarily, it […]
HIPAA 5010: Implementation, Deadlines, and Advantages The Health Insurance Portability and Accountability Act (HIPAA) 5010 is the newest version of HIPAA 4010 which will be replaced by 5010 on January 1, 2012. However, there are many hospitals, clinics, and health care providers who have not changed to the latest version and would face problems when […]
Meaningful use of EHR or Electronic Health Records is one of the most discussed and debated topics in the recent heath care reforms. The main components of ‘Meaningful Use’ include the use of certified EHR technology for meaningful use such as ePrescribing, electronic exchange of health information to enhance healthcare quality, and submit clinical quality […]
The decade old uncertainty over fixing a permanent solution to Sustainable Growth Rate (SGR) is set to continue with the House deciding not to set off the accumulated deficit (25% for 2011) against primary care physicians till the end of this year. Although a temporary relief for doctors, the absence of a permanent solution will […]
Amongst the many farsighted health reforms that the Patient Protection and Affordable Care Act of 2010 (PPACA) has floated is the concept of Accountable Care Organization (ACO). Believed to be a cost-controlling measure on public health expenditure, ACO is a health care model that ensures healthcare providers incentives from the savings made on a pre-assigned […]
Adhering to the HIPAA 4010 compliance has been a long-standing ordeal for medical billing and coding professionals and now, on January 1, 2012, the electronic healthcare transactions standards change from version 4010/4010A to version 5010 will definitely need a closer look at the compliance guidelines. The healthcare industry and professionals need to thoroughly acquaint themselves […]
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