Medical Billing Blog with Medical Billing & Coding Info & Articles
Our blog contains news and articles relating to numerous healthcare sectors including revenue cycle management, medical billing, medical coding, ICD, HIPAA, practice management functions and more.
4 Initiatives Advancing Healthcare Interoperability in 2017
Healthcare interoperability has been a priority for vendors and providers since the advent of health data exchange. Timely access to accurate health information regardless of health IT system or location improves provider communication and patient care delivery across the care continuum. This year, healthcare organizations, health IT developers, and federal agencies alike have made a concerted effort to push the industry closer to its goal of true interoperability. The following are four recent initiatives and forthcoming projects aimed at transforming interoperability in healthcare in 2017… Continue reading this article
RCM tip: MACRA calls for a cross-departmental effort
Healthcare organizations should seek cross-departmental collaboration in preparing to manage and execute Medicare Access and CHIP Reauthorization Act initiatives, according to Joncé Smith, vice president of revenue cycle management at Stoltenberg Consulting. Ms. Smith shared the following tip with Becker’s Hospital Review. “Although many may see the IT department as the owner of an initiative like MACRA, true progress can only be achieved from a cross-departmental collaboration among financial, clinical and IT departments. Financial leaders serving on this committee should be responsible for managing the organization’s reporting path, including working with clinical leaders to select the appropriate program measures under either the APM or MIPS track. After all, these program …
Are Biometrics the Future of HIPAA Security?
Medical electronic health records, or EHRs for short, may have the potential to be much more secure than conventional records. That sounds like a bold claim in light of news about data breaches involving personal information. In fact, according to a report from the Identity Theft Resource Center and CyberScout, the number of tracked data breaches in the United States in 2016 hit an all-time high of 1,093. And still, more than 78% of doctors use EHRs, says the CDC. For medical professionals and the healthcare industry as a whole, keeping sensitive data secure and adhering to HIPAA regulations is a top priority. After all, EHRs can include years of …
7 Trends EHR Vendors Must Address to Survive in 2018
A new market report addresses areas where EHR vendors will need to improve their systems in order to stay competitive through 2018. According to Kalorama Information, the $28-billion EHR market dominated by a score large vendors and hundreds of smaller competitors is set for a change as a result of emerging challenges voiced by healthcare professionals such as health IT-related administrative burden and negative perceptions of specific EHR vendors and products. “Small trends that in the past were noted but not addressed, like usability and interoperability, the removal of incentives and lack of market share leadership have bubbled up we believe, to where they are no longer side issues,” said …
Medicare is Still Behind on Telehealth
Medicare has long been criticized for its narrow restrictions on the coverage and reimbursement of telehealth services. A new report to Congress by the US Government Accountability Office (GAO) shows that not much has changed over the years. Mandated by the Medicare Access and CHIP Reauthorization Act, the GAO report noted that Medicare and the US Department of Defense (DoD) trailed the Veterans Affairs (VA) system in their use of telehealth and remote patient monitoring (RPM). On the other hand, the report painted an optimistic picture of Medicare demonstrations and new care delivery models that, it said, might increase the use of telehealth in Medicare. But Gary Capistrant, chief policy …
Paper-Based Billing is Ancient History in Healthcare
“Today’s realities are that managing a practice is more complicated than ever…” That’s how an assessment begins on what it takes to successfully run a medical group in 2017 by Triple Tree, a merchant bank focused on healthcare. In a recent report, the bank also looked at the forces driving mergers of specialty groups. Chief among them is the realization by administrators and their physicians that the healthcare business isn’t what they hoped it would be. The mounting pressures are affecting medical groups’ top and bottom lines. The bank’s report suggests that while opting to be part of a larger group might sound attractive to an independent practice, the non-clinical …
New Proposed Rule to Reduce EHR Data Reporting
A new CMS proposed rule contains two provisions intended to reduce hospital eCQM reporting requirements in response to feedback calling for less aggressive EHR data reporting policies. A couple provisions in a new Hospital Inpatient Quality Reporting (IQR) Program rule proposal outline modifications to electronic clinical quality measure (eCQM) reporting requirements and validation processes. In a public document in the Federal Register, CMS proposed reductions to hospital eCQM reporting policies. In the 2017 calendar year reporting period (and 2019 fiscal year payment determination), hospitals would be required to choose six available eCQMs listed in the Hospital IQR Program measure set and offer two chosen calendar year quarters of data… …
14 things to know about medical coding
Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are 14 things to know about medical coding. 1. AAPC describes medical coding as “the transformation of healthcare diagnosis, procedures, medical services and equipment into universal medical alphanumeric codes.” 2. Once medical coding professionals assign a code to a specific healthcare service or procedure, the code is included on an insurance claim, according to AAPC. This code tells the insurer how much it owes for the care and helps determine how much the patient will be billed. 3. Coders use a …
The Latest Details on HIPAA Compliance Audits
Deven McGraw, deputy director of the Department of Health and Human Services’ Office for Civil Rights has announced that the department’s plans for initiating onsite audits is currently on hold and will remain so until more than 200 desk audits have been completed. An article over on Data Breach Today gives us great detail on where HIPAA compliance audits stand with their enforcing agency. McGraw informed the HIMSS17 conference in February of the delay. We have decided that it makes a lot more sense to [first] take a look at all we had in the desk audit process and even prepare the overarching report to the public about how those …
Is Your Practice Violating HIPAA Regulations?
Corpus Christi Medical Associates (CCMA), a family practice in Corpus Christi, Texas, has always found it difficult to comply with HIPAA’s privacy and security regulations. “We struggle to have enough resources to dedicate to the ever-changing environment,” said J. Stefan Walker, MD, a family medicine physician at CCMA. “There is always something new and regulations are constantly evolving. It’s a moving target, and cyber-liability is probably the greatest risk, added Walker.” Despite this sentiment, Walker was determined not to be one of the practices listed on the “Wall of Shame” webpage maintained by the Office for Civil Rights (OCR) at the U.S. Department of Health & Human Services. Practices are …
