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Price Transparency – Front and Center
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Monday, 10 August 2015 03:31. Price Transparency Front and Center. Written by Gregory M. Adams, FHFMA. Why is price transparency needed now? While in the past, pricing primarily mattered to patients without insurance, with the recent significant changes in insurance plan design and employer-sponsored plans increasing, the employee cost-sharing amounts have risen significantly so there has been an exponential growth in the need for this information. First, the guiding principles:. Recommendation No. 1:.
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Risk Aversion: How Community Hospitals Can Successfully Tackle Value-Based Arrangements
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Monday, 10 August 2015 03:41. Risk Aversion: How Community Hospitals Can Successfully Tackle Value-Based Arrangements. Written by Phil Kamp. Traditional health insurance as we know it is evolving. And with recent consolidation in this arena, most recently Anthem’s acquisition of Cigna. While this may be true in some circumstances, it’s not a hard-and-fast rule. In fact, hospitals in the middle market such as community medical centers and smaller systems are ideally positioned with distinct advantages...
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VBP and Cost: How Close Are We to Population Health?
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Tuesday, 21 July 2015 05:06. VBP and Cost: How Close Are We to Population Health? Written by Philip Nathanson. No, this didn’t happen on the planet Pandora, or elsewhere in an alternate universe. Or maybe it did. This kind of preventive, patient-centric healthcare delivery is different enough from today’s norm to qualify as otherworldly. But could it be waiting in the near future for all of us? Why are we in this boat, and how do we get out of it before it sinks? Unthinkable. Single payer? The three-year...
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Leveraging CDI Expertise to Properly Document Present-on-Admission and Hospital-Acquired Conditions
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Wednesday, 01 July 2015 23:18. Leveraging CDI Expertise to Properly Document Present-on-Admission and Hospital-Acquired Conditions. Written by Maureen Bucci RN, BSN, CCDS. Enter the clinical documentation (CDI) specialist. To view the full report online, go to http:/ www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Downloads/Accuracy-of-coding-Final-Report.pdf. Acute osteomyelitis of left foot. Sepsis due to osteomyelitis. Resolved sepsis due to osteomyelitis. Therein lies the rub:.
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Leveraging Evidence-Based Medicine in the Hospital Setting
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Friday, 20 March 2015 20:39. Leveraging Evidence-Based Medicine in the Hospital Setting. Written by Ronald Hirsch, M.D. This email address is being protected from spambots. You need JavaScript enabled to view it. Last modified on Friday, 20 March 2015 20:49. Ronald Hirsch, M.D. Latest from Ronald Hirsch, M.D. Response to Mystery Patients Article. OIG Chief Medical Officer: Quality of Care, Documentation Matters. More in this category:. Revenue Meets Quality: It’s Complicated ». VBP and Cost: How Close Ar...
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The Evolution of CMS Readmission Measures Sparks Movement toward Population Health Management in U.S. Hospitals
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Tuesday, 21 July 2015 05:19. The Evolution of CMS Readmission Measures Sparks Movement toward Population Health Management in U.S. Hospitals. Written by Vicky Mahn-DiNicola, RN, MS, CPHQ. The more optimistic perspective may be that this new measurement standard will contribute added incentive for hospitals and healthcare systems to implement more robust population health management (PHM) strategies to improve care transitions across their communities. PHM interventions may consist of provider-centric and...
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Enews
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Subscribe to this RSS feed. Tuesday, 25 October 2016 05:05. MIPS Quality Performance Highlights for 2017. Written by Stephanie Doran, RHIA. Transition to the Merit-based Incentive Payment System. Understanding the Rules of Reporting. Reporting Quality to MIPS. The quality formation of MIPS is outlined, and 2017 promises clinicians a winning record. Quality Participation in Advanced APMs. Calculating Quality Measure Scoring. Stephanie Doran is a health information management (HIM) consultant and project m...
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Editorial Board
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Gregory M. Adams, FHFMA. Panacea Healthcare Solutions, Inc. Maureen Bucci, BSN, RN, CCDS. Panacea Healthcare Solutions, Inc. John Derr, RPh. JD and Associates Enterprises. Robert J. Fortini, PNP VP, Chief Clinical Officer. Bon Secours Medical Group. Kathleen Geier, RN, BS, CPHIMS. Health East Care System. Gene Good, Esq, CPA, MAcc. Catherine Gormam-Klug, RN/MSN. King and Spalding L.L.P. Jennie Hitchcock, CCS-P, CMPE. Compass International Resources, Inc. Janet Hughes, MBA. Mark Jarrett,MD,MBA, MS. NEWS A...
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CMS Releases More Final 2016 PPS Rules: Quality Continues to Be a Major Component
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Tuesday, 11 August 2015 03:36. CMS Releases More Final 2016 PPS Rules: Quality Continues to Be a Major Component. Written by Kim Charland, BA, RHIT, CCS. Below are some excerpts from the 2016 final rules related to value-based purchasing (VBP) and quality for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs). We will be following up with additional articles over the next few weeks featuring industry reaction, so please stay tuned. Background on the IPFQR Program.
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Writer's Guidelines
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Emailing an abstract of your idea is preferred. Please e-mail your abstract to the editor: This email address is being protected from spambots. You need JavaScript enabled to view it. Include your full name, credentials/degrees/affiliation (if any). For the purposes of verification - not publication - include your postal address and daytime phone number. Make it relevant and to the point and between 1,000 to 1,200 words. Authors are solely responsible for the content of articles submitted. VBPmonitor...