By Crystal Ewing – Historically, providers have often treated claim denials the way many of us treat a speeding ticket. We may not be quite sure how much we were actually speeding—we may even disagree that we were speeding at all.
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By Matt Fisher – The HIPAA spotlight is beginning to shine brightly on business associates. Covered entities have long had their time to star, so it is only fair to share the stage now. It is likely that covered entities are only too happy to have the Office for Civil Rights and others focus attention on business associates with all the consequences that come with such attention.
By Thomas Grove – Many EHR components were developed as early as 30 years ago, but it wasn’t until 2009 that the federal Meaningful Use incentive program precipitated wide-spread implementation of robust EHRs across healthcare.
By Elise Sweeney Anthony – The “ONC Health IT Certification Program: Enhanced Oversight and Accountability” final rule is a key part of the ONC’s commitment to accelerate the interoperable flow of electronic health information.
By Lindsay Stratman – You’ve delivered the care. Your team has diligently documented the encounter and coded the claim. They’ve ensured it reflects everything they know should be included for that specific payer.
By Ben Regalado MBA – Payment rates, also known as “reimbursement” (an outdated term if there ever was one), may not be keeping up with the increase in cost of living, but the federal government isn’t so much worried about your revenue as its own.
By Jeremy Guttman – Healthcare leaders who were once optimistic about value-based reimbursement models are becoming doubtful after seeing the performance of several programs. ACOs are achieving modest gains.
By Patrick Conway MD & Tim Gronniger – The unfortunate experience of having to return to the hospital after recently being treated—or watching the same thing happen to a friend or family member—is all too common.
By Neil Simon – When CMS decided recently to allow physician practices to delay compliance with the MACRA cost and quality program, it was as if a collective sigh of relief could be heard across the country.