Regulatory Issues

WEDI Survey: ICD-10 Delay Gives Healthcare More Times but Less Readiness

By Sarianne Gruber – In a letter from Mr. Jim Daley, Past–Chair of WEDI, to Sylvia Mathews Burwell, Secretary Department of Health and Human Services, Daley accounts that the “delay has had a negative impact on some readiness activities”. The Workgroup for Electronic Data Interchange (WEDI) released the results of its February 2015 ICD-10 Industry Readiness Survey.

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Lost in Translation: SGR and ICD-10

In the film Lost in Translation as the end of their time together approaches, Scarlett Johansson tells Bill Murray “Reality changes things…we can’t stay here forever.” One of the core reforms in the SGR bill (H.R. 2) is a move from a physician payment system that rewards volume to one that rewards value. The move to measuring and paying for value means the reality of SGR has changed things.




Gathering Feedback on the Certification Rule

By John Halamka MD – Over the next 3 months, the HIT Standards Committee will review every detail of the 431 page Certification rule. We’ll also be holding calls to look at the rule as a whole. At least one call will be open to the general public. Think of this as reviewing the “trees” and the “forest”.


OIG Announces Multi-year Meaningful Use Audits Coming Soon

By Jim Tate – Lost in the furor and excitement of the recently released Proposed Stage 3 MU Rule something slipped by us. Robert Frost would say it “came on little cat feet”. John Lennon would say it came in “like a lizard on a window pane”. What is it that crept in through the cracks in the floor and why should we care?



Concerns for Preferred Provider Agreements

By Matt Fisher – Advisory Opinion 15-04 issued by the Office of the Inspector General (“OIG”) on March 25, 2015 offers some warnings when entering into preferred provider agreements. The new Advisory Opinion arose in the context of laboratory services, but the principles discussed are easily applicable to any preferred provider arrangement. The advice and insight are important in light of the increasing desire among providers to identify and enter into preferred provider agreements.