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MiraMed’s eAlerts are distributed via email every Wednesday, and contains the latest industry information regarding business process outsourcing solutions, helpful coding news, or any number of relevant topics in the fast-paced, ever-evolving world of healthcare. To subscribe, simply complete the form below. Below the subscription form, you will find the archived eAlerts available.
July 2, 2013
The key to improving all aspects of performance (clinical, financial and operational) is to really listen to what your patients are saying and act on those insights. With the movement to Hospital Value-Based Purchasing (VBP) and the integration of the Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) survey into a portion of the Inpatient Prospective Payment System (IPPS) hospitals are targeting how they may better communicate with their patients to improve their satisfaction with their total care experience.
Read more: Patient Financial Interactions and Satisfaction
June 26, 2013
The Medicare Payment Advisory Commission (MedPAC) has been addressing Medicare payment differences across ambulatory settings. Currently, Medicare’s payment rates often vary for the same ambulatory services provided to similar patients in different settings, such as physicians’ offices, hospital outpatient departments (OPDs), and ambulatory surgical centers (ASCs). Services that are covered under the fee schedule for physicians and other health professionals, also known as the physician fee schedule (PFS), have two payment rates: one for when the physician provides the service in his or her office (the non-facility rate) and another for when the physician provides the service in a facility such as a hospital outpatient department (OPD), other provider-based entity, or ambulatory surgical center (the facility rate). When a service is provided in a physician’s office, there is a single payment for the service. However, when a service is provided in a facility, Medicare makes a payment to the facility in addition to the payment to the physician. As more physicians shift from free-standing practices to hospital-based outpatient clinics, MedPAC is concerned Medicare spending will increase, as payment rates for hospital outpatient departments are higher than for physicians' offices.
Read more: Addressing Medicare Payment Differences Across Sites of Care
June 19, 2013
The Centers for Medicare and Medicaid Services (CMS) is ramping up their efforts to involve Medicare senior citizens in the government’s ongoing battle to fight health care fraud and abuse. Several new initiatives were recently announced by CMS:
Read more: Medicare Urges Seniors to Join the Fight Against Fraud
June 12, 2013
Today’s discussion is about several fast-approaching deadlines. These include: CMS e-prescribing penalty, Physician Quality Reporting System (PQRS), Electronic Health Records (EHR), Meaningful Use (MU), Health Insurance Portability Accountability Act (HIPAA), and the conversion from version 9 to 10 of the International Classification of Diseases codes (ICD-10). Let’s review each of these programs and what their looming compliance or effective dates mean to health care providers’ future revenue.
Read more: CMS Compliance Countdown Calendars
June 5, 2013
Every six months the Department of Health and Human Services (HHS) Office of Inspector General (OIG) Semiannual Report to Congress describes significant problems, abuses, deficiencies, and investigative outcomes undertaken by the Department. The Semiannual Report is often described as the OIG's “make good report” to support ongoing investigations and additional funding requests to Congress. This report provides some valuable insight to all health care providers on the war against fraud and abuse.
Read more: Summary of the US Department of Health & Human Services Office of Inspector General Semiannual...
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