How Has Natural Language Processing Technology Changed Healthcare?

When you search on your smartphone for something by saying "OK Google," or call on iPhone's Siri for assistance, or ask Amazon's Alexa for help, the system knows that "CA" means "California." But when you search for something on SharePoint, or in a clinical record, or even across multiple systems, does the system recognize the intent of your search...
Continue reading
0 Comments

Emergency Waivers Help Providers Care for Hurricane-Affected Patients

Healthcare providers, if you serve Medicare, Medicaid and Children's Health Insurance Program (CHIP) patients in the counties and geographical areas impacted by Hurricane Irma and Hurricane Harvey, or see patients who have been displaced from their homes in these areas who are in need of care, you need to know how government payers are responding t...
Continue reading
0 Comments

Hurricane Harvey’s Public Health Crisis

Hurricane Harvey wreaked havoc in southeastern Texas last week. The tropical cyclone or what is called a category four hurricane caused unprecedented and catastrophic flooding in the southeastern part of the state. It was the first major hurricane in the U.S. since Wilma in 2005, a category five hurricane with winds of up to 185 mph.Harvey is the w...
Continue reading
0 Comments

Tips to Make the Most of Your Community Health Needs Assessment

Non-profit hospitals must conduct a community health needs assessment (CHNA) every three years and submit a report detailing the CHNA's findings in order to comply with Section 501(r) of the Internal Revenue Service tax code and maintain their non-profit status. The following compendium of recommendations and reminders will help your organization d...
Continue reading
0 Comments

CMS Modifies Bundled Payment Programs, Seeks Comments

The proposed rule change posted to the Federal Register on August 10, 2017 indicates the Centers for Medicare and Medicaid Services (CMS) will rescind the regulations governing two mandatory bundled payment programs, the Advancing Care Coordination through Episode Payment Models (EPMs) and Cardiac Rehabilitation Incentive (CRI) Payment Models, whic...
Continue reading
0 Comments

CMS New Rule Aims to Boost Flexibility, Innovation

On August 2, 2017 the Centers for Medicare & Medicaid Services (CMS) issued the Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) final rule that updates Medicare payment and polices when patients are discharged from hospitals. The changes, which will apply to approximately 3,330 acute care hospitals and approximately 420 long-t...
Continue reading
0 Comments

Data Breach Website Helps Providers and Patients Research and Report

Among other things, the HITECH Act of 2009 requires the Department of Health and Human Services (HHS) to publish information about breaches of protected health information (PHI) involving 500 or more patients. Following recent changes to the agency's website, that information still appears, but if the breach is 24 months old or older, it now appear...
Continue reading
0 Comments

Industry Groups Fuming about OPPS Proposed Rule Cuts of 340B Payments

The Centers for Medicare & Medicaid Services (CMS) is pursuing changes that would cut 340B payment rates to hospitals and may impair safety-net hospitals' ability to treat low-income patients.The 340B program requires drug manufacturers to provide outpatient drugs to eligible healthcare organizations and covered entities at considerably reduced...
Continue reading
0 Comments

OIG Announces New Work Plan Process

The Department of Health and Human Services, Office of Inspector General (OIG) has announced that it is converting to a "dynamic, web-based Work Plan" format. Under this new policy effective June 15, 2017, Work Plan updates that have historically been released once or twice each year will now be released monthly in order to "enhance transparency ar...
Continue reading
0 Comments

Six Cybersecurity Imperatives: National Task Force Maps a Cohesive Plan for Healthcare

Healthcare's uniquely and inherently open and sharing culture enables healthcare professionals and facilities to carry out their very important work. But this same openness, which includes an increasing number of disparate but connected health information systems, also makes healthcare uniquely vulnerable to myriad types of intrusions on the privac...
Continue reading
0 Comments

25 Keys to a Patient-Centric Revenue Cycle

Optimizing your revenue cycle management process is a key component for addressing a multitude of industry trends such as changes in regulations, consumerism and new reimbursement structures.Today's patient centric revenue cycle requires the right systems to drive performance; however, employing systems based solely on their robustness does not gua...
Continue reading
0 Comments

Medicare Reimbursement Policy Changes Under the 21st Century Cures Act

The 21st Century Cures Act (CCA) has been proclaimed by some policymakers to be "the most important legislation" Congress passed in 2016. Among many important provisions relating to precision medicine, drug innovation, telemedicine and mental health reform, the CCA also includes several potentially high-impact Medicare reimbursement policy changes ...
Continue reading
0 Comments

CMS Actuary and Congressional Budget Office Differ on Predictions for Costs and Uninsured for the AHCA

The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary has estimated that the House-passed American Health Care Act (AHCA) would reduce insurance coverage by 13 million people by 2026—10 million less than the Congressional Budget Office's (CBO's) prediction.The actuary estimated that average net premiums paid by consumers in the...
Continue reading
0 Comments

How Physician Compare’s New Five-Star Ratings Will Impact Clinicians and Healthcare Organizations

In late 2017, the Centers for Medicare and Medicaid Services (CMS) will implement a new benchmark and five-star quality rating system for clinicians and group practices on Physician Compare, the website mandated by the Affordable Care Act (ACA) to help patients, families and caregivers make more informed choices regarding healthcare services. The c...
Continue reading
0 Comments

CHRONIC Care Act Proposes Big Boost in Home, Telehealth Services

On May 18th, the Senate Finance Committee unanimously approved a bill designed to improve care for Medicare beneficiaries with chronic conditions. The Creating High-Quality Results and Outcomes Necessary to Improve CHRONIC Care Act (CCA) of 2017 would increase access to telehealth services for Medicare beneficiaries with chronic illnesses—including...
Continue reading
0 Comments

Feds Take Aim at Medicare Advantage Insurers - Physicians Should Also Take Heed

Medicare Advantage (MA) insurers have gotten themselves into hot water lately with the federal government. The U.S. Justice Department (DOJ) is suing UnitedHealth Group (UHG), accusing the nation's largest MA provider of exploiting the program by providing inaccurate information about the health of its enrollees. DOJ alleges the practices have led ...
Continue reading
0 Comments

Cybersecurity News and Best Practices for Healthcare Providers

Do the names WannaCrypt or WannaCry mean anything to you? They well might, by now. In a global cyberattack that began on May 12, 2017, this aggressive form of ransomware infected more than 300,000 Windows PCs in 150 countries across Europe, Latin America and Asia.Of special note for hospitals and healthcare professionals—the malware attack wreaked ...
Continue reading
0 Comments

Studies Shed Light on Provider Readiness for Value-Based Care

The shift from traditional fee-for-service (FFS) models to value-based payments is of growing concern to all healthcare providers. Various types of value-based models are described in the news on a regular basis, with no shortage of opinions as to how quickly this transition will occur and frequent calls to action by those who would like to help yo...
Continue reading
0 Comments

Survey Debunks Perception That Medicaid Offers Lesser Levels of Care

​Healthcare in America is expensive. The share of the U.S. economy devoted to healthcare spending is currently 17.5 percent, and the Centers for Medicare & Medicaid Services (CMS) projects it will reach 19.6 percent by 2024. Estimates put total U.S. spending on healthcare at more than $5.4 trillion by that point, with both the private and publi...
Continue reading
0 Comments

Attitudes About Aging and End-of-Life Care: Kaiser Survey

U.S. Census Bureau projections indicate that Americans 65 and older will make up 24 percent of the U.S. population by 2060. A majority of adults in the U.S. say that the government is "not too prepared" or "not at all prepared" to deal with the aging population, according to a recent survey conducted by the Kaiser Family Foundation in partnership w...
Continue reading
0 Comments

Sign up for our eAlerts and Newsletters

 

 

Family of Companies Video

 

Please sign up to receive our communications. We offer weekly healthcare-specific eAlerts; The Code, our quarterly coding newsletter; and The Focus, our quarterly healthcare journal featuring articles by experts in the healthcare industry. Sign Up Now!