eAlerts

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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.

CMS 2019 IPPS Proposed Rule Calls for More Transparency, Less ‘Administrative Burden’

May 2, 2018

In keeping with the current administration’s emphasis on increasing price transparency in healthcare (see our March 28, 2018 eAlert), the fiscal year 2019 Inpatient Prospective Payment System (IPPS) proposed rule of the Centers for Medicare and Medicaid Services (CMS), issued on April 24, 2018, proposes that hospitals begin publishing their standard charges online each year.  The proposal would take price transparency a step farther than the current requirement that hospitals make the information publicly available.

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Keep HIPAA Compliance on Your Radar

April 25, 2018

The secured email protocols and other measures designed to protect sensitive patient information that hospitals and billing companies have implemented during the past few years can seem like a hindrance, but they’re necessary in the age of instant access to information—and cybercrime.  They’re also required by law. With the threat of penalties and fines for breaches of protected health information (PHI) and electronic PHI (ePHI) under the Health Insurance Portability and Accountability Act (HIPAA), these privacy and security controls have become the new norm.

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Study Forecasts Primary and Specialty Physician Shortages

April 18, 2018

It’s no secret that the United States population is aging.  In just over a decade, the number of Americans in the 65-and-older age bracket will have mushroomed by 50 percent.  Not as widely known is the fact that this aging population is likely to impact physician supply as well, because one-third of all currently practicing physicians will be older than 65 within the next 10 years.  Many of these physicians will be choosing to retire, although what proportion will do so is not yet known. Many others will reduce their clinical hours.

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RAC Changes on the Horizon

April 4, 2018

The controversial Recovery Audit Program of the Centers for Medicare and Medicaid Services has garnered criticism from the American Hospital Association and other groups for its role in generating a huge backlog of appeals that can take months, if not years, to resolve, straining hospitals’ financial resources in the process.  A 2017 study published in the Journal of Hospital Medicine found that the appeals process for denied claims can drag on for more than four years.

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