Reimbursement
The federal Pioneer Accountable Care Organization Model that was announced last May is asking too much of providers, too soon, according to Brian Yeaman, chief medical information officer of Oklahoma-based Norman Regional Health System.
NaviNet, the real-time healthcare communications network, has announced NaviNet Doc Xchange, which enables electronic document exchange among providers, insurers and others, reducing mail- and fax-based submission.
Although CMS made changes to the billing of concurrent therapy and higher levels of therapy at skilled nursing facilities, Medicare payment rates increased by $2.1 billion between the last six months of 2010 to the first half of 2011, said a report from OIG.
Some form of shared savings and bundled payments will become a reality no matter if it looks like the current proposals of the Centers for Medicare and Medicaid Services (CMS) or a version that is developed for a Republican agenda because the current healthcare cost trends are unsustainable.
The Department of Health and Human Services has released a proposed rule detailing how states can create and operate their health insurance marketplaces, where consumers and small businesses can comparison shop for health plans starting in 2014.
As all eyes focus on the efforts of states to get their mandated health insurance exchanges up and running, Bloom Health this week entered the fray with the launch of two "private" exchanges serving individual health plans and their members.
Health Level Seven (HL7) and the International Health Terminology Standards Development Organisation (IHTSDO) announced Thursday that they have expanded collaborative efforts.
Now that July is here, the health IT realm is officially within the six-month countdown to HIPAA 5010. It's no surprise that the state of the HIPAA 5010 transition is something of a mess.
OptumInsight (formerly Ingenix) and Dallas-based RemitDATA have together launched Remit Advice Professional, a Web-based service that offers physician practices access to intelligence about health plan claims processing trends, alongside coding and referential tools to increase productivity, reduce denials and prevent delays.