Regulatory Compliance

In a recent article by John Lynn, he explains that ACOs are a good idea, but physicians can influence the outcomes and not control the outcomes. In my earlier blog I started to explain that ACO success and longevity will depend on changing patient behavior. This starts with the physicians. For decades, patients, and some […]

Choosing your clearinghouse or VAN is a very important step, especially if you are in healthcare. In healthcare you need to make sure they are HIPAA compliant, which means they will be able to handle all the mandated transaction sets. Other industries have different requirements. Whichever clearinghouse you choose, you need to make sure they […]

Since Health and Human Services Secretary Kathleen G. Sebelius announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10), the healthcare industry is still trying to figure out the scope and the impact […]

I was reading my collegue Mike Berard’s blog, on ICD-10 Revenue Neutrality: A Strategic Approach. We have discussed the importance of testing before production between Payer and Provider (e.g., Physicians and facilities). In his 2nd to last paragraph Mike proposes the following: “The reality is that Revenue Neutrality verification is still subject to the availability […]

About a year ago I blogged, “Will we be reading in 2011 ACOs partner with large carriers?” I am hearing that carriers are staying away from ACOs and are not planning on partnering. What have you heard? Was my assumption incorrect in 2011?

Meaningful Use Stage 1 encouraged physicians to implement an EHR in order to capture discrete and some unstructured healthcare data with the future goal of sharing this across the industry. Stage 2 reimbursement (preliminary) will be based on the patient taking an active role in the sharing of this data. This is contrary to the […]

Industry Today Healthcare ranks as the largest industry in the world and is responsible for generating over $4.5 billion in revenue. While the United States is home to only 5% of the total world population, US residences are responsible for nearly half ($2.2 billion) of annual healthcare expenditures. The industry provides employment to over 15 […]

Does the mere mention of “ICD-10” bring on an anxiety attack of some sort? For the majority, the answer is yes! This is probably because, like numerous organizations, you still haven’t begun the necessary planning for the transition from ICD-9 to ICD-10. Hospital administrators, physicians and medical coders are dropping to their knees and praying […]

Health care organizations which do not qualify for incentive reimbursement have in large part not implemented EHRs, leading researchers involved in a study published in the March issue of Health Affairs to conclude that it is the incentives rather than factors such as improving patient care which are driving EHR adoption. Under the 2009 federal […]

Providers are increasing their reliance on cloud technology to better address organizational hiccups and bottlenecks. Why? Because cloud technology allows resources to be accessed on demand, which results in a more effective and efficient work force, stronger operations and better customer care. It is a low-cost option that blows the competition out of the water. […]

Cindy O’Neill from Microsoft interviewed Perficient’s Martin Sizemore at HIMSS 2012 on accountable care, meaningful use, mobility, social media, cloud, portals and business intelligence solutions.

Several of the organizations that represent some of the many stakeholders in the healthcare delivery system have turned up the volume against ICD-10, yet again. Some of the arguments against it are that there’s too much of a burden due to compliance work already being done on other directives and some have also exclaimed that […]