Inpatient Psychiatric Facilities Impacted by Affordable Care Act, ICD-10

Section 1886(s)(4)(C) of the Social Security Act, amended by sections 3401(f) and 10322(a) of the Affordable Care Act requires IPFs to report quality data for 6 quality measures starting in fiscal 2013 for Medicare beneficiaries. Beginning in FY 2015, two quality measures are added. Why does this matter in the context of ICD-10? The quality measures will be based on diagnosis and procedures coded in ICD-10 beginning October 1, 2015.

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Mobile, Analytics, Cloud, Value-Based Care, Social Dominate News at HIMSS15

Record attendance at HIMSS 2015 in Chicago - over 43,000 people. Now that HIMSS15 is over, take a look at some of the trends that dominated the headlines, the social buzz and the chatter at after show cocktail parties. Of course, there were the overarching themes of interoperability, and population health, but there were some key themes that received the most attention.

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5 Experts at San Diego Healthcare Innovation Summit April 17th at Scripps La Jolla

Experts to Review Electronic Health Care Innovation, Regulations and Mobile Health at Scripps, April 17th A group of companies will participate in a comprehensive discussion on the current and future…

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State Insurance Exchange Status by Governor, Political Party – Introducing the HIX Index

As of Wednesday November 14th, here is an update on which direction each state is headed. States have until Friday November 16th to declare their intentions, although States received extra time from U.S. Health and Human Services to submit operating plans for the Insurance Exchanges until December, 2012.

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Out of Network Claims Market Gets More Interesting: Cedars-Sinai, UCLA Dropped by Anthem

Out of Network Claims Explained One of the most significant inefficiencies in health care is the pricing strategy of health plans regarding their policy on reimbursement for members who receive…

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Does a Flaw in the ACO Business Model Leave out the Patient? Yes. Here’s Why.

January 2010 While federal legislation focuses on payor/provider synergies, there is nothing in the mandated programs beyond pilot projects or experiments according to the legislative texts. According to ATUL GAWANDE, writing for…

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Titanic Still Teaching us Lessons about Regulations

Almost everyone who studies the problem agrees that longitudinal health records are beneficial, but as I look into how HHS is hoping to do this, there are gaps that aren't being addressed.

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Anti-Injunction Act Bars Litigation of Affordable Care Act?

An amicus curiae or "friend of the court" brief focused on whether the Court may leave PPACA in effect even if it determines that requiring all Americans to purchase health insurance or pay a penalty is unconstitutional.

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Stage 2 Meaningful Use, Interoperability of EMRs and ICD-10. What is CMS, ONC and HIPAA Impact on Accountable Care Organizations?

One of the key questions will be how the EMR provides a foundation with the Health Information Exchanges (HIEs) for comparative effectiveness data over the life span of a patient (sometimes called the continuum of care) and whether CDA standards currently proposed will accomplish that. Informatics people call this "longitudinal clinical data."

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ICD-10 Implementation Dealine: Repeal of Omabacare and Affordable Care Act is a Separate Issue

ICD-10 implementations must move forward despite Presidential campaign promises to repeal 'Omabacare' or the Affordable Care Act. As Business Week pointed out this week, repealing the Accountable Care Act is not that easy. And even if it were repealed ICD-10 is a HIPAA mandate that was enacted prior to President Omaba's election in August 2008. Hospital systems should push ahead on ICD-10 Assessments, ICD-10 Implementation Plans, and get ready for the shift to ICD-10-CM which includes many more diagnosis codes than ICD-9. ICD-10 PCS also include many more procedure codes than ICD-9.

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