The Obama administration and health insurers took steps recently to standardize and improve the measures that are intended to gauge the quality of healthcare. The CMS and trade group America's Health Insurance Plans (AHIP) have announced an agreement to adopt a core set of quality measures for the nation's doctors. Officials say the measures are necessary as payers and consumers bear more responsibility for finding and purchasing high-quality care and providers are increasingly paid under contracts tied to their quality performance. This is a good move!Read More
GeBBS Healthcare Blog
The climb to conquer Mount ICD-10 is going to get steeper and more difficult. Be sure you have an experienced guide to help you on this perilous journey. The ICD-10 transition difficulties were lessened by CMS by not dropping all of the thousands of new codes on the healthcare industry at one time. That is going to change.Read More
By Nitin Thakor, GeBBS President & CEO
The HHS Office for Civil Rights (OCR) recently imposed heavy monetary fines and acceptance of resolution agreements and corrective action plans on two provider organizations following substantial violations of the HIPAA privacy and security rules.
About 30 organizations to date have now agreed to such sanctions after OCR determined they were essentially ignoring HIPAA.Read More
For years, healthcare officials have worried out loud that privacy and security breaches could undermine public support for a federal program to accelerate the shift from paper to electronic health record (EHR) systems. But for just as long, healthcare spending on security has lagged behind security spending in other industries.Read More
The old adage: an ounce of prevention is worth a pound of cure holds true for the potential increased denials that the new ICD-10 code set will bring when it is finally implemented in October 2014.
The conversion to ICD-10 is a HIPAA code set requirement. Providers, including physicians, are HIPAA “covered entities”, which means that you must comply with the HIPAA requirements.
In the face of today’s uncertain healthcare financial environment brought on by the effects of the American Recovery Reinvestment Act (ARRA Public Law 111-5) and Health Information Technology for Economic and Clinical Health Act (HITECH) and the House and Senate’s versions of the Affordable Healthcare Act for America, how can your healthcare organization deal with the shortage of certified medical coders needed for billing and audit functions?