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MedPAC approves final 2015 hospital payment recommendations
Becker's Hospital Review
The Medicare Payment Advisory Commission has approved a final recommendation that Congress increase Medicare payment rates for hospitals in fiscal year 2015, according to an AHA News report. MedPAC has recommended upping rates by 3.25 percent for the hospital inpatient and outpatient prospective payment systems in the absence of sequestration cuts and by 5.25 percent if the spending cuts continue, according to the report.
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The basics to better billing
Chiropractic Economics
Could Medicare consider paying chiropractors for evaluation and management services? While collecting from Medicare for your services can be challenging, it's not impossible if you know the rules. Not only do you have to navigate the appropriate ICD-9 and CPT codes, but you also have to deal with tertiary diagnosis. And, in less than a year, you have to transition to ICD-10. To understand the appropriate way to collect from Medicare for your patient encounters, consider the following five essential rules.
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Save the dates: Legislative Day & The 2014 ANI
Legislative Day 2014 will be held at the Hyatt Regency Washington on Capitol Hill, Washington, D.C. from April 23-24. Registration is now open! Click here to register.

Represent your facility, your state and your industry at the one political event that directly impacts you, your facility and your bottom-line — AAHAM Legislative Day. Our strong grassroots program creates new opportunities for our industry but we need your continued support! We need you to make the trip to Washington to make a difference in our industry, attendance is limited, so register to attend today. It is all about strength in numbers. The more AAHAM members participate in this effort, the stronger the voice AAHAM will have. Remember, if you don't speak up someone else will.

The 2014 Annual National Institute will be held at the Manchester Grand Hyatt in San Diego, Calif., from Oct. 15-17.

The ANI is attended by nearly 500 National members and over 75 exhibitors. Each year, the members of AAHAM come together to exchange ideas, renew old friends, make new ones and further their knowledge and education in the field of Patient Account Management.

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  Is your organization on track for ICD-10?
Optum CAC solution and services are optimized to help boost coder efficiency and accuracy and can help your organization tackle ICD- 10 coding challenges without missing a step. Powered by our patented natural language processing (NLP) technology Optum LifeCode®, our CAC solutions help increase your productivity and revenue now, while ensuring ICD-10 compliance later. Start a conversation on ICD-10 and be prepared starting today.

Congress is poised to change Medicare payment policy — what that means for patients, doctors?
Kaiser Health News
After years of legislative wrangling and last-minute patches, expectations are high among physician groups, lawmakers and Medicare beneficiaries that Congress could act this year to permanently replace the current Medicare physician payment formula.

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AMA forecasts busy 2014 with stage 2 meaningful use, ICD-10
EHR Intelligence
Between the implementation of ICD-10, the beginning of stage 2 meaningful use and several big federal changes, the top five biggest national issues to affect providers in the coming year are all hefty challenges.

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Simplifying patient billing not simple
Healthcare Financed News
Patient billing and explanation of benefits documents frequently baffle both patients and providers alike. This confusion impacts providers' ability to collect on patient bills, so some providers are trying to simplify patient billing for patients in an effort to increase their debt recovery.

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Survey: ICD-10 preparedness lacking
By Pamela Lewis Dolan
As the deadline for switching to ICD-10 code sets inches closer, concern is growing that neither healthcare organizations nor insurers will be ready to go live by October. A survey by KPMG, a New York-based healthcare advisory firm, found the majority of health plans and providers have allocated budgets toward ICD-10 readiness and had completed impact assessments. But most had not yet conducted testing on their systems or determined how the conversion would impact revenue cycle and cash flow.
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Health insurers think Obamacare is going to be fine
The Washington Post
Obamacare's troubled rollout hasn't scared insurers out of the marketplace. Instead, speaking to thousands of healthcare investors gathered in San Francisco, plan executives describe the Affordable Care Act as, at worst, a fixable mess and, at best, a major growth opportunity.
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  Lead Health Care Transformation

Advance your career with a flexible, online degree.  We offer MBA Health Care, Master of Health Care Informatics, and M.S. Nursing programs designed for current health care workers seeking career growth. Your success is our goal!

Upcoming webinars
'Social Security Disability - The Basics'
Feb. 12 at 1:30 - 3 p.m. EDT

'The Myth of the Medicare Improvement Standard and Other Rehabilitation Denial Pitfalls'
Feb. 26 at 1:30 - 3 p.m. EDT

'Chaos: Surviving and Thriving in Change'
March 12 at 1:30 - 3 p.m. EDT

Click here for online member registration.

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Business intel tools require strategic approach for full impact
Healthcare Finance News
Business intelligence software has become the darling of many hospital financial managers. But like some "sweethearts," it can turn your life around — or ruin it. It all depends on how carefully you choose, and in the case of BI platforms, how well you fold these tools into your overall strategic plan.
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New medical codes parse ailments to the finest detail
The Hartford Courant
The difference between an injury at a music hall and one at an opera house is one of many thousands of details that will be parsed by a new healthcare classification system that begins in the U.S. on Oct. 1 — a deadline that presses on every healthcare provider and insurer in the nation. It's a change that some say will improve healthcare and billing.
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Looking for similar articles? Search here, keyword(s): Efficient processes.

Hospitals must rethink front-end revenue cycle as healthcare changes
Healthcare Finance News
At present, a hospital's patient-facing operations largely focus on providing appropriate care, while compensation is sorted out later in the back-office – an administrative, business-to-business process between hospital and insurers. But even in not-for-profit hospitals, executives have started to realize that, if they want to survive as healthcare expands and becomes consumer-oriented, they are going to have to focus on revenue cycle management and rethink the way they manage their front end.
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How are EHR systems made useful in a community of care?
EHR Intelligence
The sense of community between physician and patient has been a tradition of the healthcare experience. It's that community that not only represents the local nature of care but also the nature of trust that is built and sustained over time between these people in this relationship.
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Missed last week's issue? See which articles your colleagues read most.

    Simplifying patient billing not simple (Healthcare Finance News)
HHS to strengthen enforcement of HIPAA transaction rules (InformationWeek)

Don't be left behind. Click here to see what else you missed.


AAHAM eNewswatch
Colby Horton, Vice President of Publishing, 469.420.2601
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Lisa Smith, Senior Content Editor, 469.420.2644  
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