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Home   Members Only   About Us   Advertise   Join   Certification Feb. 16, 2011

More hospitals place patients on observation
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Efforts to tighten the criteria for hospital admissions or avoid costly readmissions may have an unintended consequence. As Medicare, Medicaid and private insurers closely scrutinize whether patients really need to be admitted to a hospital, more patients may find themselves in what critics call "observation limbo." More

Reform law rollout forges ahead despite GOP budget threats
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With an outright repeal of the national health system reform law blocked by the Senate, congressional Republicans aim to make 2011 a year of rolling back individual parts of the statute. However, key portions of the law are expected to take effect or move forward significantly this year despite any GOP efforts to cripple them. More

HIPAA privacy disclosures rule may soon be published
Health Data Management    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The Department of Health and Human Services has sent to the Office of Management and Budget for review a proposed rule to modify disclosures of information under the HIPAA privacy rule. OMB review is one of the last steps before a rule is published in the Federal Register. The rule would implement the accounting for disclosures provisions of Section 13405 of the HITECH Act. More

2011 Legislative Day
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Sponsored by AAHAM, this event brings you face-to-face with the decision-makers in Washington who will determine the outcome of our industry's top legislative priorities. With Legislative Day 2011 right around the corner, March 30-31, AAHAM is excited to present you with a jam-packed agenda for this year's trip to the Hill. This year, Legislative Day will be held at the Liaison on Capitol Hill Hotel in Washington, D.C. The deadline to register and to reserve your room at our special discounted AAHAM rate of $259 is March 4. If you have any questions, please contact the AAHAM national office. You may download a registration form and register online at More

Insurance Accounts Receivables Collection Attorneys

Slow paying insurers? Denied insurance accounts? Find out why nationally recognized hospitals utilize this law firm to collect slow paying and denied insurance accounts receivables.

New payment systems for medical offices
Health Data Management    Share    Share on FacebookTwitterShare on LinkedinE-mail article
As the prevalence of high-deductible healthcare insurance plans rises, driving up consumers' initial out-of-pocket medical expenses, doctors and medical clinics are seeking new ways to collect payments through credit and debit cards. The trend is creating opportunities for developers of systems that enable doctors' offices and clinics to lock in a patient's bank card information at the time a medical service is performed so they may charge the account when providers and insurance carriers later determine the patient's out-of-pocket costs. More

Insurers' out-of-network pay changes likely mean they will pay less for care
American Medical News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Physicians who are outside big insurers' networks in several states can expect health plans to pay even less of the cost of their services as Medicare rates replace fee schedules based on "usual, customary and reasonable" rates, doctors organizations say. More

Healthcare administration simplification
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As you know, there is lots of dialogue on Capitol Hill right now about the Patient Protection and Affordable Care Act (PPACA), and efforts by House Republicans to repeal this law. Whatever happens with the law, we need to reinforce with our legislators to keep administrative simplification (Section 1104) to help reduce costs and increase efficiency in healthcare operations. Please click here to ACT NOW and send an email to your congressmen — to retain administrative simplification in whatever healthcare reform legislation is enacted. More

New AMA survey invites physicians to weigh in on burdensome regulations
American Medical Association    Share    Share on FacebookTwitterShare on LinkedinE-mail article
The American Medical Association has developed a new survey that invites physicians to provide their input on how federal rules and regulations impact their practices. The survey is in response to an executive order issued by President Obama on Jan. 18, which called on all government agencies to complete an analysis of rules that may be ineffective, insufficient or excessively burdensome. More

Microsoft offers states its insurance exchange IT solution
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Microsoft is jumping with both feet into the IT market for state insurance exchanges. The company is offering "turnkey technology solutions" to help states implement their insurance exchanges by 2014. Microsoft says its services will enable states to integrate multiple aspects of health insurance delivery, including consumer portals, eligibility determinations, financial services, plan enrollment, enhanced privacy features and program administration. More

eFR Network
The industry leader in proactive financial management for hospitals and providers, and delivers the most comprehensive suite of revenue cycle management solutions available. MORE

Report: Medicare drug program vulnerable to fraud
The Associated Press via St. Petersburg Times    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Crooks are taking advantage of lax oversight in Medicare's Part D prescription drug program to obtain highly addictive drugs including oxycodone, Ritalin, and methadone, according to results of a federal probe. The report, by an independent inspector, says Medicare can't verify all the prescriptions it pays for, leaving the system open to exploitation by criminals using fake medical ID numbers and the identities of dead doctors. More

HHS launches data resource for health IT developers
Modern Healthcare (Subscription required)    Share    Share on FacebookTwitterShare on LinkedinE-mail article
HHS has opened a Web portal allowing access to health data as a resource for developers of innovative health information technologies. HHS Secretary Kathleen Sebelius said in a news release that the Health Indicators Warehouse "provides a new public resource needed to fuel development of innovative information technology applications" that will improve healthcare. More
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