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Medicaid enrollment surges, with and without expansion
Healthcare Payer News
The number of people determined eligible for Medicaid since the launch of new insurance marketplaces is approaching 10 million, a potential boon to managed care plans and safety providers even in states that are not expanding the program. Between October and February, 8.9 million adults and children have applied and qualify for Medicaid and CHIP, including people in income brackets newly eligible for Medicaid and those eligible prior to health reform, according to new data released from the Centers for Medicare and Medicaid Services.
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Communication key to strong HCAHPS
Healthcare Finance News
Since 2008 when the Centers for Medicare & Medicaid Services first implemented the Hospital Consumer Assessment of Healthcare Providers and Systems survey for U.S. hospitals, the scores from these surveys have become increasingly more important to hospital executives as a measure of quality. Indeed, they are now used to determine 30 percent of the total incentive offered to hospitals under the Hospital Value Based Purchasing program.
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The future of hospital inpatient volumes
Healthcare Finance News
Since the recession first began in 2008, hospitals and health systems have continually seen a drop in inpatient volumes. Most industry experts say they expect more of the same for the rest of 2014 and even the next five years or so.

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Should your practice hire an ICD-10 coder?
By Brooke Andrus
The switch to ICD-10 will trigger a monumental shift in the way medical practitioners code patient diagnoses. The result is increased specificity in coding, but all that slick, souped-up data comes at a cost — time.

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Avoid claim denials and keep ASC revenue cycles efficient through ICD-10
Becker's ASC Review
Surgery centers depend on collecting payments on-time and in-full. The best type of employee to have in revenue cycle management is someone who is willing to go the extra mile to ensure things are done right. These staff members must also be able to collect from patients.

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Overcome the 4 most common pitfalls in ASC revenue cycle
Becker's Hospital Review
In the following, Michael Orseno, revenue cycle director at Regent Surgical Health, identifies four common areas that translate into lost income and the policies ambulatory surgery center leaders can put in place to overcome these revenue cycle issues.
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Independent provider's 'strength' strategy keeps options open
HealthLeaders Media
The consolidation of healthcare organizations has been the trend for years and shows no signs of slowing down. As providers are squeezed by myriad financial pressures — from the need to invest heavily in electronic health records and other IT capabilities to the desire to redesign care delivery models in the face of value-based reimbursements — staying independent is becoming tougher to do. Yet, some hospitals and health systems are resisting the mergers and acquisitions path and finding strategies to remain autonomous.
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Save the dates: Legislative Day 2014 & The 2014 ANI
Legislative Day 2014: This year's Legislative Day turns 10!

The event 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 that creates new opportunities for our industry is turning 10 and 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:

This year's event 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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  Advanced Degrees in Health Care Transformation

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Could voluntary EHR certification improve MU?
Government Health IT
At the same time that a huge coalition of health organization asks for more flexibility in the current phase of the EHR incentive program, federal health IT regulators are proposing a new, voluntary certification for 2015 that they think could solve a number of current quagmires. The Office of the National Coordinator wants to create an EHR certification system for 2015 that would be guided by a more "effective response to stakeholder feedback," incorporate "bug fixes" to make 2014 certification rules "clearer and easier to implement," and "reference newer standards and implementation specifications."
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See related story: Outpatient rule bundles pay, consolidates codes (The Oncology Report)

3 key strategies for ACO success
MedPage Today
More than 400 accountable care organizations exist across the country, and physician groups have overtaken hospitals as the largest backers of ACOs. The Heritage Provider Network formed one of the largest physician-led pioneer ACOs in 2012. The Pioneer ACO Model was designed for more advanced providers who wanted a greater return for helping reducing Medicare spending, but in return would face penalties for having expenditures rise too much under their watch. In the following, S. Ian Drew, MD, chief medical officer of Heritage Provider Network, shares three best practices for upstart or aspiring ACOs that Heritage learned from its experience.
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ICD-10: Changing payment considerations
As we draw closer to the Oct. 1 implementation of ICD-10, concern about impacts to payment is increasing. On the inpatient side, hospitals are already well aware of the financial relevance of ICD-9 codes, yet the financial impact of ICD-10 is even easier to grasp. Beyond ICD-10 requirements, payment reform that incorporates transparency and accountability when it comes to value-based purchasing is a growing trend. It is highly likely that the current payment models will continue to change to support the concept that we should pay for not only "what" was done, but "why."
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Looking for similar articles? Search here, keyword(s): Hospital payment options.

Mobile apps unite payers and providers
mHealth News
It's no secret that healthcare providers are rapidly incorporating mobile applications into their practices, using them to interact with colleagues or obtain medical intelligence to deliver an accurate diagnosis. To promote a healthy revenue cycle, providers are turning to mobile technologies to transmit vital data with payers. Not only do these applications reduce the financial and logistical challenges of capturing pertinent data, today's advanced solutions are increasingly being relied upon to transmit, store and retrieve this information. This allows healthcare organizations to streamline business processes, including claims and audits reviews, revenue cycle management and medical necessity documentation.
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Missed last week's issue? See which articles your colleagues read most.

    CMS keeps industry on its toes with Medicare Advantage rates (Healthcare Payer News)
CPOE trial shows signs of success (FierceHealthIT)
Hospitals have new tool to save money (The Wall Street Journal)
Revenue cycle unites supply chain and IT (Healthcare Finance News)

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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