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In this issue...
  • A Supreme Court rules providers can't sue states over Medicaid payments
  • Study finds C. difficile infection increases hospital readmission rates
  • Rising healthcare costs are pressuring patients
  • Can the patient-centered medical home help achieve savings?
  • Why EHR copy-and-paste functionality risks patient care
  • Telemedicine legislation making waves in Washington, Louisiana
  • ONC workgroup talks HIPAA regulations, interoperability
  • Hospitals collaborate to improve the patient experience
  • Upcoming Webinars




  • Supreme Court rules providers can't sue states over Medicaid payments
    FierceHealthFinance
    A landmark Supreme Court ruling made it clear that private medical providers cannot sue individual states in an attempt to raise Medicaid reimbursement rates. In the case, Armstrong v. Exceptional Child Center, justices ruled 5-4 in favor of the state of Idaho, which a group of residential care service providers alleged had unfairly kept Medicaid reimbursement rates at 2006 levels despite studies showing that the cost of care had gone up. Lower courts had sided with the plaintiffs and required Idaho to increase reimbursements by $12 million in 2013.
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    Study finds C. difficile infection increases hospital readmission rates
    News-Medical.Net
    Patients with Clostridium difficile infection are twice as likely to be readmitted to the hospital as patients without the deadly diarrheal infection, according to a study published in the April issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology.
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    Rising healthcare costs are pressuring patients
    Los Angeles Times
    Coping with ever-increasing medical bills is frustrating — and getting more so. A recent survey by private health insurance exchange EHealth highlights the pressure Americans are feeling. It found that more than 6 in 10 people say they're more worried about the financial effect of expensive medical emergencies and paying for healthcare than about funding retirement or covering their kids' education.
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    Can the patient-centered medical home help achieve savings?
    Health IT Analytics
    In order for a primary care provider to attain recognition as a patient-centered medical home, it has to undergo a number of significant changes to its workflows and processes, including expanding office hours, leveraging health IT improve care coordination, and developing more sustained contact with patients. While these efforts are widely recognized as successful ways to raise the level of care quality, the truth is that they aren't always cheap to get into gear.
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    PRODUCT SHOWCASE
      FREE COPY: 2014 Registration Benchmark Report

    Each year, patient access leaders across the country answer questions on topics such as POS collections practices, pre-registration depth, staff turnover, and process improvements. Click now to download a FREE COPY of the results report!
     


    Why EHR copy-and-paste functionality risks patient care
    EHR Intelligence
    EHR technology has brought a significant amount of benefits to the healthcare industry from improving data accuracy and patient care to simplifying health information exchange and ensuring greater safety regarding medication prescriptions. However, there are certain risks that EHR systems also bring to the medical sector. Misuse of the copy-and-paste functionality, for example, can lead to fraudulent Medicare claims.
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    Telemedicine legislation making waves in Washington, Louisiana
    mHealth Intelligence
    There are many states debating telemedicine reimbursement and access. New legislation is being pushed as the technology has cemented itself as a standard healthcare service that is helping improve quality of care and lower costs.
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    ONC workgroup talks HIPAA regulations, interoperability
    HealthIT Security
    The Office of the National Coordinator (ONC) Health Information Technology (HIT) Privacy & Security Workgroup met earlier in March to further discuss the ONC Interoperability Roadmap, and members brought up concerns about HIPAA regulations, interoperability liability, and other hindrances in achieving nationwide interoperability. HIT leaders focused their discussion on sections G and H of the Interoperability Roadmap, which discusses a consistent way of collecting, sharing, and using identifiable health information. States might have varied approaches, but it is important to create consistency, and ensure that access decisions are consistent nationwide.
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    Hospitals collaborate to improve the patient experience
    FierceHealthcare
    More hospitals and health systems create cooperative networks involving doctors, providers, patients and payers, or "ecosystems of care," according to Healthcare Finance News. Although the ecosystems, run correctly, mean increased cost savings and efficiency, organizations develop them with the goal of improving the patient experience, according to Amy Cueva, founder of design agency MadPow.
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    Upcoming Webinars
    AAHAM
    AAHAM Technical Certification; Preparation Equals Success
    When: April 8, 2015 1:30 PM-3:00 PM EST
    Speakers: Kenny Koerner, MBA, CRCE, Director of Patient Accounts, CGH Medical Center, Joshua A Johnson, CRCP-I, CRCS, Director of Patient Financial Services Gibson Area Hospital, and Julie Van Pelt, CRCE-I, CRCS, CPC, CHFP, Vice President of Operations, Avadyne Health

    This complimentary, intermediate level webinar will focus on the necessary tools to successfully pass or coach others to pass the AAHAM Certified Revenue Cycle Specialist (CRCS).

    Registration Deadline:Payment must be received on or before April 3. You will receive your confirmation and handouts via email by April 6.

    Click here to download the full description and registration form.
    Online Member Registration
    NON-Members can click here to register online
    Modifier 59 and the X Factors
    When:
    WEDNESDAY, April 22 1:30pm - 3:00 PM EDT
    Speaker: John Ninos, MS, MT (ASCP), CCS, Senior Manager with Kohler HealthCare Consulting

    This interesting intermediate level webinar will discuss the appropriate use of Modifier 59 and the subset modifiers X (E,P,S,U) with examples and their relationship to NCCI and MUE edits.To make sure we have space for you, payment must be received by April 15.

    Click here to download the full description and registration form.
    Online Member Registration
    NON-Members can click here to register online
    Medical Debt Rule Compliance: Enforcing the Consistent Application of Financial Assistance Policies
    When: WEDNESDAY, May 13 1:30pm - 3:00 PM EDT
    Speaker: Paul Shorrosh, MSW, MBA, CHAM, Founder and CEO of AccuReg: Pre-Service Revenue Capture Specialists

    This interesting intermediate level webinar will explore the final debt rule for tax-exempt hospitals and real-world solutions for enforcing the consistent application of financial assistance policies by hospital employees. To make sure we have space for you, payment must be received by May 6.

    Click here to download the full description and registration form.
    Online Member Registration
    NON-Members can click here to register online
    Join AAHAM and top CRCP coaches as we present A Four Part Webinar Study program for the AAHAM Certified Revenue Cycle Professional Exams.

    PREPARE FOR YOUR CRCP OR STAY CURRENT IN YOUR SKILLS & EARN AAHAM CEUs AT THE SAME TIME!

    Earn 3 AAHAM CEUs for each study session attended

    If you can't attend the webinars, you can purchase downloadable mp4's of the webinars.

    The webinar dates are:
    June 24 - 1:00 - 2:30 EDT Patient Access
    July 15 - 1:00 - 2:30 EDT Billing
    July 22 - 1:00 - 2:30 EDT Credit & Collections
    Aug. 5, - 1:00 - 2:30 EDT Revenue Cycle Management

    Click here to download the full description and registration form.
    Online Member Registration
    NON-Members can click here to register online

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    TRENDING ARTICLES
    Missed last week's issue? See which articles your colleagues read most.

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    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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    Yvette Craig, Senior Content Editor, 469.420.2641  
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