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ICD-10 delay: What's next for healthcare organizations?
InformationWeek
Many of the complexities of medicine are distilled down to a vocabulary of diagnostic codes, called the International Classification of Diseases, which are used by doctors, insurers and hospitals. Today's ICD-9 codes are now more than four decades old. Although the US was aiming to transition to ICD-10 by Oct. 2014, the recently announced postponement, until at least October 2015, presents a dilemma for many providers that were ready to activate the new system. The question that remains is how best to move forward?
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See related story: 5 key ICD-10 process management strategies to cope with the delay (Becker's Hospital Review)




New payments models in healthcare
PYMNTS
While providers have to be nibble and prepared to adjust to the changes in regulation and the impact of healthcare reform, CFOs are working quickly to understand the new payment models and the changes that surround the rollout of health insurance exchanges. With much of healthcare organizations revenue coming from the fee-for-service system, how can physicians and hospitals put themselves in a place where they can succeed in a reimbursement environment?
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How are federal policies changing reimbursement strategies?
EHR Intelligence
A shift from fee-for-service to pay-for-performance has healthcare organizations reconsidering how their clinical practices will impact their bottom lines moving forward as providers assume greater and greater accountability. With most health systems, hospitals and physician practices still relying on encounter-based, reimbursement challenges over next several years could become "exponential," says John Dugan, CPA, Partner with PricewaterhouseCoopers who leads up its healthcare provider practice.
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Save the date: The 2014 Annual National Institute
AAHAM
This year's event will be held at the Manchester Grand Hyatt in San Diego, Calif., from Oct. 15-17. Registration information will be available in July.

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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Creating an integrated care business model for behavioral health
Healthcare Finance News
To get ready to participate in integrated care funded by bundled payments, behavioral health providers need to establish a new business model, with particular emphasis on establishing episode of care rates. Before behavioral health providers can tell potential partners what care will cost, they have to take some time to understand and be able to convey what their value proposition is, including being able to provide outcome data related to costs. That understanding of outcome data and costs will not only serve as the foundation of their value proposition, it will also help behavioral health providers figure out how to set episode of care rates.
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Overcoming communication challenges of EHRs
By Jessica Taylor
The transition to EHRs can bring some concerns for healthcare providers, including workflow, training, privacy and security. But one of the most important issues is communication, and many clinicians are concerned that using a computer with a patient will hinder communication.

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Experts warn 'Heartbleed' bug could affect healthcare industry
iHealthBeat
Hospitals' and providers' online networks — including email accounts, electronic health records and remote monitoring devices — could be vulnerable to an encryption bug called "Heartbleed," according to security experts.

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CBO: Healthcare reform will cost $100 billion less than expected
FierceHealthPayer
Health insurance premiums will be lower than expected for the next few years. Therefore, the Congressional Budget Office revised its estimated cost of the Affordable Care Act to $1.4 trillion over the next 10 years — a decrease of about $100 billion.

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Upcoming webinars
AAHAM

ABN Challenges and Preventing the 'Coercion Complaint'
April 30 at 1:30 - 3 p.m. EDT
This informative, intermediate level webinar will review Advance Beneficiary Notice requirements. Given the recent ruling from the Administrative Law Judge indicating that a higher level of notification may be required, this webinar will review the background and its impact on ABNs.
Registration deadline: Payment must be received on or before April 23

'Service Recovery: Managing Difficult Patient Complaints'
May 14 at 1:30 - 3 p.m. EDT
This timely, intermediate level webinar will empower you to assess your current service recovery processes and to make improvements designed to retain or reclaim dissatisfied customers. Learn about different strategies for managing conflicts, including specific language to use. Different types of apologies will be discussed in the context of when to use them. Find out about the importance of employee recovery in the service recovery process.
Registration deadline: Payment must be received on or before May 7

'Telling Your Story; How to Use Technology to Maximize Community Benefit and Reduce Compliance Exposure'
June 18 at 1:30 - 3 p.m. EDT
This timely webinar will summarize the IRS Section 501 r requirements that were enacted with passage of the Affordable Care Act. This intermediate level webinar will cover financial assistance and billing/collection issues, with a focus on utilizing electronic screening for financial assistance.
Registration deadline: Payment must be received on or before June 11

For online member registration, click here.

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Leverage your healthcare data for business insights
Healthcare Executive
Clinical and administrative data, when used strategically, has the potential to help healthcare organizations improve their efficiency, profitability and, most importantly, patient care. As more information is transitioned to electronic format, the possibilities for its use are nearly limitless. But where do you start? How can you leverage the data you collect to derive critical business insights, such as how to grow the patient panel, expand to new areas of service, provide more focused care, manage populations, and control costs?
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Looking for similar articles? Search here, keyword(s): Using data to your advantage.


4 ways to ensure HIPAA compliance
Government Health IT
Business associates are now explicitly subject to the same compliance requirements applicable to covered entities. And it is the responsibility of each CE to ensure that downstream contractors are doing what they are supposed to be doing in the realm of HIPAA compliance — or risk being held liable for the failings of their BAs. It is therefore a good time for physician practices to re-examine their HIPAA compliance plans, the scrutiny applied to their BAs' HIPAA compliance programs, and their contractual agreements with BAs.
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Hospitals adjusting billing and collections practices to meet ACA changes
Healthcare Finance News
The Affordable Care Act has created some new realities for hospitals when it comes to billing and collecting from patients. Hospitals are adjusting by instituting a variety of processes. At Omaha's Children's Hospital & Medical Center, the focus is on helping those newly insured under the ACA navigate their responsibilities. In many cases, hospital staff are working with patients who never had insurance before and who may not understand the product they purchased on the exchanges, said Brian Argo, the hospital's vice president and chief revenue officer.
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How can IT, automation help improve healthcare revenue?
EHR Intelligence
Since the passing of the Health Information Technology for Clinical and Economic Health Act, the healthcare industry has spent most of its time and resources on selecting, implementing and optimizing EHR systems. While EHR adoption certainly will play an important to clinical quality improvements, what about the IT systems and services necessary for ensuring that a healthcare organization’s care is being properly billed and paid?
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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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