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CMS resets ICD-10 start date
HealthLeaders Media
After one month of silence, the federal government has announced that it will reset ICD-10 implementation for Oct. 1, 2015, the earliest date allowed by law. The Department of Health and Human Services "expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning Oct. 1, 2015. The rule will also require HIPAA-covered entities to continue to use ICD-9-CM through Sept. 30, 2015."
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See related story: Most hospitals were ready for ICD-10 in 2014 (FierceHealthFinance)




Keeping revenue healthy while transitioning to outcomes-based payments
Healthcare Finance News
Keeping a hospital's revenue cycle healthy while transitioning to outcome-based quality payments requires both a "hard" and "soft" approach. To marry the "hard" approach of maximizing data to the "soft" approach of building a culture around patients in order to support a healthy revenue cycle, hospital leadership must encourage a coordinated relationship between physicians and other clinicians and the hospital's financial professionals. Coordination between these groups will put processes in place to ensure that the shift to outcomes-based payment doesn't negatively impact the revenue.
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Where do payers fit into population health management?
EHR Intelligence
Successful population health management is not possible without data. The form that information takes depends on the role being played by a particular player in population health management: provider, patient or payer. With passage of the Affordable Care Act and the movement toward value-based reimbursement, health plans find themselves facing challenges similar to those of the providers they're working with in the pursuit of accountable care and population health.
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CMS' 2015 IPPS proposed rule: 10 points to know
Becker's Hospital Review
Many hospitals face further decreased Medicare reimbursements next year, as the Centers for Medicare & Medicaid Services released its proposed rule for the fiscal year 2015 Medicare inpatient prospective payment system. The 1,688-page proposed rule also includes proposed rates for long-term care hospitals. Overall, the proposed rules would apply to about 3,400 acute-care hospitals (it excludes critical access hospitals, which are paid a separate, cost-based reimbursement) and 435 long-term care hospitals. CMS expects total payments to acute-care hospitals would decrease by $241 million, which would put hospitals in one of the most dramatic years of cuts for Medicare pay.
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FEATURED ARTICLE
TRENDING ARTICLE
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Hospitals can save money without killing a budget
Becker's Hospital Review
Is it possible for hospitals and health systems to find "free money"? According to a Forbes article by Dan Schneider, CEO of SIB Development & Consulting, it is. In the following, Schneider outlines six ways businesses, including hospitals, can save money without cutting jobs or decimating a budget.

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Reduction of inpatient care is challenging hospital revenues
EHR Intelligence
While patients may be very pleased with the ability to stay out of the hospital, those healthcare organizations that are failing to adapt to a greater emphasis on preventative, outpatient care and shorter lengths of stays are finding empty beds to be a significant hit to their bank accounts.

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Physician practices shift tactics to get patients to pay medical bills
MedCity News
Between 2008 and 2012, multispecialty practices saw their bad debt go up 14 percent, according to a survey by the Medical Group Management Association, a trade organization for doctor practices. That's money that practices were owed but couldn't collect.

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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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What effect will hospital doctor ratings have on hospital performance?
Healthcare Global
With doctor rating sites becoming increasingly popular, the Journal of the American Medical Association figured it was time to see just how seriously American consumers take the ratings. Their February 2014 survey found that more than 50 percent of participants thought that consumer ratings were somewhat or very important. Hospitals and doctors have, in turn, taken to putting patient reviews on their websites in order to foster a relationship of transparency and trust. By looking at the reviews, physicians can see what their patients like or dislike about their office and can make changes accordingly.
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Healthcare spending surges in first quarter
USA Today
Healthcare spending rose at the fastest pace since 1980 in the first quarter as the new health insurance law prompted many more Americans to visit doctors and hospitals. Analysts say the sharp increase reflects other trends that should continue to drive up both medical spending and costs in 2014 after years of slow growth. Healthcare expenditures climbed at a 9.9 percent annual rate last quarter, mostly because of increased spending at hospitals, the Bureau of Economic Analysis said. That's the biggest jump since 1980's third quarter, and it followed a 5.6 percent increase in the fourth quarter.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Accounting for costs, improving care (Healthcare Finance News)
4 tips for physician training in light of the ICD-10 delay (Becker's Hospital Review)
Healthcare's evolving role of service excellence (Becker's Hospital Review)

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


Evaluating pay-for-performance
Becker's Hospital Review
One of the major shifts taking place in the healthcare industry is the transition from fee-for-service reimbursement to value-based payment models. Last month, Suzanne Delbanco, PhD, executive director of the nonprofit Catalyst for Payment Reform, wrote a Health Affairs blog entry examining one of those value-based payment models: pay-for-performance. CPR defines a pay-for-performance model as one that gives healthcare providers the chance for a financial upside, such as a bonus, but no added penalty or downside. So far, the evidence has been mixed concerning whether pay-for-performance models can successfully reduce costs while improving quality. In the following, Dr. Delbanco discusses the effectiveness and future of pay-for-performance payment models.
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Social media undervalued in customer service
Healthcare Payer News
How do consumers want to talk to their health plans? By any means possible, please, and right now. In an increasingly mobile, consumer-driven world, payers have to understand that they're at the mercy of their members, and not the other way around, said Amit Shankardass, vice president of marketing for the Teleperformance Group, an international provider of multichannel customer experience management solutions. "The healthcare marketplace is changing. We're seeing more and more of a demand-driven consumer engagement environment," said Shankardass. "And payers have to adapt to that."
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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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