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Third party payment rules open new possibilities for hospitals, pharma
Healthcare Payer News
With millions of Americans on new exchange plans now responsible for high deductibles, hospitals, drug makers, insurers and regulators are entering a new frontier of payment disputes. Exchange insurers are now required to offer a three month grace period for members who fail to pay premiums, but QHPs can pend and possibly deny claims after 30 days, and hospital advocates have been asking regulators whether community health charities might be allowed to help cover the cost of patient premiums — averting stalled or lost claims and helping patients allocate more of their personal finances to paying deductibles and co-pays.
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Value-based investments pay off for not-for-profit hospitals
HealthLeaders Media
Not-for-profit hospitals that are investing in ways to deliver value to their patients are shoring up revenues and staving off competitors, according to a recent Moody Investors Service report. Value-oriented investments such as in outpatient facilities and fully integrated electronic health record systems are helping not-for-profit providers overcome recent revenue setbacks, including payment rate cuts, reduced inpatient service volume and competition from new entrants in the healthcare market, an author of the Moody's report says.
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How are healthcare reform, consolidation changing health IT?
EHR Intelligence
The increasing amount of consolidation in healthcare demonstrates just how difficult remaining competitive during a time of shifting reimbursement can be. But for those health systems making acquisitions, mergers, and partnerships a part of their business plans, bringing additional providers and new practices into the fold is not necessarily a straightforward process. A major challenge for acquiring organizations is the integration of diverse EHR platforms into their own networks.
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SPONSORED CONTENT


Save the date: The 2014 Annual National Institute
AAHAM
This year's event will be held at the Manchester Grand Hyatt in San Diego, California, 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.

If you have any questions about the ANI, please feel free to contact the National Office at 703-281-4043, ext. 209, or by email at danielle@aaham.org.

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Faster isn't always better: Recognizing EHR fraud risks
FierceHealthPayer
While the country moves toward fully automated health care documentation, electronic health care technology may make fraud and abuse schemes easier through cut and paste shortcuts, according to an Office of Inspector General report. This raises the question of whether providers hear the concerns of each patient and record them in unique notes, or if providers try to save time by using copy and paste commands to document typical complaints and treatment plans.
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Professional certification summer webinar series
AAHAM
Join AAHAM and top CRCE coaches as we present A Four Part Webinar Study program for the AAHAM Certified Revenue Cycle Executive Exams.

Earn 4 AAHAM CEUs for EACH 2 hour study session attended

The webinar dates are:
July 18, 2014 - 1-3 p.m. EDT - Patient Access
Aug. 1, 2014 - 1-3 p.m. EDT - Billing
Aug. 15, 2014 - 1-3 p.m. EDT - Credit & Collections
Aug. 29, 2014 - 1-3 p.m. EDT - Revenue Cycle Management

Click here to download the full description and printable order form.

Click here to register online.

NON-Members can click here to register online.

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FEATURED ARTICLE
TRENDING ARTICLE
MOST POPULAR ARTICLE
EHR use more than doubles
Lifehealthpro
Most physicians are finally on board with electronic health records. According to a new study from the Centers for Disease Control and Prevention, 80 percent of them now have some sort of electronic health records systems in place. In 2007, less than 35 percent of physician practices used an EHR system to manage data.

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The American Association of Healthcare Administrative Management applauds FCC's recent comments
Intercooler Online
The American Association of Healthcare Administrative Management applauds the recent comments made by FCC commissioner, Michael O'Reilly regarding providing clarity to the Telephone Consumer Protection Act (TCPA), which prohibits unwanted telephone calls and faxes. Over time the rules have become complex and unclear.

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CMS finalizes PPACA marketplace standards
Becker's Hospital Review
CMS has issued a final rule addressing health insurance exchange and insurance market standards under the Patient Protection and Affordable Care Act for 2015 and beyond. The rule contains various requirements for health insurers, the exchanges and navigators or assisters who help consumers get coverage through the exchanges, among other entities affected by the PPACA.

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Barcoding still a key tool for safety
Healthcare IT News
There is ample evidence that barcode technology for medication has had a significant impact on patient safety. But while most U.S. hospitals have adopted barcode medication administration, experts say there's big room for improvement. According to a recent study conducted at Boston's Brigham and Women's Hospital and published in the New England Journal of Medicine, the use of the bar-code electronic medication administration significantly reduced the rate of errors in order transcription and in medication administration as well as potential adverse drug events. The study concluded that while barcoding did not eliminate errors altogether, it remains "an important intervention to improve medication safety."
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Upcoming webinars
AAHAM

'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

'Tips and Tricks for Navigating LinkedIn and Facebook'
July 23 at 1:30 – 3 p.m. EDT
This timely, intermediate level webinar will provide valuable information on how to get the most out your experience using both LinkedIn and Facebook for business purposes. The session will focus on accessing the AAHAM group in LinkedIn and the AAHAM Facebook page. It will also cover general user tips on navigating myriad of the social media sites features.
Registration deadline: Payment must be received on or before July 16

For online member registration, click here.

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More doctors using mobile devices for CPOE
Health IT Outcomes
With all the new technology being implemented in healthcare, notifying physicians with paging systems, emails, phone calls, and yelling down the hall is being replaced by integration of mobile device applications and CPOE systems. New medical apps available to physicians offer immediate notification of any new orders, consultations, or communications concerning a patient's status that have been entered via the hospital's CPOE system.
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Top 7 strategic priorities in the hospital C-suite
Becker's Hospital Review
The following are seven top strategic priorities hospital C-suite executives have for their organizations over the next three years, according to the American Hospital Association's survey, "Building a Leadership Team for the Health Care Organization of the Future." Findings are based on responses to an online survey of more than 1,100 executives, 95 percent of whom were CEOs. The respondents were asked to choose their top three priorities.
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High deductible plans: Balancing out-of-pocket costs and outcomes
Medical Economics
In 2013, the U.S. Department of Health and Human Services reported that healthcare spending had grown at a record low pace from 2009 to 2011. The slowdown in growth was attributed to the sluggish economy and was thought unlikely to continue as more Americans gained insurance under the Affordable Care Act. An increase in the spending growth rate was considered inevitable. Even so, there was hope that the consumer-driven belt-tightening that occurred during the recession would continue despite more people being insured. The way policy analysts expected that to happen was through shifting a larger share of spending to consumers.
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Online health pricing tools growing; usefulness, patient engagement still low
iHealthBeat
Historically, healthcare prices negotiated between providers and insurers have lived in a black box, making it nearly impossible for consumers to figure out how much a particular service or procedure will cost. There are two primary reasons for this, according Suzanne Delbanco, executive director of Catalyst for Payment Reform. The first and primary reason has been political, said Delbanco. Second, our healthcare benefit designs historically have not supported the need for price transparency.
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See related story: What characteristics make up effective patient engagement? (EHR Intelligence)


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

    What characteristics make up effective patient engagement? (EHR Intelligence)
Evidence of HIPAA compliance tips for healthcare providers (HealthITSecurity)
Hedging bets for subrogation success (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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