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AMA passes recommendations for payment models that support new approaches to team-based healthcare
American Medical Association
Team-based healthcare delivery models are quickly emerging as the preferred method for providing coordinated, cost-effective, high-quality healthcare for patients and the American Medical Association's House of Delegates recently adopted new recommendations for creating payment mechanisms to sustain these promising new models of care. "The success rate of physician-led team-based models of care has been proven time and again by trusted industry leaders like the Mayo Clinic, Geisinger Health System, Intermountain Healthcare and Kaiser Permanente," said AMA President Ardis D. Hoven, M.D.
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7 considerations for payer contracting in healthcare reform era
By Tonda Terrell
So far, most of the discussions about healthcare reform seem to highlight the transformations that will occur in the delivery of patient care and provider accountability. But it's also important to understand how provider and health insurance carrier contractual relationships will be impacted. Although initially geared toward Medicare beneficiaries, many health plans now offered by commercial insurers are based on the accountable care organization reimbursement model.
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Webinar: 'Social Media and Healthcare'
AAHAM
Topic: Social Media and Healthcare

When: Wednesday, Dec. 4, 1:30-3 p.m. EST

Speakers: Randy Blue, Director of Sales for MediRevv

Registration Deadline: Those who registered, you will receive your confirmation and handouts via email by Nov. 27.

Most businesses and healthcare organizations are using social media now. This basic level session will provide a general overview of what social media is. Learn how the major social media sites are being used, examples of how healthcare organizations are utilizing social media both well and poorly. Legal decisions regarding employer/employee rights pertaining to social media will be covered. Find out about the ten best practices for a healthcare executive's usage of LinkedIn.

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

Everyone earns 3 CEU's for attending

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  3rd Annual Registration Benchmark Survey

Find out your team compares in pre-registration, POS collections, medical necessity, authorizations, and more! Be a part of the results for 2013 and receive a free copy of the results report!
 


Safety-net hospitals lose more under Medicare's quality-based payments
Kaiser Health News
Medicare's effort to reward hospitals for quality is leaving many of the nation's safety-net hospitals poorer, an analysis finds. Dr. Ashish K. Jha, a professor at the Harvard School of Public Health, has found that hospitals treating the most low-income patients on average had their payment rates reduced by 0.09 percent in the latest round of Medicare's program that rates hospitals' quality.
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EHR adoption a struggle for rural hospitals
InformationWeek Healthcare
The Health Information Technology for Economic and Clinical Health Act was put in place under the American Recovery and Reinvestment Act of 2009. It requires providers and hospitals to adopt EHR technology by 2015 and it offers a mixture of incentives and penalties to drive adoption. Metropolitan hospitals have the upper hand when implementing and adopting EHRs. Rural hospitals constantly are playing catch up. They have limited budgets and limited IT staffs.
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TRENDING ARTICLE
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Technology and medicine: Applying Google Glass in the medical field
By Rosemary Sparacio
Every day, new strides in technology make headlines in all kinds of areas. Nowhere is it is more prevalent or exciting than in the medical field.

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Everything you need to know about the Medicare 8-minute rule
By Heidi Jannenga
Want to know what to bill to Medicare for outpatient therapy services? First, there are two types of CPT codes you'll need to understand in order to bill properly: service- and time-based.

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Changes to CORE Rules can reduce uncompensated care
Government Health IT
Among the regulations taking hold are several electronic data interchange rules covering transactions and code sets that, while ostensibly low-level in nature, can reduce the chance that practices and hospitals provide uncompensated care.

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Stay up to date on ICD-10 with CMS resources
Centers for Medicare & Medicaid Services
The ICD-10 compliance date is less than a year away, and transition from ICD-9 to ICD-10 codes will affect all entities covered by HIPAA. It's important for health care providers, health plans, clearinghouses, hospitals, payers and vendors to prepare for the transition now. As part of ongoing efforts to help industry prepare, CMS has released new educational resources to help providers with each phase of the ICD-10 implementation process.
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Webinar: 'CRCP, The Certified Revenue Cycle Professional'
AAHAM
Topic: CRCP, The Certified Revenue Cycle Professional

When: Wednesday, Dec. 11 or Jan. 8, noon - 12:30 p.m. EST

Speakers: AAHAM President Elect, Victoria DiTomaso, CRCE-I and AAHAM Second Vice President, John Currier, CRCE-I

Join us to learn all about the newest AAHAM certification, the Certified Revenue Cycle Professional. Find out about who should take this exam, the format, costs and what it means to your career development. There will also time to answer your questions!

We are offering this FREE webinar on two different dates to make it accessible to all of you! Choose Dec. 11 or Jan. 8.

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

Click here to register online.

Everyone earns 1 CEU for attending

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Value-based physician pay may still be in distant future
HealthCare Daily
It will be a long time — if ever — before the healthcare system moves completely to value-based purchasing, according to a panel of experts at AMN Healthcare's recent workforce summit. Dr. Peter Plantes, chief executive officer of Houston-based Christus Provider Network, estimated that physician compensation based on production could move to as low as 70 percent, compared with about 95 percent currently.
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The readmissions master plan
HealthLeaders Media
Memorial Hermann in Houston is fortunate in some ways that it had a preview of the pain of readmissions almost a decade ago and decided to do something about it. Over the years, Memorial Hermann leaders have been able to reduce preventable readmissions by closing care continuum gaps. They've tackled poor communication among disjointed or unaligned providers, a lack of systemic accountability and follow through, and inadequate human and IT resources.
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Private website touted as interim alternative to HealthCare.gov
By Pamela Lewis Dolan
Despite doubts from many, President Barack Obama remains confident that the technical glitches that overshadowed the launch of the federal health insurance exchange in October will be fixed by Nov. 30. Obama said while the site was getting better each week, supporters should remind their friends and family that HealthCare.gov isn't the only place consumers could enroll for insurance. He said enrollment could happen over the phone, in person and by mail. What Obama didn't mention was that there is also an alternative website where consumers could shop for plans. And it's gaining a lot of attention.
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New payment models should reward quality
Medical Economics
The current reimbursement structure contains many issues relating to the submission and payment of claims. Many providers feel they need to up-code to maximize revenue or down-code for fear of having a claim denied. Contradictory business goals have twisted this system into a payer versus provider tug-of-war, with patient care sometimes leveraged as a bargaining chip. Instituting quality metrics is a must to ensure that the patient remains at the center of this equation. This hybrid reimbursement model might be the most viable option for easily modifying the existing payment system while integrating quality care metrics and reducing costs.
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TRENDING ARTICLES
Missed last week's issue? See which articles your colleagues read most.

    Changes to CORE Rules can reduce uncompensated care (Government Health IT)
The hospital room of the future (The Wall Street Journal)
SGR reform: 2 recent proposals (Healthcare Finance News)
Bundled payments for spine surgery: What's on the horizon (Becker's Spine Review)
6 best practices for nonprofit hospitals setting executive compensation
(Becker's Hospital Review)

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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