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As 2014 comes to a close, AAHAM would like to wish its members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year, we would like to provide the readers of AAHAM eNewswatch with a look at the most accessed articles from this year. Our regular publication will resume Wednesday, Jan. 7. Also, In observance of the upcoming holidays, the AAHAM National Office will be closed between Christmas Eve and New Year's Day.


CMS delays two-midnight rule
Becker's Hospital Review
From Feb. 3: The two-midnight rule is a new regulation included in the 2014 Medicare inpatient prospective payment rule. The policy established that inpatient admissions spanning at least two midnights qualify for Medicare Part A payments. Inpatient stays lasting fewer than two midnights must be treated and billed as outpatient services.
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Medicaid enrollment surges, with and without expansion
Healthcare Payer News
From March 3: The number of people determined eligible for Medicaid since the launch of new insurance marketplaces is approaching 10 million, a potential boon to managed care plans and safety providers even in states that are not expanding the program.
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Big city hospitals severely penalized for Medicare readmissions
Medical Xpress
From Nov. 17: Big city hospitals in the United States have been severely penalized for readmission of patients with heart attacks, heart failure and pneumonia, according to research presented at the American Heart Association's Scientific Sessions 2014. In 2013, 2,200 hospitals forfeited more than $280 million in Medicare funds due to readmission penalties stipulated by the Affordable Care Act, researchers said.
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Prepare for revenue cycle changes in 2014
HealthLeaders Media
From Jan. 6: Kaleida Health is readying for revenue cycle uncertainty through predictive modeling, reallocated staff, and an emphasis on clinical documentation. But the impact of HIX remains unclear. As hospitals and health systems strive to protect and improve their revenue cycle, one of the greatest challenges they face in 2014 is uncertainty.
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Preparing for the new PPACA electronic payments environment
Becker's Hospital Review
From Jan. 27: While healthcare has been transitioning from paper-based processes to electronic transactions for years, the pace has been far slower than expected. That's all about to change, however, with the landmark Patient Protection and Affordable Care Act serving as the catalyst moving the industry toward greater reliance on electronic payment processing. New operating rules governing healthcare transactions that take effect Jan.1, 2014, create unprecedented opportunities for healthcare providers to increase efficiency and streamline billing and insurance-related administration.
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Why are copays so high for critical-access hospitals?
Bloomberg BNA
From Oct. 9: While everyone's familiar with what a copayment is, they might not know that there's a big difference in copayments between critical-access hospitals and acute-care hospitals. A recent OIG report discovered that Medicare beneficiaries paid an average of 47 percent of the costs for outpatient services provided by CAHs in 2012. In comparison, Medicare beneficiaries paid an average of 22 percent of the outpatient prospective payment system rate for the same services provided at acute-care hospitals.
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Applying Lean Six Sigma to the healthcare revenue cycle
Healthcare Finance News
From June 19: There are arguably more factors impacting the healthcare revenue cycle today than at any other time in history. Healthcare reform has accelerated the pace of change and increased consumerism, and the effects on healthcare provider revenues are still unknown.
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Third party payment rules open new possibilities for hospitals, pharma
Healthcare Payer News
From May 23: 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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Obamacare premiums: Going up unless you shop
CNN
From Nov. 24: Obamacare premiums are going up for 2015. But your Obamacare premium doesn't have to. Multiple experts have sliced and diced the Obamacare health insurance offerings for 2015, and most, if not all, have found that premiums are rising, on average. They used different criteria for measuring premium changes.
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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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