The Importance of Drug Utilization Review
One of the most costly and complex elements of today’s healthcare system is prescription drugs. For each state, there are tools and resources for hospitals to review prescription drug use and make sure it’s in line with Medicare’s program.
How Are You Using Physician Data Mining?
The pay for performance model of payment has been the preference of health insurance companies for several decades. Previous models made it too easy for money to be paid for services that were not truly needed, were poorly documented or in some cases, were entirely fabricated for the purpose of payment. Pay for performance measures are meant to validate payments to physicians in accordance with The Affordable Care Act by using data mining techniques to keep tabs on physician costs.
Healthcare Buzzwords: What is Big Data?
The term “Big Data” has only recently entered the healthcare and medicine verbiage. It used to be largely reserved for the larger-than-life scientific research that spanned the entirety of the universe. It’s no surprise that the concept of Big Data has translated nicely to the universe inside of us.
ICD-10 Delay: Does ICD-10 Lack Clinical Value?
ICD-10 was delayed once again as part of a bill that was meant to fix the physician reimbursement issues with Medicare. The ICD-1o delay was merely a footnote in a jam-packed bill that was going to make many doctors very happy; incidentally, pushing out the date for ICD-10 implementation also pleases many physicians. Some have gone so far as to say, on record, that ICD-10 lacks clinical value.
Yay or Nay on the ICD-10 Delay?
Yesterday the House of Representatives voted on a bill that included a proposal for delaying the implementation of ICD-10 for another year, bringing the compliance date to October 2015. Hospitals nationwide are in the throes of gearing up for the implementation deadline in October of this year, a mere six months away. While some who are not in healthcare may view the delay as a sign of relief, those who have been spending time and money on the implementations are not sighing so much as groaning at the possibility of pushing the deadline out further.
Big News, Big Data, Bigger Opportunities – How Much Info is Too Much?
The need for more and more data has created an epidemic called “Big Data”. Big Data refers to our society as a whole trying to obtain as much information as possible on every subject imaginable.