Clinical Analysis Archives - Page 11 of 12 - BHM Healthcare Solutions Experts in Clinical Data Management

5 Aspects of CMS’ 2015 Proposed IPPS Regulations

2017-04-02T13:28:39-04:00By BHM Marketing|Clinical Analysis, Compliance, Financial Analysis, Health Care Reform, Medicare and Medicaid, Physician Compensation, Readmissions, Services|

On April 30, 2014, CMS announced proposed IPPS regulations to become effective January 1, 2015. The ruling covers: Hospital Value-Based Purchasing Program, Hospital Readmissions Reduction Program, Hospital-Acquired Condition Reduction Program, Quality Reporting Programs, and Wage Index – Updated Labor Market Areas. CMS just announced proposed regulations to become effective January 1, 2015. These regulations further the goals of the Affordable Care Act: increasing patient outcomes and reducing healthcare spending. These proposed regulations are Medicare specific and, if approved, will be applicable to general acute care and long-term care hospitals.

The Impact of Reducing Avoidable Readmissions Infographic

2017-04-02T13:28:39-04:00By BHM Marketing|Clinical Analysis, Readmissions|

What is the impact of reducing avoidable admissions and readmissions? What are you doing to track admissions and readmissions? Have you isolated the primary causes of avoidable readmissions? Do you have a game plan in place? Are you prepared to begin tracking additional readmission conditions beginning in 2015? Have you established relationships with primary care to ensure a smooth transition and continued care coordination? Are you currently being assessed penalties due to readmission rates being too high?

ICD-10 Delay: Does ICD-10 Lack Clinical Value?

2023-07-28T14:38:28-04:00By BHM Marketing|Big Data, Clinical Analysis, Clinical Operations Improvement, Compliance, Medicare and Medicaid, Services|

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.

Dual-Eligibility: An overworked & overlooked population?

2017-04-02T13:28:40-04:00By BHM Marketing|Clinical Analysis, Financial Analysis, Health Insurance, Medicare and Medicaid|

9 million Americans are covered by both Medicare and Medicaid and are part of a unique community of healthcare consumers known as the dual eligible. Dual eligible beneficiaries often have complex health conditions and may be low income, meaning that their access to healthcare would be greatly limited if not for their dual eligibility for coverage.

Ready or Not: ICD-10 Will Go Live as Planned Oct 1st

2017-04-02T13:28:43-04:00By BHM Marketing|Clinical Analysis, Clinical Operations Improvement, Services|

The Center for Medicaid and Medicare Services (CMS) is moving ahead as planned with its October 1st compliance deadline for ICD-10 implementation. Many healthcare systems have requested that the deadline be postponed due to the mounting challenges they face with co-occurring Meaningful Use Stage 2 deadlines.

Would You Call 911 for a Hangnail?

2017-04-02T13:28:44-04:00By BHM Marketing|Clinical Analysis, Clinical Operations Improvement, Health Care Reform, Services|

Preventable visits to the Emergency Department are a significant source of waste contributing to the exorbitant costs of healthcare.

Using Patient-Centered Focus in the ED to Increase Revenue

2017-04-02T13:28:44-04:00By BHM Marketing|Clinical Analysis, Financial, Financial Analysis, Services|

The key to increased revenue in the Emergency Room is a patient-centered focus. As a patient, one of the main healthcare criticisms is waiting for hours and hours in the Emergency Department (ED).