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Compliance

Top 5 Strategic Planning Challenges for CIOs

2017-04-02T13:28:32-04:00By |Compliance, Services, Strategic Planning, Telehealth and Telemedicine|

The Chief Information Officer in a healthcare system has perhaps one of the most complex and ever-evolving roles in the hospital C-Suite today. Since information technology has now permeated our entire culture - and particularly in medicine - executive level information management is hot field nowadays. Strategic planning within an organization tends to encompass many areas - but for the Chief Information Officer, most of their planning requirements fall under the category of information management. For most modern hospitals, information management is largely to do with electronic health records and the business transactions that surround them. While CIOs are not down in the trenches laying the groundwork for databases or troubleshooting minor issues, they are overseeing the purchasing, implementation and staffing needs to make the whole operation run smoothly.

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3 Steps for Successful EHR Implementation

2017-04-02T13:28:34-04:00By |Clinical Analysis, Clinical Operations Improvement, Compliance|

Lately there have been a number of changes in the healthcare industry that are targeted to provide quality healthcare to patients. Adapting to these changes is critical to the viability and profitability of your medical practice. 1. Implement Electronic Health Record (EHR) system If you haven’t adopted the electronic health record system, then now is the final call to do it. The government has announced July 1, 2014 deadline for physicians to implement EHR system or they will penalized beginning in 2015. Through implementation of electronic health records, physicians will be able to have complete access to comprehensive and accurate information, which will enable them to provide improved and quality medical care to patients. According to government statistics, providers using the EHR system have reported: •94% physicians said with EHR patient records are available every time •88% report EHR benefits clinical procedures of practice •75% providers reported improved patient care

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Top 8 ACA Delays |Blatantly Illegal or Temporary Courses of Action?

2017-04-02T13:28:34-04:00By |Compliance, Health Care Reform, Health Insurance, Health Insurance Exchange, Services|

With so many ACA delays thus far, is the ACA really what we bargained for? Should the President have the authority to delay ACA provisions at his discretion or is it his duty to uphold the law as written? The Affordable Care Act was enacted in 2010 with provisions becoming effective over several years, many of which have been delayed. Why the ACA delays? •Limited resources for implementing the law •The need to prioritize limited resources •Technological limitations, such as the “glitches” in the computer systems as they related to the healthcare exchanges •Complaints from various quite vocal groups, both political and non •Undue hardships placed on employers and / or employees •Additional time and / or funding required to comply •Tax and reporting requirements •Political reasons

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The Penalty Box | CMS’ 3 Ways to Ding Hospitals

2017-04-02T13:28:35-04:00By |Compliance, Financial, Financial Analysis, Health Care Reform, Medicare and Medicaid, Quality Improvement Programs, Readmissions, Services|

Are you one of many hospitals being dinged with CMS penalties? Are you ready to be dinged for Hospital Acquired Conditions, in addition to readmissions and value-based purchasing? How can a hospital remain profitable? In terms of hockey, the penalty box is where players are sent when they have committed an act which is against the regulations of the game. The player is forced to sit in the penalty box for a period of time, causing the team to play with less players, until the penalty time has lapsed.

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9 Criticisms to the Readmission Reduction Program

2017-04-02T13:28:37-04:00By |Clinical Analysis, Compliance, Financial Analysis, Health Care Reform, Health Insurance, Medicare and Medicaid, Quality Improvement Programs, Readmissions, Services|

The Readmission Reduction Program is designed to reduce healthcare spending while improving quality. There are both proponents and opponents of the program. Let’s delve into the improvements that could be made to the current system. So, as most of you are aware, CMS under the direction of HHS created the Hospital Readmission Reduction Program in order to reduce healthcare spending while improving the quality of care. The program is being phased in beginning with a 3 year baseline period in which hospitals were required to report all readmissions (within 30 days). CMS assessed and analyzed all of the available readmission data to determine how penalties should be assessed, for which conditions, and excluding certain circumstances. Beginning in October 2012, penalties were assessed to over 2,200 hospitals, equating to about $280 million. The phase in included an increase in penalties from 2013 to 2015 from 1% to 3%, where it is currently capped. Initially, there were 3 conditions included: Acute Myocardial Infarction, Heart Failure, and Pneumonia. For 2015, CMS is proposing 2 additional conditions: Chronic Obstructive Pulmonary Disease and Elective Hip and Knee Replacements.

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5 Aspects of CMS’ 2015 Proposed IPPS Regulations

2017-04-02T13:28:39-04:00By |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.

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

2023-07-28T14:38:28-04:00By |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.

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Yay or Nay on the ICD-10 Delay?

2017-04-02T13:28:41-04:00By |Big Data, Compliance, Medicare and Medicaid, Services|

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.

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