This week's Guest Opinion/Editorial comes Christopher Wynder is the Director of Client Services for ThinkDox. Depending on the blog, survey, or new product review that you read “healthcare” is either: in a crisis caused by technology or is about to be saved by technology.
Our guest post this week is from Practice Bridge and covers the very near implementation date of ICD-10. "We will be using ICD-10 in a just over a week. But before that do you know the status on ICD-10 implementation? With the help of coding veterans and influencers, I have come up with few facts most healthcare professionals miss out. In this infographics our experts have shared 6 foundation blocks for successful ICD-10 implementation. Let me break down the facts and foundations for you."
On September 17, 2015 the NCQA announced the release of the 2015-16 Health Insurance Plan Ratings, debuting the new ratings methodology as well. These ratings, which are shift from the "ranking" system previously used by the accrediting body, compare the services and quality of over 1,000 health plans. These ratings "provide consumers with a more accurate picture of how health insurance plans perform in key quality areas." The easy to use system lets consumers search for health plans by state, and plan name or plan type (Private, Medicaid, Medicare). Consumers can also sort the listings by Accredited Status, Consumer Satisfaction, Prevention, and Treatment (in addition to rating). Top performers nationwide, with an overall 5.0 rating and 4.5 Consumer Satisfaction include: Capital District Physicians' Health Plan, Harvard Pilgrim Health Care, Kaiser Foundation Health Plan of Northern California.
IROs can help control costs and save you money (and resources) when it comes to all sorts of claims, not just medical necessity; and if you’re stuck trying to choose one, we have plenty of online resources to help you out! From the evidence based approach to hyper-specialization, here are five ways that Independent Review Organizations (IROs) can help boost your return on investment.
From Anthem to Premera Blue Cross, healthcare data breaches have been buzzing in our news feed since the beginning of 2015. But did you know that five of the biggest data breaches in the healthcare industry occurred this year? And that over "92 million individuals" have been affected by healthcare breaches in 2015 already (just up until May). Unfortunately, it's been a big year for cyber attacks and according to Bloomberg Business "nearly 90 percent of health-care providers were hit by breaches in the past two years, half of them criminal in nature, the report found." While many organizations are buffing up on security and creating awareness around the important issues of cyber security and healthcare, a recent survey by KPMG found that only 66% of providers feel they are prepared a cyber attack.
Join us 9/17 at 1PM CDT and learn the top strategies that make the difference between accreditation success and failure. Through research, expert interviews, and hands on work with some of the top national organizations we have discovered the keys to accreditation success....and they might not be what you think! This is a must attend event for anyone undergoing accreditation or re-accreditation. Discover essential components on how to maximize your accreditation success rate, save your organization money, and get the most out of your accredited status.
With healthcare reform well under way, External Independent Review Organizations, (IROs) have become a requirement nationwide. For some, it’s a welcomed change to current strategies, but for other organizations, there might be a lot of unanswered questions about that transition, the motivation behind it and the necessity.
Through research, expert interviews, and hands on work with some of the top national organizations we have discovered the keys to accreditation success....and they might not be what you think! This is a must attend event for anyone undergoing accreditation or re-accreditation. Discover essential components on how to maximize your accreditation success rate, save your organization money, and get the most out of your accredited status.
Accreditation comes in all shapes in sizes, but at its core, it can be defined […]
When asked what the key to success is, most business owners will tell you the ability to stay competitive in the marketplace. Staying competitive is particularly important in the health care field where the financial success of a physician practice is fundamentally based on provider productivity and revenue cycle management. A practice that’s unable to reduce revenue leaks and increase their bottom line will have a hard time staying afloat. When it comes to minimizing costs and managing revenue, medical practices of all sizes make the same mistakes. Here are 7 common RCM pitfalls to avoid at all costs.