Comunidad de Profesionales del Manejo de Información de Salud en PR, creada para brindar apoyo, información y guías en ICD 10-CM.
March 7, 2014—The widely reported Senate bill introduced yesterday for changing provisions of the controversial two-midnight rule proposes a new category of reimbursement for medically necessary short stays, but seems to offer little relief for hospitals.
The bipartisan bill, “Two Midnight Rule Coordination and Improvement Act of 2014,” S. 2082, introduced by U.S. Senators Robert Menendez (D-NJ) and Deb Fisher (R-NE) on Thursday, March 6, would require…Continuar
Publicado por Sally Montes Colon el marzo 9, 2014 a las 9:41pm
As we draw closer to the Oct. 1 implementation of ICD-10, concern about impacts to payment is increasing. On the inpatient side, hospitals are already well aware of the financial relevance of ICD-9 codes, yet the financial impact of ICD-10 is even easier to grasp. On the ambulatory side, the financial impacts are not as obvious. Many physicians believe that there is no financial relevance to ICD-10 codes, because they are paid on service codes and not on ICD-10 codes. Beyond ICD-10…Continuar
Publicado por Sally Montes Colon el marzo 4, 2014 a las 9:24am
ORLANDO — While acknowledging that health care providers and vendors are under immense pressure to meet mounting deadlines, CMS Administrator Marilyn Tavenner said that the agency will not be tapping the brakes.
“Now is not the time for us to stop moving forward,” Tavenner said during her speech today at HIMSS14. “We do understand that some providers and…Continuar
Publicado por Sally Montes Colon el marzo 2, 2014 a las 8:20pm
• Caring for the chronically ill elderly is a poorly coordinated and costly endeavor under most existing care models.
• With millions of baby boomers getting older and acquiring one or more chronic conditions, the problem will…
Publicado por Sally Montes Colon el febrero 25, 2014 a las 3:12pm
While keeping their options open, Medicare regulators are proposing to reduce Medicare Advantage rates by 3.5 percent, along with some other changes that could make the decline even steeper.
The Centers for Medicare & Medicaid Services released the much anticipated advanced notice of annual Medicare Advantage and Part D changes amid expectations of a large decline and warnings, media campaigns and lobbying by a number of insurers, trade groups, lawmakers and seniors…Continuar
Publicado por Sally Montes Colon el febrero 23, 2014 a las 7:17pm
La reciente multa de $6.8 millones que la Administración de Seguros de Salud (ASES) ha notificado que le impondrá a la aseguradora Triple-S por violación de los derechos de privacidad de unos 13,336 beneficiarios de la cubierta Medicare Platino de Mi Salud, ha puesto sobre la mesa que dicha compañía de…
Publicado por Sally Montes Colon el febrero 18, 2014 a las 10:32am
Vulnerabilities in electronic health records systems are creating opportunities for fraud among healthcare providers and contractors working to achieve Meaningful Use attestation, says the Office of Inspector General.
With CMS spending at least $18.8 billion through December on Meaningful…Continuar
Publicado por Sally Montes Colon el febrero 16, 2014 a las 11:53am
Publicado por Sally Montes Colon el febrero 14, 2014 a las 1:57pm
Feb. 6—More than 7 million patient health records were breached in 2013, which was a 138 percent increase from the preceding year, according to an annual federal tally.
The 7,095,145 health record breaches, which were totaled by Redspin, an IT security consulting firm, were the most reported since the 10.8 million breaches reported…Continuar
Publicado por Sally Montes Colon el febrero 9, 2014 a las 6:48pm
The Centers for Medicare & Medicaid Services (CMS) delayed for an additional six months enforcement of its new Medicare hospital admissions policy.
The two-midnight rule established new inpatient hospital admission requirements under Medicare Part A that required each physician to document that they expect the beneficiary to require a stay of at least two midnights and admit the patient based on…
Publicado por Sally Montes Colon el febrero 9, 2014 a las 6:46pm
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