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Fraud on the Margins

Fraud on the Margins

July 28, 2014 – 2:06 am |

Every year, for-profit companies bill Medicare billions of dollars for hospice services, claiming reimbursement for the care of the terminally ill in the final stages of life, who have agreed not to seek end-of-life procedures. Though fraud has …

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Features

Features include articles that are noteworthy of special attention.

Medical Records

Medical records are challenging to manage. Articles will address improvements, trends and tools to help manage medical records more efficiently.

Technology

Learn about tools, software and more that can help improve efficiencies in medical records services.

Fraud

Content will address activities in the medical space related to medicaid and medicare fraud.

Operations

These articles related to the administrative operations of medical services.

Medical Records, Technology »

The Pressure is Building

July 30, 2014 – 2:06 am |
The Pressure is Building

The federal government is working on the details of a 10-year plan to put in place standards for electronic health records (EHRs). This interesting information was found on The Business of Federal Technology in their article, “DeSalvo: Time for the heavy lifting on health record interoperability.”

The Office of the National Coordinator for Health IT (ONC) is trying to create a system that enables both a continuous record of individual patient care and a broader understanding of public health.

This includes data from social and human services agencies, patient-generated health data, and information from fitness trackers and other wearable devices, as well as genomic information and other microdata that will come into play as precision medicine becomes a regular part of clinical care.

Technology provides tools to improve upon the current systems. Machine-aided indexing solutions, such as Access Integrity’s ICD Tagger, can make the transition a little easier.

Melody K. Smith

Sponsored by Access Integrity, delivering advanced technology solutions for full and complete compliant processing of medical transactions to the healthcare industry.

Photo, website of the Governor of Volgograd Oblast, http://www.volganet.ru/news/archive/news/news/2009/09/news_14063.html, republished at http://commons.wikimedia.org/wiki/File:Blood_pressure_measurement_(2009).jpg / CC BY-SA 3.0

Focusing on the Positive

July 30, 2014 – 2:04 am |
Focusing on the Positive

Some in the healthcare field feel that the technology invading their territory takes away from patient care and personal interaction. The San Francisco Examiner brought this news to our attention in their article, “Focus on …

Prepare Now, Less Panic Later

July 30, 2014 – 2:02 am |
Prepare Now, Less Panic Later

Many are predicting chaos for the October 1, 2015 transition of the ICD-10 coding classification system. Much of it will depend on the level of disruption there is once ICD-10 goes live. That is why …

Using the Meaningful

July 29, 2014 – 2:06 am |
Using the Meaningful

Electronic health records (EHRs) and the incentives that can come with them are often referred to as a single program. There are actually two, similar programs: one for Medicare and one for Medicaid. This interesting information …

Watching Out for the Crooks

July 29, 2014 – 2:04 am |
Watching Out for the Crooks

It appears that it is more than caregivers who are involved in Medicare and Medicaid fraud schemes. A former patient recruiter pleaded guilty recently in Miami, Florida, for his alleged role in a $205 million Medicare …

Digital Can Empower Patients and Caregivers

July 29, 2014 – 2:02 am |
Digital Can Empower Patients and Caregivers

Many physicians and healthcare providers are experiencing growing pains with the multitude of changes thrust upon them. Between the ICD-10 coding transition and the electronic health records (EHRs) brought on with the Meaningful Use initiative, …

Realizing the Benefits of EHRs

July 28, 2014 – 2:04 am |
Realizing the Benefits of EHRs

Using electronic health records (EHRs) to understand the best available treatment for patients is what they were created for in the beginning. They can also be less costly for taxpayers than the existing clinical trial process. This …

It is All About Perspective

July 28, 2014 – 2:02 am |
It is All About Perspective

Though many healthcare providers are not happy with the one-year delay on the deadline for hospitals and payers to transition to the 10th edition of the International Classification of Diseases (ICD-10), there are some who view it …

Designing for the Masses

July 25, 2014 – 2:06 am |
Designing for the Masses

The mega-billion dollar measure to modernize the Department of Defense’s (DoD) electronic health record (EHR) system continues to move forward. This interesting information came from Dolphin News in their article, “Health care modernization on track, acquisition …

The Use in Meaningful

July 25, 2014 – 2:04 am |
The Use in Meaningful

Electronic health records (EHRs) are not new to everyone. In 2006, Dennis Ramus, M.D. installed an EHR system in his seven-physician practice. Even with that much preparation time, they knew it would be a struggle …

Sharing Data Enhances Care

July 25, 2014 – 2:02 am |
Sharing Data Enhances Care

In the past, the federal government has focused their efforts on hospitals and ambulatory care providers to adopt electronic health records (EHRs). The goal is to share health information electronically with one another to improve …