Medicare

Here are the 12 healthcare issues that will define 2018, according to PwC

Artificial intelligence, IoT, cybersecurity, disaster preparedness and the patient experience are some of the prime concerns, according to the PwC Health Research Institute. By Bill Siwicki for Healthcare IT News The continued uncertainty and risk the healthcare industry will face in 2018 will motivate healthcare organizations to boost their efficiency across functions, according to the…

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Which 10 US states have the most overworked nurses?

By Mary Rechtoris for Becker’s Hospital Review There is a shortage of nurses throughout the U.S., with Hawaii having the fewest nurses per 1,000 residents. Using U.S. Census Bureau, FBI crime and Kaiser Family Foundation data, Medicare Health Plans compiled a list of states and U.S. regions boasting the highest percentage of overworked nurses. Here…

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CMS backs off proposal to make hospital accreditor investigations public: 5 things to know

By Brian Zimmerman for Becker’s Infection Control & Clinical Quality Federal health officials withdrew a proposal to require healthcare facility accreditors to publicly release details on safety issues they encounter during inspections of hospitals and other healthcare facilities, according to a ProPublica report. Here are five things to know. 1. In April, CMS issued a…

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The Bill for Treating a Gunshot Wound: $21,000 for the First 35 Minutes

By Jennifer Smith Richards, Annie Sweeney and Jason Meisner, Contact Reporters for Chicago Tribune The charges started racking up the moment Annette Johnson arrived at Mount Sinai Hospital with a gunshot wound to her left forearm. Doctors sliced open Johnson’s arm and installed a $500 metal plate to shore up her shattered ulna, securing it with numerous bone screws…

Read MoreThe Bill for Treating a Gunshot Wound: $21,000 for the First 35 Minutes

Q&A: ‘A Woman Has to Put in Twice as Much Effort as a Man’

By Rachel Z. Arndt for Modern Healthcare Dr. Halee Fischer-Wright has been a chief medical officer at a large health system, owned her own medical practice and worked as a consultant. Now, as CEO of the Medical Group Management Association, she leads the nation’s largest association for medical practice administrators and executives. Fischer-Wright started her career…

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CDI in the Outpatient Setting: Finding the ‘Hidden Gems’ of Opportunity for Improvement

By Kay Merriweather, RHIA, CCS, CCS-P, COC, CHDA, CDIP; Leslie Slater, RHIA, CCDS, CIC, CRC; and Michele Bohley, RHIA, CCS for AHIMA “If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming…

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OIG Estimates $729.4M in Erroneous EHR Incentive Payments

By Kate Monica for EHR Intelligence OIG estimates 12 percent of the total Medicare EHR incentive payments issued to EPs between 2011 and 2014 were made incorrectly. CMS overpaid an estimated $729.4 million in Medicare EHR incentive payments to eligible professionals (EPs) who failed to meet meaningful use requirements, the Office of Inspector General (OIG)…

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Secret Data on Hospital Inspections May Soon Become Public

By Charles Ornstein for npr The public could soon get a look at confidential reports about errors, mishaps and mix-ups in the nation’s hospitals that put patients’ health and safety at risk, under a groundbreaking proposal from federal health officials. The Centers for Medicare and Medicaid Services wants to require that private health care accreditors…

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CMS’ 2018 IPPS Proposed Rule: 9 Things to Know

By Ayla Ellison for Becker’s Hospital CFO CMS released its 2018 Medicare Inpatient Prospective Payment System proposed rule on Friday, which increases payments to acute care hospitals next year. The rule also includes proposed rates for long-term care hospitals. Overall, the proposed rule would apply to about 3,330 acute care hospitals and 420 long-term care…

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