Medical Records on Your Apple iPhone: Will It Help the Patient Experience?

January 26, 2018 / 0 Comments

Mainstream technology is beginning to create patient-doctor relationships that are unprecedented. CNBC reports that Apple is moving deeper into healthcare with a service that lets users easily view their medical records. Ultimately, “we’re hoping to enable richer conversations between doctor and patient,” said Sumbul Desai, Apple’s digital health lead who’s also a physician and medical researcher…

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Top 12 Takeaways from the 2018 JP Morgan Healthcare Conference

January 18, 2018 / 0 Comments

It’s an invitation-only look into the crystal ball. The 2018 JP Morgan Healthcare Conference  took place last week in San Francisco, with over 20 healthcare systems represented and offering presentations, including Advocate Health Care, Aurora Health Care, Baylor Scott & White Health, Catholic Health Initiatives, Geisinger Health System, Hospital for Special Surgery, Intermountain Healthcare, Mercy…

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2018 Predictions: Tech-Human Interaction is the Future

January 3, 2018 / 0 Comments

Frost & Sullivan’s Growth Innovation Leadership (GIL) briefing titled, “Global Healthcare Market Key Predictions for 2018,” was held on December 13, 2017, and their experts predicted another year of big disruptions, transformations, and innovations as the healthcare industry — really, in health care??? As reported at HospiMedica.com: Human-machine collaboration will bridge the gap between artificial intelligence…

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Root Cause Analysis Is the Foundation to Denied Claim Analysis

December 27, 2017 / 0 Comments

Of course, the best way to handle claim denials is to prevent them in the first place. That’s why this recent list of denial prevention strategies from Becker’s is something no denial manager should miss. We believe though that it has a problem. Boiling down denials to a list like this obscures the fact that…

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These “Far-Out” Denials Can Cause Real Audit Problems

December 21, 2017 / 0 Comments

You might have heard of some of these “far-out” denials from an HME NewsPoll, but they really are worth a review… …a Medicare prescription denied because it was “written by a girl.” …an agency had a beneficiary “listed as dead, then alive, then dead again.” …multiple providers receiving denials for wheelchairs intended for amputees and…

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ONC and Innovation

December 20, 2017 / 0 Comments

The 2017 ONC Annual Meeting, held November 30th to December 1st in Washington DC, was all about healthcare interoperability and health IT usability this year. The Office of the National Coordinator for Health Information Technology (ONC) is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS) and leads the…

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Find Out Where You Stand Today on This Controversial DME Prior Authorization Rule

December 14, 2017 / 0 Comments

Becker’s announcement on CMS’ DME prior authorization rule came a while back, but CMS’ stance on prior authorization is likely still causing denial issues for your facility today. The Backstory Just as 2016 was about to round the corner, CMS issued a rule requiring prior authorization before Medicare would reimburse DME that had been found…

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A Revenue Cycle Turnaround Case Study

December 14, 2017 / 0 Comments

We recommend you buy a Starbucks coffee and set aside an hour to watch the “Coffee With Coker” presentation entitled “Revenue Cycle Turnaround: Rebuilding for an Advanced ROI – A Case Study,” which is archived here. Senior Vice President of Coker Group Jeff Gorke takes us through the components and challenges of building and maintaining…

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Telemedicine’s Newest Threat. DME Denials?

December 6, 2017 / 0 Comments

A recent report from Grand View Research reveals a potentially hidden threat to telemedicine programs. We’re all aware that chronic disease is a growing problem around the world, but did you know that the diabetic foot ulcer treatment market alone is valued at over $3.15 billion?  Statistics like that mean the results of a report…

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62 Hospitals Sued for Fraudulent Patient EHRs and Falsified Claims

December 1, 2017 / 0 Comments

EHR Intelligence reports on a whopping sixty-two Indiana hospitals being sued in a federal civil lawsuit for allegedly falsifying records and participating in a kickback scheme, primarily by overbilling for the release of patient Electronic Health Records. As reported in The South Bend Tribune: Memorial Hospital of South Bend, Saint Joseph Regional Medical Center in Mishawaka,…

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