Affordable Care Act
Established in 1996, HIPAA standards addressing major transaction types in the revenue cycle were not enough to achieve industry Administrative Simplification. Currently, less than one-half of medical claim reimbursements are made electronically. The Affordable Care Act (ACA) is pushing for transformation by implementing compliance initiatives including the mandated 5010 and Healthcare Operating Rules for EFT & ERA. These are driven by CAQH-CORE (The Council for Affordable Quality Healthcare – Committee on Operating Rules for Information Exchange).
Read MoreHave you heard the news? Again! ICD-10 is pushed back another year for implementation. Behind the controversy of the Affordable Care Act (ACA) was a tsunami brewing within the healthcare industry. Many were concerned about the overhead and conversion costs, so pressure was building as the deadline was lurking in October 2014. It might have been another “Y2K”, in that proper planning and execution would have mitigated the risks and made the transition more like a little storm rather than a tsunami… but we will never know for 2014.
Read MoreFormer Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #8. Healthcare providers are finding the current business environment to be very challenging from a financial standpoint. Major market factors such as the Affordable Care Act (ACA), a slow growth economy and consumerism are squeezing the bottom line of providers.
Read MoreFormer Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #4. Gov. Thompson talks about how patient responsibility may increase out of pocket expenses for the individual. If the end result is not “extreme”, this will be a positive influencer to the healthcare process and reduce excessive procedures, therein reducing costs within the process because there will be less denials.
Read MoreFormer Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #2. In this interview, Gov. Thompson talks about the operational impact of the Affordable Care Act (ACA) as well as the overall direction of patient care.
Read MoreIn the first Q&A interview, Gov. Thompson talks about the state of the healthcare industry, summarizing what’s right and what’s wrong. Relating to the changes required with the Affordable Care Act (ACA), many of the rules and regulations are assembled by administrators and bureaucrats of HHS.
Read MoreThe casual observer can be excused for believing that a single government web site represents the extent of healthcare technology. But behind the scenes, the following major technology trends will have a significant impact on the healthcare industry in 2014 and on revenue cycle management (RCM).
Read MoreThe Patient Protection and Affordable Care Act, also known as Obamacare, has been ruled constitutional by the Supreme Court of the United States. Even if the President loses the upcoming election, it is unlikely that the country will allow for the repeal of this new healthcare law. Under the law, as many as 35 million uninsured Americans will join the millions of those who do have health insurance. This means that insurance companies and healthcare providers of every kind and size will have to deal with great numbers of the newly insured.
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