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Author Archives: hsmn

Finding the Revenue Opportunities in this changing environment

“Change is the only constant thing in our lives” All of the professional associations and hospital associations are clearly alarmed at the thought of “The American Health Care Act” approval and implementation. Whether you are participating in an ACO, a small practice, a hospital system and/or an Ambulatory Care Center change is upon us regardless… Continue Reading

Where are we going depends upon where we have been

Where are we going depends upon where we have been

The new “American Health Care Act” of 2017 has just been unveiled in Draft form and it looks as though some aspects of The Affordable Care Act will have to be sustained through a transition period. During that period Financial/Cost data are likely to be the Basis for the final version. Clinical data which is… Continue Reading

Physician Critical Thinking and “The Machine”

Congratulations to all of those physicians who proved that physician diagnostic accuracy is much better than the diagnosis created from an app. There is nothing better than a live clinical critical thinker for the medical decision making process so critical to Quality Care and reimbursement regarding the clinical setting. This is the beginning that fuels… Continue Reading

End of the CMS Flexibility period on ICD-10

End of the CMS Flexibility period on ICD-10

For hospitals and physician groups a critical period is arriving on October 1, 2016. Medicare’s one-year of claims payment review leniency is ending. During Medicare’s one-year’s Flexibility, guidance was provided to Medicare contractors to allow payment for services if the provider used a valid ICD-10 code. Claims would not be rejected if diagnoses were not… Continue Reading

Post Electronic Health System Implementation Blues

Post Electronic Health System Implementation Blues

Many of the Academic Medical Centers that are our clients have experienced phenomenal success with the implementation of an EHS system. An EHS not only allows for sharing of information across interdisciplinary borders, but also streamlines the flow of information for both hospital and professional fee charges. The cornerstone of the revenue cycle in the… Continue Reading

The Patient Care Focus

The Patient Care Focus

The Patient Care Focus: A Problem for Technology, Clinical team members and the Integration of Information. Dr. Larry Weed, many years ago, postulated a “Problem Oriented Record” that would focus primarily on the Patient and Patients Problem list. Over the year with much specialization, Medicine had become Compartmentalized to the point that sometimes one had… Continue Reading