Why a new law? To reduce the premiums and deductibles for ordinary citizens? Is it the current rationale for obliterating the ACA? While it all appears to be payback and retribution and pure politics, we all need to think about where we stand because where you stand may not be where you end up sitting… Continue Reading
News
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
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
Why are we so stressed about Mergers ending, ACO’s Failing, Value Reimbursement implementation?
The answer may be within ourselves and our institutions. As Vince Lombardi might have said “Data isn’t everything, IT IS THE ONLY THING”. Each day there are articles about failure and confusion and it makes every provider have to think about the business they are in. We are in the business of providing care for… Continue Reading
In this new and changing environment what is the Financial way forward for hospitals and physicians
In every Health care industry Publication, there are many opinions about what will change and what impact it will have on all providers/clinicians. The headlines are clear: we may have repeal and replacement of the ACA or we will have bits and pieces. How do we in the industry formulate a strategy to cope. Dr.… 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
HSMN has been awarded as one of the largest Revenue Cycle Management Companies by Modern Health Care
Thirty years ago Health Systems Management was formed by a group of highly trained front line managers, directors, and Executives who wanted to create a firm devoted to all aspects of the Revenue Cycle in of the health care provider circles. HSMN pioneered the concept of an “integrated and interactive process among all members of… Continue Reading
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
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: 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