Revisiting Healthcare Merchant Status

By Jack Duffy Executive Vice President Some time ago I wrote an article questioning why healthcare was the only consumer activity that routinely extended credit to its patients (customers) without a specific agreement for repayment.  Each year billions of dollars are lost to patients who often, for their own reasons, fail to pay their portion … [Read More]

Population Management: Long Term Risks of Success

By Jack Duffy Executive Vice President As early data is compiled related to results of the first years of population management, some thoughts about the consequences of success may be appropriate. At this time the early adaptors have not been able to consistently show sufficient savings to support population management or a “Medical Home” as … [Read More]

Biometric Patient Identification Solution: PatientSecure

“You don’t know what you don’t know.”  It’s a quirky, repetitive and somewhat obvious statement about the unknown. But does it hold true in healthcare?  What don’t we know about our patient AND what do we think we know? When it comes to the challenging process of patient identification at registration, how can we be … [Read More]

FY 2014 IPPS Final Rule Released

On August 2, the Centers for Medicare and Medicaid Services (CMS) released the Medicare inpatient prospective payment system (IPPS) final rule for fiscal year 2014.   Coding Update The ICD-9-CM Coordination and Maintenance Committee implemented a partial freeze of ICD-9-CM prior to the implementation of ICD-10 on October 1, 2014. The last regular annual updates … [Read More]

More News on the Horizon for OPPS Proposed Rules

Should all these proposals take effect next year, everyone is in for a huge shift in thinking for billing and reimbursement. We have always encouraged reporting all chargeable procedures, supplies and medications that represent the full economic value of a patient’s encounter. This is not going to change; however, the reimbursements will should these proposed … [Read More]

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