Monthly Archives: October 2011

IOM Report on Essential Health Benefits

The Institute of Medicine (IOM) recently released a report concerning essential health benefits under the Patient Protection and Affordable Care (PPAC) Act. The report recommended the Department of Health and Human Services (HHS) be as specific as possible in deciding … Continue reading

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HHS Coordinated Care Initiative

The U.S. Department of Health and Human Services (HHS) announced that a Comprehensive Primary Care Initiative would increase Medicare payments to primary care providers who adopt a coordinated care model. Next year in several health care markets, the Centers of … Continue reading

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Planning and Preparing for ICD-10

Being compliant with ICD-10 is going to take significant effort on the parts of healthcare organizations. The switch from ICD-9 to ICD-10 will be a massive undertaking. The healthcare industry as a whole does not have any equivalent experience with … Continue reading

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Final ACO Rules Released by CMS

On October 20th, the Centers for Medicare and Medicaid Services (CMS) issued the final rules for Accountable Care Organizations (ACOs). The final rules included information on the Medicare Shared Savings Program: Accountable Care Organization rule, and interim final rule, which … Continue reading

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CMS Plans Appeals Process for EHR Incentive Program

The Centers for Medicare and Medicaid Services (CMS) is making plans to establish an appeals process for the Medicare electronic health record (EHR) incentive program. CMS has already awarded a $2.25M contract to Provider Resources, Inc. of Erie, PA to … Continue reading

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