Blog post
Aug. 17, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD
In the past few weeks, the Journal of the American Medical Association (JAMA) published an article and the National Academies of Sciences, Engineering and Medicine (the Academies) released a report […]
Blog post
Aug. 15, 2016 / By Rhonda Butler
My years of posting blog diatribes against the politics behind the ICD-10 implementation saga may have sent a confusing message regarding government (as distinguished from politics), so I would like […]
Blog post
Aug. 10, 2016 / By Richard Averill, MS
The August issue of the Journal of AHIMA features an article by Sue Bowman that chronicles the dire predictions of negative consequences that would ensue if the antiquated 30-year-old ICD-9-CM […]
Blog post
July 11, 2016 / By Cheryl Manchenton, RN, Donna Smith, RHIA
Cheryl: So Donna, I have been getting a lot of questions from clients about ICD-10-CM and PCS lately. I was in elementary school when the last code switch occurred. Can […]
Blog post
July 1, 2016 / By Gretchen Mills
There is an interesting concept called per capita premium subsidy that was included in the MedPAC June 2016 report to Congress and the Republican white paper related to reforming healthcare. […]
Blog post
June 20, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS
A recent article in the journal Medical Care examines the validity of AHRQ Patient Safety Indicators (PSIs) and CMS Hospital-acquired Conditions (HACs) given the growing reliance of these measures for […]
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May 25, 2016 / By Rhonda Butler
In an earlier blog, I said it is a common misconception that ICD-10-CM/PCS is brand spanking new. But it isn’t. It is unused. Just as putting meat in the freezer […]
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May 18, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS
In our March blog, we highlighted some of the challenges with the CMS Hospital Readmission Reduction Program (HRRP). In that blog, we alluded to similar design flaws that are present […]
Blog post
May 13, 2016 / By Gretchen Mills
On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]
Blog post
May 6, 2016 / By L. Gordon Moore, MD
Populations served by good primary care have – on a risk-adjusted basis – better health outcomes at lower per-capita spending on health.1 Recognizing the need to better resource the work […]
Blog post
April 22, 2016 / By Gretchen Mills
As a way to provide better care to beneficiaries and reduce federal health care expenditures, CMS rates each MA plan annually using the Star rating system. Star ratings are based […]
Blog post
April 15, 2016 / By Dave Fee
Spring is here in the Rockies; the valleys are getting warm and the mountains are still snowcapped, making for a lovely view. With spring comes the April CMS outpatient prospective […]