Tag: coding

Upcoming webcast: ACOs and Bundling: The New Dating Game

In recent years, the skilled nursing reimbursement system has continually evolved, and to find a suitable partner, you must now develop an appealing profile. In the new ACO payment system, it’s vital to know which skills are most valuable and how diagnosis coding can affect relationships with potential “suitors.” During this program, expert speaker Maureen […]

Job Opening at HCPro: Medicare Regulatory Specialist-PER DIEM (LTC)

We are seeking a Medicare Regulatory Specialist for HCPro-BLR Healthcare to teach our Medicare Boot Camp®-Long-Term Care Version and to partner with fellow regulatory instructors and the HCPro product team to identify and launch new training resources, including boot camps, seminars, elearning, webcasts, and books. The Medicare Boot Camp®-Long-Term Care Version is an intensive, four-day […]

CMS announces initiative to transform primary care

On April 14, 2016, the Centers for Medicare & Medicaid Services (CMS)  announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which […]

CMS has released Next Steps Toolkits to help providers track ICD-10 progress

The Centers for Medicare & Medicaid Services (CMS) has released the Next Steps Toolkit to help providers track and improve ICD-10 progress. This new, in-depth toolkit includes information and resources on how to: Assess ICD-10 progress using key performance indicators to identify potential productivity or cash flow issues Address opportunities for improvement Maintain progress and keep up-to-date […]

Another upcoming webcast: ICD-10: Where Are You Now?

ICD-10 education and training is now at the forefront for long-term care providers. Attaining the specificity and granularity dictated by ICD-10-CM easily and accurately should be top priority. In this 90-minute program, Diane L. Brown, BA, helps participants understand and develop solutions to ICD-10 coding painpoints in the long-term care setting. Brown’s wealth of industry […]

Upcoming webcast for Biller’s Association members

Become a member today! Basic membership is only $100/year. Click here to learn more. Upcoming webcast! Long-Term Care Biller’s Association Quarterly Webcast – Where are we with ICD-10 post-implementation? The Billing Perspective on Mon, Nov 23, 2015 1:00 PM – 1:45 PM EST From the questions Diane Brown, director of post-acute education at HCPro in […]

CMS takes another step forward

The Centers for Medicare and Medicaid Services (CMS) has taken another step toward ensuring that beneficiaries receive better care, better health and greater value by awarding 16, two-year Special Innovation Projects (SIPs), to 10 regional Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs). The SIPs address healthcare quality issues such as early detection and management of sepsis, […]

Modern healthcare risk management by Reg Hislop III

The second most important function an executive and/or a governance board conducts (second only to planning) is risk management.  This key leadership function is evolving rapidly primarily due to the evolutionary movement around compliance (ACA, CMS, etc.) and the payer focal shift from episodic, procedural care to outcome or evidenced based care, pay-for-performance, etc.  Similarly, as government policy […]

Medicare ACOs Continue to Improve Quality of Care

On August 25, 2015, The Centers for Medicare & Medicaid Services issued 2014 quality and financial performance results showing that Medicare Accountable Care Organizations (ACOs) continue to improve the quality of care for Medicare beneficiaries, while generating financial savings. As the number of Medicare beneficiaries served by ACOs continues to grow, these results suggest that […]

CMS sends ICD-10 letter to Medicare providers

Earlier in July, CMS sent a letter out to Medicare providers. The letter was sent as a reminder that in order to successfully bill for services, ICD-10 codes must be used starting on Oct. 1, 2015. The Medicare claims processing system will not have the capability to accept ICD-9 codes for dates of service after […]