Healthcare
Showing 241–256 of 454 results
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3 trends in hospital benefit plans
Fall 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 447
Abstract: Hospitals employ hundreds, sometimes thousands, of people, making employee benefits a significant piece of a hospital’s budget. That’s why many facilities are reconsidering their benefit plans in an attempt to remain competitive yet keep a lid on costs. This article describes three ways hospitals are doing just that. They involve domestic providers, defined contribution retirement plans, and paid time off programs.
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Keep your hospital out of hot water – Following the letter of the law is key
Fall 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 707
Abstract: It’s critical that all hospitals abide by certain statutes and regulations. And it’s up to the facility’s board of directors or trustees to ensure that compliance is met on all levels. But as the amount of legal obligations continues to grow, it can place a huge burden on the hospital — financially and otherwise. This article looks at the risk for noncompliance in two areas — billing and reimbursement and fraud and abuse — along with other risks.
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FTC guidance – How to ensure your clinical integration programs pass antitrust muster
Fall 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 605
Abstract: The passage of the Patient Protection and Affordable Care Act (PPACA) and the increasing focus on efficiency and quality of care in the health care industry are prompting a growing number of hospitals to consider provider networks such as clinical integration programs (CIPs). While attractive, these networks have the potential to violate antitrust laws. This article discusses the Federal Trade Commission’s first advisory opinion regarding a CIP since the passage of the health care act. The guidance provides insight on how such programs can escape antitrust challenges.
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CMS proposes rule change to Part B billing
Fall 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 756
Abstract: Earlier this year, the CMS issued a proposed rule that would allow hospitals to rebill Medicare for Part B services in certain circumstances after the denial of Part A inpatient admission for lack of medical necessity. The rule was released to address hospital complaints related to disputes over the difference between inpatient and outpatient care. The proposed rule provides some relief for hospitals but hasn’t stifled criticism of the CMS’s payment policies when claims for inpatient admission are denied. This article takes a close look at the rule, while a sidebar notes an interim rule that outlines more liberal Part B rebilling policies than in the proposed rule.
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Improve productivity: Employ nonphysician providers
Summer 2013
Newsletter: Vital Signs
Price: $225.00, Subscriber Price: $157.50
Word count: 597
Abstract: Physician practices — particularly those in primary care — may want to bring nonphysician providers (NPPs) onboard for several purposes. For example, NPPs can provide less expensive services that are currently performed by physicians. Plus, physicians can delegate lower level tasks to NPPs, which may mean they don’t have to recruit new doctors. This article discusses the function of an NPP, how he or she works in a practice, and how to attract and retain the best NPPs.
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How to protect your practice from employee fraud
Summer 2013
Newsletter: Vital Signs
Price: $225.00, Subscriber Price: $157.50
Word count: 683
Abstract: Employee fraud is a risk in every business, and physician practices are no exception. One survey done by the MGMA found that 83% of respondents have been affiliated with a practice that has been victimized by employee theft or embezzlement. This article looks at the kinds of fraud that can occur within a medical practice and how to prevent fraud from occurring.
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The future is now – How to prepare for value-based reimbursement
Summer 2013
Newsletter: Vital Signs
Price: $225.00, Subscriber Price: $157.50
Word count: 555
Abstract: Private insurers and the government are increasingly pushing for value-based reimbursement (VBR) of providers, leading to a shift from the traditional physician compensation model toward a new focus on quality outcomes. With VBR becoming less a matter of “if” and more of “when,” savvy physician practices are beginning to familiarize themselves with how it works so they can make the transition more smoothly when the time comes. This article discusses several potential VBR compensation models and how to prepare for them.
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Ensuring compliance with the CMS – The ins and outs of “meaningful use” prepayment audits
Summer 2013
Newsletter: Vital Signs
Price: $225.00, Subscriber Price: $157.50
Word count: 726
Abstract: In March, the CMS began conducting prepayment audits of providers who have attested to meeting the meaningful use requirements of the electronic health record (EHR) incentive programs. According to the agency, the audits are being done on a random basis, as well as on the basis of “suspicious or anomalous data.” This article discusses the types of information the CMS considers in a prepayment audit, while a sidebar explains what to expect during the CMS audit process.
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Practice Notes – Are you ready for “play or pay” under the health care act?
Summer 2013
Newsletter: Rx for Practice Management / Practice Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 429
Abstract: Beginning on Jan. 1, 2014, the Patient Protection and Affordable Care Act requires large employers to offer comprehensive and affordable health care coverage to employees and their dependents or risk a penalty. This article discusses what a “large” employer is and the degree of coverage that’s necessary to avoid penalties.
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Reengineering your practice’s revenue cycle
Summer 2013
Newsletter: Rx for Practice Management / Practice Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 610
Abstract: A medical practice’s financial success depends on how well it manages the revenue cycle. Real-world efficacy points to a few fundamental strategies for reengineering the ways that a practice generates revenues. This article discusses analyzing payer contracts, establishing each patient’s financial responsibility, using EHR systems, and managing and preventing denials. A sidebar lists several metrics to include.
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Handle with care – Consider an accountable plan for employee expenses
Summer 2013
Newsletter: Rx for Practice Management / Practice Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 637
Abstract: There are distinct tax advantages to having a plan for employee expense reimbursements and allowances that’s “accountable” in the eyes of the IRS. But it’s still a decision every practice must make for itself. This article describes the kinds of expenses that are reimbursable and how to document them.
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Today’s medical marketplace – 10 ways to maintain your independence
Summer 2013
Newsletter: Rx for Practice Management / Practice Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 887
Abstract: The traditional physician practice model is increasingly unsustainable, yet most doctors would prefer to practice independently. Many are even contemplating leaving the profession. But there are ways to maintain at least some independence before abandoning ship. This article offers 10 alternative arrangements, such as evolving into a large multispecialty group practice, forming an independent practice association, or practicing in a patient-centered medical home.
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3 key areas of the new AHA billing and collection guidelines
Summer 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 425
Abstract: In 2003, the American Hospital Association (AHA) first published a set of voluntary guidelines on billings and collections. Several of the original tenets became law under the Patient Protection and Affordable Care Act of 2010, and the AHA has now updated the guidelines. This article looks at three areas on which the guidelines focus.
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Teaming up with local businesses to build a healthier community
Summer 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 669
Abstract: Community hospitals have the tools and knowledge to help employers keep their employees healthy. So it makes sense for them to team up with local businesses to build a healthier community. This article discusses how to partner with employers to institute a health improvement program for their workforce.
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Strategic planning for a new delivery model
Summer 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 510
Abstract: With the health care market beginning to shift from a volume-based model to one more heavily based on outcomes, strategic planning is perhaps more important now than ever. Hospitals that haven’t yet taken steps to prepare for the demands of the new model risk falling behind clinically and financially. This article describes the demands of the new outcome-centric model and steps that hospitals should take to adapt to it.
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Set the table for your best CHNA
Summer 2013
Newsletter: Healthcare Management Advisor
Price: $225.00, Subscriber Price: $157.50
Word count: 915
Abstract: The Patient Protection and Affordable Care Act of 2010 requires tax-exempt hospitals to conduct community health needs assessments, known as CHNAs, and adopt an implementation strategy for each of their facilities by the last day of their first taxable year beginning after March 23, 2012. This article explains how a hospital can both ensure compliance and improve its position in the community. It discusses four steps to get off to a solid start when conducting the first CHNA, while a sidebar lists items that should be included in the report that documents it.