Hayes' Healthcare Blog
By Lisa Winther
The $64,000 question has been answered!! ICD-10 will be effective for all entities on October 1, 2014.
By Nira Mahesh
Project managers have to collect and analyze project progress information. Unless your project activities can be objectively measured, I have come to realize that a lot of team members simply provide a guess as to the extent of their progress, feeling compelled to provide a % complete…”I’m 27% complete with writing those specs”, “Testing is 37.5% done”.
By Paul Fox
How can you make sure that the inventory ordered for provider encounters (DME, hearing aids, CPAP machines, ER trays, etc) are being accounted for on the patient’s bill? If you are not reconciling inventory with patient accounting, you are losing potential revenue.
By Amit Hajra
Many vendors offer a choice of EHR rollout options – from a bare bones rollout that just gives you what is needed to go live, to a full option that activates all the bells and whistles. Most organizations start with the skinny/bare bones version. It is less expensive and takes less time to execute. They always plan to go back and activate the other features. Yet, they get too busy and never get to it.
By Pete Butler, as it appeared in HIStalk
From what we are seeing and hearing from healthcare organizations we work with, in general, the larger IDNs and healthcare organizations are addressing ICD-10 readiness through appointed committees to head up the planning for ICD-10. It is the smaller physician medical groups that are taking a “wait and see approach” to ICD-10 and vendor readiness.
By Kathleen Gaffney
Take advantage of extended deadline and expanded significant hardship exemption categories
The Centers for Medicare & Medicaid Services (CMS) just released the final rule for changes to the 2011 Medicare Electronic Prescribing (eRx) Incentive Program that will be effective on October 6, 2011. Last year the CMS announced that beginning in 2012, eligible professionals (EP) who are not successful electronic prescribers may be subject to a payment adjustment. The payment adjustment in 2012, with regard to all of the EPs’ Part B-covered professional services, will result in the EP or group practice receiving 99% of the physician fee schedule amount, which would otherwise apply to such services.
Coding resource challenges mitigated with new audit process
Newton, MA, August 31, 2011–Hayes Management Consulting announced today that its MDaudit™Professional software has assisted Ohio State University Physicians, Inc. (OSUP) to improve administrative efficiencies, thereby increasing compliance staff productivity. By using MDaudit’s flexible, risk-based audit capability, OSUP was able to focus on regulatory risk factors, increase the capacity to review cases and improve physician education.
According to Lori Oberholzer, JD, MS, RT(R) the Director of Risk Management and Compliance at OSU Physicians, the organization’s annual process of reviewing the coding and documentation for 800 practitioners was very time consuming. The compliance staff was also needed to prepare for audits from external agencies such as the RAC, help implement a new EMR and prepare for ICD-10.
“Our documentation and billing compliance program is robust, but historically it was very manually intensive,” said Oberholzer. “However, with MDaudit technology, we have been able to improve our overall compliance results as the physician population at OSUP grew by 25% while maintaining a consistent number of compliance staff. One incredibly valuable output of this improvement is our ability to keep ahead. The staff is beginning to work on our ICD-10 implementation by educating providers on the new documentation requirements relevant to their specialty. MDaudit is also assisting us with ICD-10, as we map out our game plan and track progress.”
Recently, Jennifer Kelley, RN, Compliance Manager for OSUP, began using MDaudit to retool the business process to a risk-based approach, increasing OSUP’s capacity to review cases. The ease of cumulating information and pulling individual physician and organizational reports also improved with MDaudit. MDaudit has saved OSUP time by utilizing resources more effectively and identifying potentially problematic coding and documentation issues.
“MDaudit is a game-changer right now,” says Pete Butler, President of Hayes Management Consulting. “It not only helps healthcare organizations reduce their compliance risk, but also reduces the strain on coding resources. This helps with RAC audits and ICD-10 preparation.”
MDaudit Professional and its counterpart for acute care facilities, MDaudit Hospital, are used by healthcare organizations to increase audit production, streamline and standardize the compliance process and quickly assess their exposure to risk. More than half of the “honor roll” organizations in US News and World Report’s Top Hospitals List are MDaudit clients.
Hayes is ranked the Top Overall Professional Services Firm by KLAS (2007-2010) in the 2010 Top 20 Best in KLAS Awards: Software & Professional Services. Hayes improves healthcare with services and software designed to improve operational efficiency and effectiveness. Hayes consultants are subject matter experts in healthcare IT strategic planning, healthcare revenue cycle management, EHR and practice management system selection and implementation, ARRA / meaningful use preparation, version 5010 and ICD-10 migration and more. Hayes’ MDaudit™ compliance audit software to improve auditing efficiency and productivity. Visit our website, email us or call us at 617-559-0404 to learn more.
Newton, MA, August 23, 2011 –
Hayes Management Consulting, a leading healthcare consulting firm, has been selected as one of Modern Healthcare’s Best Places to Work in Healthcare for 2011. The program recognizes outstanding places of employment within the healthcare industry. With 327 healthcare employers participating in this year’s program, Hayes is one of the 100 outstanding companies to earn this distinction for 2011.