Aug 24th, 2018
Healthcare providers in North Carolina who receive state funds for the provision of healthcare services are facing important deadlines to begin using their state’s dedicated health information exchange (HIE), called NC HealthConnex. For most providers, the deadline to connect and submit patient clinical and demographic date to NC HealthConnex is June 1, 2019. NC HealthConnex ...
In CMS
Apr 13th, 2018
The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama ...
In CMS
Dec 28th, 2016
The Centers for Medicare & Medicaid Services (CMS) is creating a next generation risk adjustment model that will: (1) account for the number of individuals who had a Marketplace plan for less than 12 months; (2) better account for the risk of high-cost patients; (3) improve compensation for healthier members; and (4) use prescription drug ...
Nov 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Editor’s note: Health care reform brings a number of new concepts to coding, billing, compliance, and practice management. The most far reaching—especially from an organizational point of view—are accountable care organizations (ACOs). Below is the first ...
Sep 1st, 2011
  You are in a position to safeguard accurate medical data capture within electronic exchanges. By Michael Stearns, MD, CPC, CFPC Health care organizations are encouraged by the U.S. government to accelerate their adoption of health information technology (HIT), including electronic health records (EHRs). There is significant evidence that improvements in health care’s quality and ...