{"id":10558,"date":"2013-12-29T20:30:20","date_gmt":"2013-12-30T01:30:20","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=10558"},"modified":"2025-06-26T15:30:43","modified_gmt":"2025-06-26T15:30:43","slug":"52-things-healthcare-learned-in-2013-part-3","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/52-things-healthcare-learned-in-2013-part-3\/","title":{"rendered":"52 Things Healthcare Learned in 2013 \u2013 Part 3"},"content":{"rendered":"

Stage 2 Meaningful Use and ICD-10 are right around the corner. HHS is cracking down on all sorts of healthcare fraudsters. And the New Year is so close you already have the champagne on ice.<\/p>\n

Here is the third and final installment of our \u201c52 Things Healthcare Learned in 2013<\/a>\u201d series to keep you prepped for the coming year.<\/p>\n

HHS Probes \u201cIncident-To\u201d Fraudsters
\n<\/strong>A 2009 review found that\u00a021% of \u201cincident-to\u201d services were actually being performed by unqualified non-physicians\u00a0or didn\u2019t fall under the guidelines outlined by OIG. The Department of Health and Human Services (HHS) has responded by <\/span>announcing plans to\u00a0monitor Medicare\u00a0covered services performed by non-physician employees more closely.<\/span><\/p>\n

HIPAA Omnibus is Here
\n<\/strong>In 2013, HHS released the 563-page\u00a0<\/span>HIPAA Omnibus final rule, which reinforces\u00a0providers\u2019 responsibility to keep patient data safe and secure. The federal rule, the first major update to a 15-year-old law, includes new regulations that extend liability for data breaches from providers to their EHR vendors.<\/span><\/p>\n

A Micro-What?
\n<\/strong>The <\/span>micropractice model of care involves a single physician with only one staff member working in a proportionately sized office space. While not every doctor can adopt such a drastic strategy, all can learn from the model\u2019s emphasis on cutting costs and streamlining operations.<\/span>\u00a0<\/span><\/p>\n

Patients Aren\u2019t Cooperating<\/strong>
\n<\/span>Experts estimate only\u00a050% of patients take their medications as directed. Patients cite the laborious process of getting prescriptions filled as the main obstacle preventing them from following established prescription plans. However, <\/span>ePrescribing whittles the process down to one simple step.<\/span><\/p>\n

eVisit Use Grows
\n<\/strong>During eVisits, patients compose a free-form message and send it to their physician through a protected web site or patient portal. They\u2019re <\/span>ideal for patients who live far away from clinics, care for children or don\u2019t want to spend time traveling to a traditional office for diagnosis of minor symptoms.<\/span><\/p>\n

Meaningful Use-Certified EHRs Do It Better
\n<\/strong>Findings from The National Ambulatory Medical Care Survey suggest that most physicians have experienced various clinical, financial and <\/span>timesaving benefits from using EHR systems that meet Meaningful Use (MU) criteria. In fact, 75% of physicians said they\u00a0receive lab results faster with an EHR that meets MU criteria, compared to 61% of physicians in the non-MU EHR group.<\/span><\/p>\n

Hospital Fees Under Scrutiny
\n<\/strong>In a major policy shift, federal regulators are seeking\u00a0<\/span>tighter restrictions on the facility fees hospitals charge\u00a0Medicare for ER visits. The Centers for Medicare and Medicaid Services (CMS) is recommending a new flat rate of $212.90 for all emergency room visits across the board.<\/span><\/p>\n

Talking Insurance with Patients
\n<\/strong>Using tools like the American College of Physicians\u2019 <\/span>resource center<\/a>\u00a0helps providers<\/span> discuss HIX insurance enrollment<\/span>\u00a0<\/strong>with patients \u2014 a discussion industry experts anticipate happening more often now that the Affordable Care Act (ACA) has taken hold.<\/span>\u00a0<\/span><\/p>\n

Groups Without Walls Emerge
\n<\/strong>The <\/span>Group Without Walls provider model involves groups of small practices, typically in the same specialty, trading under a common tax identification number while allowing each member to maintain a significant measure of independence. This allows small practices to derive\u00a0significant income from supplementary services\u00a0like lab work, imaging and therapy.<\/span>\u00a0<\/strong><\/p>\n

Cloud-based Health IT Solutions Gain Steam
\n<\/strong>According to a recent Black Book Rankings report, 17% of physician practices are\u00a0<\/span>considering switching EHR vendors\u00a0by January 2014.\u00a0Because of cost savings and scalability, a growing number of physicians are looking towards cloud-based health IT solutions using the Software-as-a-Service (SaaS) payment model to handle their charting needs.<\/span><\/p>\n

EHRs & Patient Portals Unite<\/strong>
\n<\/span>With Meaningful Use Stage 2 and its patient engagement requirements drawing near,\u00a0<\/span>patient portals\u00a0are garnering a fair amount of attention from healthcare pundits. Integrated EHR-patient portal solutions offer numerous benefits for practices including cost savings, easier implementation and faster training.<\/span><\/p>\n

B<\/strong>eware the Comfort of Copy\/Pasting
\n<\/strong>According to a recent\u00a0AHIMA report, 79-90% of physicians use the <\/span>copy\/paste function in their EHRs, and somewhere between 20-78% of physician notes are copied text. With this many physicians relying on the tactic, it\u2019s not surprising to see a growing number of errors made within EHR systems.<\/span><\/p>\n

Why Is CCT So Complicated?
\n<\/strong>The\u00a0ACA\u00a0requires health care providers, who treat Medicare and Medicaid patients, to adopt a health care compliance training plan as protection against fraud. The hardest part of creating a CCT plan, though, is identifying the right information to teach. In response, CMS has published <\/span>several resources that will help providers meet CCT criteria.<\/span>\u00a0<\/span><\/p>\n

ICD-10 Pilot Program Garners Poor Results<\/strong>
\n<\/strong>Speaking before hundreds of attendees at this year\u2019s HIMSS conference, Holt Anderson, Executive Director at the North Carolina Healthcare Information and Communications Alliance, said providers participating in the <\/span>ICD-10 pilot program reported a 50% decrease in\u00a0worker productivity\u00a0and a higher rate of errors\u00a0when submitting claims with the new coding set.<\/span>\u00a0<\/strong><\/p>\n

It\u2019s Budgeting Time<\/strong>
\n<\/span>With the year coming to a close, it\u2019s time to start planning for 2014, and a well thought out budget serves as a yearlong guide to increasing profits. By following <\/span>these steps, you\u2019ll be able to easily create a budget that can lead to greater profitability in the coming year.<\/span>\u00a0<\/span><\/p>\n

Is mHealth For Everyone?
\n<\/strong>Manhattan Research\u2019s\u00a02013 Cybercitizen Health U.S. study revealed that patients suffering from cystic fibrosis, growth hormone deficiencies and acne were among the <\/span>most likely to use smartphones to find health information, while easily trackable diseases like diabetes and sleep disorders didn\u2019t make the list.<\/span><\/p>\n

ICD-10 Is Your Friend
\n<\/strong>Adjusting from ICD-9 to ICD-10 coding is sure to cause some slow downs at the practice level. But there are several reasons why ICD-10 doesn\u2019t have to be the villain it\u2019s often made out to be. Higher reimbursements, better data and more detailed coding are all potential positives of the new coding set.<\/span><\/p>\n

ONC Tackles Problematic MU Measures
\n<\/strong>During an <\/span>open forum at this year\u2019s\u00a0American Medical Informatics Association (AMIA) symposium,\u00a0the ONC, EHR vendors and individual providers met to discuss the most troublesome Meaningful Use core objectives. Properly documenting lab results, true system interoperability and patient portal use requirements topped the list of issues.<\/span><\/p>\n

Do you want more from PYP? Sign up for our email list, and we\u2019ll deliver informative articles to your inbox year-round! <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Stage 2 Meaningful Use and ICD-10 are right around the corner. HHS is cracking down on all sorts of healthcare fraudsters. And the New Year is so close you already have the champagne on ice. Here is the third and final installment of our \u201c52 Things Healthcare Learned in 2013\u201d series to keep you prepped […]<\/p>\n","protected":false},"author":1,"featured_media":32788,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[70,2],"class_list":["post-10558","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-growth","tag-52-things-healthcare-learned-in-2013","tag-growth"],"yoast_head":"\n52 Things Healthcare Learned in 2013 \u2013 Part 3 \u2013 Continuum<\/title>\n<meta name=\"description\" content=\"The final installment of our ongoing series, 52 things the U.S. has learned in 2013 and what you need to know as a healthcare professional.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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