CPHIMS Coaching Sessions GA HIMSS July 15, 2016 Sepi Browning
|
|
|
- Lilian Floyd
- 6 years ago
- Views:
Transcription
1 CPHIMS Coaching Sessions GA HIMSS July 15, 2016 Sepi Browning 1 7/15/16
2 This morning Introduction to GA HIMSS Website & CPHIMS Section Overview of Sessions & Testing Process Topic 1 Today Introduction to Healthcare Environment Topic 2 Today - Privacy / Security 2
3 Secrets of Success Knowledge Experience Good Test taking skills (We will have a dedicated session on this) Attitude/Rest/Confidence on day of test Preparation (The CPHIMS Review Guide, Second Edition) 3
4 Certification Exam Administration HIMSS is not providing a group exam administration opportunity this year, but we will walk through the process for independent registration Non-refundable and non-transferable to another person or another administration. $300 CPHIMS Exam HIMSS Member Eligibility Requirements: Baccalaureate degree, or global equivalent, and 5 years of associated information & management systems experience*, three of those years in healthcare. Graduate degree, or global equivalent, and 3 years of associated information & management systems experience*, three of those years in healthcare. 4
5 The Test 115 questions (100 count, 15 are?s being tested to be used in future exams) Multiple Choice 2 hours 5
6 Content General Healthcare Environment (19) Technology Environment (10) Systems Analysis (14) Design (5) Selection, Implementation, Support, and Maintenance (8) Testing and Evaluation (3) Privacy and Security (6) Administration Leadership (29) Management (6) 6
7 Content Recall Knowledge of specific information 27 Application Comprehend, relate, apply 39 Analysis - determine solutions, evaluate 34 7
8 So what do you do Trust your instincts Read and talk about your areas of weakness Leadership / management Software / Applications Hardware/Networking Analysis/Design/Testing Support/Maintenance Security/Privacy 8
9 Sample Test Questions *Question #1 A universal goal to improve patient safety is the use of A. surgical pause. B. patient privacy process. C. diagnosis-related groups. D. peer review. 9
10 Sample Test Questions *Question #1 A universal goal to improve patient safety is the use of A. surgical pause. B. patient privacy process. C. diagnosis-related groups. D. peer review. Correct Answer: A This is one of the main goals of The Joint Commission International Center for Patient Safety. 10
11 *Question #2 When setting up relational databases, the primary key refers to a field or set of fields that A. contains the unique security password for the database. B. points to rows and columns in the table. C. relates the tables for the database. D. uniquely identifies each record stored in the table. 11
12 *Question #2 When setting up relational databases, the primary key refers to a field or set of fields that A. contains the unique security password for the database. B. points to rows and columns in the table. C. relates the tables for the database. D. uniquely identifies each record stored in the table. Correct Answer: D A primary key (if assigned) is used as a unique identifier for each record in the table. 12
13 *Question #6 Technology assessment within a project is used to: A. consider the effect of technology when it is introduced, extended, or modified. B. develop a format of inquiry to evaluate product features and functions. C. implement compliance with regulatory requirements for information technology. D. determine weaknesses or gaps in a system after design and implementation. 13
14 *Question #6 Technology assessment within a project is used to: A. consider the effect of technology when it is introduced, extended, or modified. B. develop a format of inquiry to evaluate product features and functions. C. implement compliance with regulatory requirements for information technology. D. determine weaknesses or gaps in a system after design and implementation. Correct Answer: A This is the most comprehensive definition given. 14
15 *Question #6 Technology assessment within a project is used to: A. consider the effect of technology when it is introduced, extended, or modified. B. develop a format of inquiry to evaluate product features and functions. C. implement compliance with regulatory requirements for information technology. D. determine weaknesses or gaps in a system after design and implementation. Correct Answer: A. This is the most comprehensive definition given. Incorrect Answers: B. This is usually done during a selection process. C. This is a required maintenance activity. D. This is an applied technique of option A. 15
16 Introduction To Healthcare Environment The CPHIMS Review Guide, Second Edition Trust in your real life experiences Read professional organization journals Modern Healthcare AHIMA ACHE HIT Journals 16
17 Healthcare Environment Types of Facilities (Acute, Subacute, LTAC, SNF, etc) How facilities relate to each other (think Medicare rules) Roles of Inf and Mgnt Systems professionals, org structures Government, Accreditation, Professional orgs Remember it is 19% of the test Recall and Application 17
18 Issues Healthcare Orgs Cost Variability Safety EBM (evidence based medicine) Complexity Consumerism / Expectations Technology / Research Face Meaningful Use GA HIMSS Community of Practice 18
19 Healthcare Delivery Provider Hospitals Level of Care Secondary, Tertiary Ownership Investor Owned, Tax-Exempt, Gov, Military Geographic Urban, Metro, Rural Payor Mix Critical Access, Teaching, Academic Med Center 19
20 Other Providers Ambulatory Centers and Clinics Long Term Care Public Health Community Health Physicians Pharmacies IDN (Integrated Delivery Network) Merger, joint Venture, Virtual Organization Alliance, Network IPA (Independent Practice Association) ACO s (Accountable Care Organization) 20
21 Payment Systems NHI National Health Insurance (UK, Canada) NHS National Health Services (UK) Medicare, Medicaid, CMS (Centers for Medicare & Medicaid Services) Charges/Fee for Service, Discounted, Per Diem, Episodic, Capitation, Global DRGs (Diagnosis Related Group), APGs (Ambulatory Patient Group), P4P (Pay for Performance) 21
22 Physicians Role of Health Professionals PCPs, Specialists, Hospital Based, Mid-levels PA, CRNA, NP, Nurses 22
23 IT Professionals 4 Core Roles IT Infrastructure operations/technical support Applications Management Process Improvement IT Admin (Planning, Management, Leadership) CIO, CTO, CMIO, CSO (security) Systems analysts, programmers, database admin, network admin, telecom, MEs 23
24 Gov, Regulation, Professional Orgs, Accreditation Government Provider (VA, Military) Payor (Care, Caid) Regulator Accreditation JCAHO WHO ICD 9 and 10 CDC 24
25 Coaching Schedule Intro and Healthcare Environment 7/15/2016 Session 1 Privacy / Security 7/15/2016 Session 1 Systems Analysis 7/22/2016 Session 2 Systems Design Testing and Evaluation 7/22/2016 Session 2 System Selection, Implementation, Support, and Maintenance Part 1 7/29/2016 Session 3 System Selection, Implementation, Support, and Maintenance Part 2 7/29/2016 Session 3 Leadership 8/5/2016 Session 4 Management part 1 8/12/2016 Session 4 Management part 2 8/19/2016 Session 5 Technology 8/26/2016 Session 6 Test review strategy session 9/2/2016 Session 7 25
26 Questions? If you have any questions please feel free to send your s to: Sepi Browning ( ) 26
Chapter 11. Expanding Roles and Functions of the Health Information Management and Health Informatics Professional
Chapter 11 Expanding Roles and Functions of the Health Information Management and Health Informatics Professional 11-2 Learning Outcomes When you finish this chapter, you will be able to: 11.1 Discuss
Exploring the challenges and possibilities of data. a guide to nursing and health care informatics
Exploring the challenges and possibilities of data a guide to nursing and health care informatics why INFORMATICS? Health informatics drives changes in health care through the use of data. And these changes
Best Practices Contracting for Health IT Supporting Pay-for-Performance (P4P) Early Findings
Best Practices Contracting for Health IT Supporting Pay-for-Performance (P4P) Early Findings Researchers: Martin, Thomas R. PhD, Assistant Professor St. Joseph s University Department of Health Services;
Hospital-Based Ambulatory Care
C H A P T E R 2 Hospital-Based Ambulatory Care ANSWERS TO KNOWLEDGE-BASED QUESTIONS 1. What has been the trend in the utilization of hospital-based services? What factors help to account for this trend?
Russell B Leftwich, MD
Russell B Leftwich, MD Chief Medical Informatics Officer Office of ehealth Initiatives, State of Tennessee 1 Eligible providers and hospitals can receive incentives for meaningful use of certified EHR
Domain 1 Patient Engagement Speed Data Reports & Schedule
Domain 1 Patient Engagement Speed Data Reports & Schedule Suffolk Care Collaborative (SCC) Suffolk County Performing Provider System (PPS) Delivery System Reform Incentive Payment (DSRIP) Program 2 PRESENTATION
Minimizing the Financial Impact of ICD 10 to Budgets, Productivity Forecasts and Reimbursement
Minimizing the Financial Impact of ICD 10 to Budgets, Productivity Forecasts and Reimbursement National Rural Health Resource Center Rural Hospital Performance Improvement (RHPI) Project December 19, 2012
From Bundles to Global Capitation: Aligning Care Models to Payment Models. The 16 th Annual Population Health Colloquium Philadelphia, PA
From Bundles to Global Capitation: Aligning Care Models to Payment Models The 16 th Annual Population Health Colloquium Philadelphia, PA March 8, 2016 The U.S. Payer Market is Committed to Dramatically
Medi-Pak Advantage: Reimbursement Methodology
Medi-Pak Advantage: Reimbursement Methodology The information located on the following pages is intended to summarize the reimbursement methodologies for Medi-Pak Advantage: Medi-Pak Advantage reimburses
Payment of hospital inpatient services. (A) HPP.
ACTION: Final DATE: 01/22/2018 8:09 AM 4123-6-37.1 Payment of hospital inpatient services. (A) HPP. Unless an MCO has negotiated a different payment rate with a hospital pursuant to rule 4123-6-10 of the
JEFFERSON COLLEGE COURSE SYLLABUS HIT 250. Healthcare Billing and Reimbursement. 3 Credit Hours
JEFFERSON COLLEGE COURSE SYLLABUS HIT 250 Healthcare Billing and Reimbursement 3 Credit Hours Prepared by: Niki Vogelsang, MBA, RHIA Health Information Technology Program Director Created on Date: 10-11-11
CPC+ Application Process
Practice Eligibility CPC+ Application Process In order to participate, all CPC+ practices must have multi-payer support, adopt certified health IT requirements for reporting, and other infrastructural
The Quality Payment Program: Your Questions Answered
APRIL 20, 2017 The Quality Payment Program: Your Questions Answered Quality Payment Program Panel BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW BARRON, MBA Director, Advisory Services
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP)
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP) Background ICD = International Statistical Classifications of Diseases and Related
DSRIP Demonstration Year 1, Quarter 1-2 Domain 1 Patient Engagement Data Request
DSRIP Demonstration Year 1, Quarter 1-2 Domain 1 Patient Engagement Data Request Webinar: Monday, October 5, 2015 Time: 1:30pm-3:00pm Presented by Suffolk Care Collaborative (SCC) Suffolk County Performing
The Journey to Meaningful Use: Where we were, where we are, and where we may be going
The Journey to Meaningful Use: Where we were, where we are, and where we may be going June 27, 2013 Matthew Stanford, WHA Louis Wenzlow, RWHC 1 Where have we been? When HIT Adop on Meaningful Use Adoption
Outpatient Hospital Facilities
Outpatient Hospital Facilities Chapter 6 Chapter Outline Introduce students to 1. Different outpatient facilities 2. Different departments involved in the reimbursement process 3. The Chargemaster 4. Terminology
Framework for Post-Acute Care: Current and Future Issues for Providers
Framework for Post-Acute Care: Current and Future Issues for Providers Alan G. Rosenbloom Alliance for Quality Nursing Home Care March 2012 Overview of Presentation Post-Acute Care: Background and Trends
Accountable Care Organizations: Organizational and Legal Structures; Governance
Accountable Care Organizations: Organizational and Legal Structures; Governance California Association of Physician Groups (CAPG) May 4, 2011 Palm Desert, CA Dennis S. Diaz, Esq. Davis Wright Tremaine
Important Billing Guidelines
Important Billing Guidelines The guidelines contained herein are meant to assist GHP Family Participating Providers in billing appropriately for medically necessary services rendered to GHP Family Members.
Review Process. Introduction. InterQual Level of Care Criteria Long-Term Acute Care Criteria
InterQual Level of Care Criteria Long-Term Acute Care Criteria Review Process Introduction InterQual Level of Care Criteria support determining the appropriateness of Long-Term Acute Care (LTAC) admission,
The Current State of CMS Payfor-Performance. HFMA FL Annual Spring Conference May 22, 2017
The Current State of CMS Payfor-Performance Programs HFMA FL Annual Spring Conference May 22, 2017 1 AGENDA CMS Hospital P4P Programs Hospital Acquired Conditions (HAC) Hospital Readmissions Reduction
Seema Verma Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1696-P P.O. Box 8016 Baltimore, MD
June 26, 2018 Seema Verma Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-1696-P P.O. Box 8016 Baltimore, MD 21244-1850 Re: CMS-1696-P Medicare Program; Prospective
Regulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
HEALTHCARE STAFFING EDUCATION & TRAINING SEARCH
HEALTHCARE STAFFING EDUCATION & TRAINING SEARCH May 2007 This presentation contains forward-looking statements. Statements that are predictive in nature, that depend upon or refer to future events or conditions
u Telemedicine The Virtual Experience
Telemedicine The Virtual Experience April 2017 Telemedicine vs. Telehealth Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients
Moving the Dial on Quality
Moving the Dial on Quality Washington State Medical Oncology Society November 1, 2013 Nancy L. Fisher, MD, MPH CMO, Region X Centers for Medicare and Medicaid Serving Alaska, Idaho, Oregon, Washington
Care360 EHR Frequently Asked Questions
Care360 EHR Frequently Asked Questions Table of Contents Care360 EHR... 4 What is Care360 EHR?... 4 What are the current capabilities of Care 360 EHR?... 4 Is Care 360 EHR an EMR?... 5 Can I have Care360
CAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
Caring for the Whole Patient Predictive Analytics Technology, Socio-demographic Insights, and Improved Patient Outcomes Randy K.
WHITE PAPER Caring for the Whole Patient Randy K. Hawkins, MD Caring for the Whole Patient Socio-demographic data, not normally present in the electronic health record, and not routinely found in the hands
Reimbursement guide. IODOSORB/IODOFLEX are Cadexomer Iodine-based products, available in two forms gel or pad.
Reimbursement guide IODOSORB/IODOFLEX are Cadexomer Iodine-based products, available in two forms gel or pad. IODOSORB/IODOFLEX remove barriers to healing by its dual action antimicrobial and desloughing
The Pain or the Gain?
The Pain or the Gain? Comprehensive Care Joint Replacement (CJR) Model DRG 469 (Major joint replacement with major complications) DRG 470 (Major joint without major complications or comorbidities) Actual
05-11 FORM CMS (Cont.)
05-11 FORM CMS-2540-10 4100 4100. GENERAL The Paperwork Reduction Act (PRA) of 1995 requires that the private sector be informed as to why information is collected and what the information is used for
Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers
Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers HIMSS Stage 7: What it Means Heart of America HIMSS and the Missouri Health Information Management Association
Medical Manager v12 includes the following features and functionalities to assist you with your ICD-10 transition:
ICD-10 Readiness Vitera Medical Manager FAQs 1. Which version of Vitera Medical Manager supports ICD-10? Vitera Medical Manager version 12 fully supports ICD-10 and is preloaded with the full ICD-10 code
The Future of Healthcare Delivery; Are we ready?
The Future of Healthcare Delivery; Are we ready? Lisa K. Saladin, PT, PhD, FAPTA Dean and Professor Medical University of South Carolina copyright LisaSaladin 2016 Objectives 1. Discuss 5 of the projected
September 2, Dear Mr. Slavitt:
Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: CMS-1656-P, Medicare Program;
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE. Clinical Documentation Improvement Specialist Apprenticeship
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE Clinical Documentation Improvement Specialist Apprenticeship O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: 2026CB Type of Training: Competency-based
HT 2500D Health Information Technology Practicum
HT 2500D Health Information Technology Practicum HANDBOOK AND REQUIREMENTS GUIDE Page 1 of 17 Contents INTRODUCTION... 3 The Profession... 3 The University... 3 Mission Statement/Core Values/Purposes...
Carolinas Collaborative Data Dictionary
Overview Carolinas Collaborative Data Dictionary This data dictionary is intended to be a guide of the readily available, harmonized data in the Carolinas Collaborative Common Data Model via i2b2/shrine.
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE. Clinical Documentation Improvement Specialist Apprenticeship
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE Clinical Documentation Improvement Specialist Apprenticeship O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: 2026CB Type of Training: Competency-based
Table 1: MIPS Exemptions. Exemption Individual Determination Group Determination Treatment under MIPS Already Finalized EXEMPTIONS Low-Volume
Exemptions and Special Status Determinations under the Merit-Based Incentive Payment System (MIPS): A Resource Guide for Existing and Proposed Policies The following tables provide information on exemptions
Provider-Based Hospital Departments Are We Compliant?
Critical Access Hospital and Provider-Based Hospital Departments Are We Compliant? September 14, 2017 1 Reasons for Hospital/Clinic Integration History of Provider-Based Regulations Provider-Based Requirements
Quality, Cost and Business Intelligence in Healthcare
Quality, Cost and Business Intelligence in Healthcare Maitri Vaidya Population Health Executive DBA, MHA, CPHQ May 2016 Where are we going? IHI Triple Aim Improve the patient experience of care Lower
2016 Medical Staff Standards Update Panel Featuring TJC, NCQA, URAC, DNV, and HFAP (Part 1) THE JOINT COMMISSION. Objectives
2016 Medical Staff Standards Update Panel Featuring TJC, NCQA, URAC, DNV, and HFAP (Part 1) Paul Ziaya, MD, Veronica C. Locke, MHSA, Donna Merrick, BNS, MEd, Patrick Horine, MHA, and Karen Beem, MS, RN
Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA
Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA March 9, 2010 Presented by: Michael Edbauer, DO, Vice President, Medical Affairs CIPA
Rural and Independent Primary Care.
Rural and Independent Primary Care www.caravanhealth.com Agenda 2015 Results from Rural ACO Participants Fundamental population health programs. Overview of additional rural value-based payments Opportunities
Data Stewardship: Essential Skills for Long Term Care Facility Managers
Data Stewardship: Essential Skills for Long Term Care Facility Managers PRESENTED BY LEAH KLUSCH EXECUTIVE DIRECTOR THE ALLIANCE TRAINING CENTER ALLIANCE, OHIO 330-821-7616 leahklusch@sbcglobal.net Data
Urgent Care Centers and Free-Standing Emergency Rooms: A Necessary Alternative under the ACA
Urgent Care Centers and Free-Standing Emergency Rooms: A Necessary Alternative under the ACA Kim Harvey Looney, Waller Lansden Dortch and Davis Mollie K. O Brien, Epstein Becker Green Jon Sundock, CareSpot
Background for Congressman Kevin Cramer s Health Care Reform Roundtable February 22, 2017 Consideration of Rural Health in Health Care Reform
Background for Congressman Kevin Cramer s Health Care Reform Roundtable February 22, 2017 Consideration of Rural Health in Health Care Reform In rural health, health reform really means maintaining and
Identify Best Practices of Behavioral Health Home Organizations to Prevent Admissions and Readmissions
Orlando, Florida No Disclosures DE2: MaineCare Behavioral Health Homes: An Innovative and Integrated Approach to Care Liz Miller, MPH, Project Manager, Maine Quality Counts Mary Beyer, MS, Quality Improvement
Total Cost of Care Technical Appendix April 2015
Total Cost of Care Technical Appendix April 2015 This technical appendix supplements the Spring 2015 adult and pediatric Clinic Comparison Reports released by the Oregon Health Care Quality Corporation
ACOs & the Accountable Care Era: Emerging Healthcare Risks & Exposures. Jeffrey Lunn, CPCU Senior Strategist, Healthcare
ACOs & the Accountable Care Era: Emerging Healthcare Risks & Exposures Jeffrey Lunn, CPCU Senior Strategist, Healthcare Ohio Hospital Association June 10, 2014 Accountable Care & Emerging Healthcare Risks:
N.E.W.T. Level Measurement:
N.E.W.T. Level Measurement: Voldemort or Dumbledore? Nathan Spell, MD, FACP Chief Quality Officer, Emory University Hospital Georgia Chapter Scientific Meeting American College of Physicians Savannah,
Troubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
The CMS Survey Guide Jeffrey T. Coleman
The CMS Survey Guide Jeffrey Jeffrey T. T. Coleman Coleman Contents About the Author......................................................... v Introduction............................................................
HCA. Coding, Billing, and Documentation Regarding Inpatient, Outpatient, Ambulatory Surgery, and Physician Patient Accounts 3/17/2015
Coding, Billing, and Documentation Regarding Inpatient, Outpatient, Ambulatory Surgery, and Physician Patient Accounts Mark J. Eddy, CPA Vice President HCA Internal Audit 1 HCA Headquarters: Nashville,
Modifiers 80, 81, 82, and AS - Assistant At Surgery
Manual: Policy Title: Reimbursement Policy Modifiers 80, 81, 82, and AS - Assistant At Surgery Section: Modifiers Subsection: None Date of Origin: 1/1/2000 Policy Number: RPM013 Last Updated: 7/11/2017
Alabama Primary Health Care Association October 4, Separating Clinical Documentation, Professional Coding, and Billing: A Workflow Analysis
Alabama Primary Health Care Association October 4, 2017 Separating Clinical Documentation, Professional Coding, and Billing: A Workflow Analysis Presented by: Gary Lucas, M.Sc., CPC, CPC-I, AHIMA ICD-10
Tips for Completing the UB04 (CMS-1450) Claim Form
Tips for Completing the UB04 (CMS-1450) Claim Form As a Beacon facility partner, we value the services you provide and it is important to us that you are reimbursed for the work you do. To assure your
Overview of CMS HIT Initiatives. Kelly Cronin Senior Advisor to the Administrator Centers for Medicare and Medicaid Services September 2005
Overview of CMS HIT Initiatives Kelly Cronin Senior Advisor to the Administrator Centers for Medicare and Medicaid Services September 2005 A Variation Problem Dartmouth Atlas of Healthcare Decade of HIT:
Small Rural Hospital Transitions (SRHT) Project. Rural Relevant Measures: Next Steps for the Future
Small Rural Hospital Transitions (SRHT) Project Rural Relevant Measures: Next Steps for the Future Paul Moore, DPh Senior Health Policy Advisor Federal Office of Rural Health Policy, Health Resources &
Unleash Healthcare Information Technology for Successful Sites, Investigators and Subjects
Unleash Healthcare Information Technology for Successful Sites, Investigators and Subjects Timothy J. Kelly, MS, MBA Vice President Dialog Medical Who has heard the term Who has heard the term meaningful
MEDICAL ASSISTANCE BULLETIN
ISSUE DATE March 17, 2015 SUBJECT EFFECTIVE DATE March 2, 2015 MEDICAL ASSISTANCE BULLETIN NUMBER 99-15-03 BY Medical Assistance Program Fee Schedule Revisions Vincent D. Gordon, Deputy Secretary Office
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play?
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play? June 17, 2016 Agenda Clinical Documentation Improvement (CDI) Perspective An Effective CDI Program Core Focus: Compliance
Value-Based Health Care for AMCs and Health Systems
Value-Based Health Care for AMCs and Health Systems Part I: Network Development Michael B. Lampert +1 (617) 951-7095 Michael.Lampert@ropesgray.com Benjamin A. T. Wilson +1 (617) 951-7336 Benjamin.Wilson@ropesgray.com
EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results
briefopinion: Hospital Readmissions Survey EXECUTIVE SUMMARY: Purpose & Methods The purpose of this survey was to collect information about hospital readmission rates and practices. The survey was available
Medicare & Medicaid EHR Incentive Program. Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010
Medicare & Medicaid EHR Incentive Program Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010 1 Overview Background and Policy Context EHR Incentive Program Basics Who is Eligible to Participate How
Pitch Perfect: Selling Your Services to LTC Facilities
Pitch Perfect: Selling Your Services to LTC Facilities Lou Ann Brubaker, President Brubaker Consulting www.brubakerconsulting.com 301 535 5449 brubak97@aol.com Linkedin Disclosure Lou Ann Brubaker is the
2018 MIPS Quality Performance Category Measure Information for the 30-Day All-Cause Hospital Readmission Measure
2018 MIPS Quality Performance Category Measure Information for the 30-Day All-Cause Hospital Readmission Measure A. Measure Name 30-day All-Cause Hospital Readmission Measure B. Measure Description The
Virtual Care Solutions Moving Care from the Hospital to the Home
Virtual Care Solutions Moving Care from the Hospital to the Home Access Strategy Revenue Strategy Primary Care Strategy Building onto existing infrastructure to move to the next paradigm of healthcare
paymentbasics Defining the inpatient acute care products Medicare buys Under the IPPS, Medicare sets perdischarge
Hospital ACUTE inpatient services system basics Revised: October 2007 This document does not reflect proposed legislation or regulatory actions. 601 New Jersey Ave., NW Suite 9000 Washington, DC 20001
Frequently Asked Questions (FAQ) The Harvard Pilgrim Independence Plan SM
Frequently Asked Questions (FAQ) The Harvard Pilgrim Independence Plan SM Plan Year: July 2010 June 2011 Background The Harvard Pilgrim Independence Plan was developed in 2006 for the Commonwealth of Massachusetts
Bundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
LifeWise Reference Manual LifeWise Health Plan of Oregon
11 UB-04 Billing Description This chapter contains participation, claims and billing information for providers who bill on a UB-04 (CMS 1450) claim form. This chapter supplements information contained
One Medicine: Incorporating Population Health Principles and Best Practices into Clinical Workflow
One Medicine: Incorporating Population Health Principles and Best Practices into Clinical Workflow March 5, 2018 Jayne Bassler President, Population Health Services Organization Senior Vice President,
Healthcare Leadership Council: John Perticone Golden Living 3/9/2016
Healthcare Leadership Council: Care Transitions in Post Acute Care John Perticone Golden Living 3/9/2016 Golden Living Profile Golden Living Centers and Communities 296 skilled nursing facilities 15 assisted
2011 Summer Institute in Nursing Informatics The Tenet Story
2011 Summer Institute in Nursing Informatics The Tenet Story Liz Johnson, MS, FHIMSS, CPHIMS, RN-BC VP of Applied Clinical Informatics HHS Health Information Technology Standards Committee Member Modern
Payment Methodology. Acute Care Hospital - Inpatient Services
Grid Medi-Pak Advantage generally reimburses deemed providers the amount they would have received under Original Medicare for Medicare covered services, minus any amounts paid directly by Original Medicare
NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development
NCQA s Patient-Centered Medical Home Recognition and Beyond Tricia Marine Barrett, VP Product Development National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality
HOME HEALTH CARE TABLE OF CONTENTS. OVERVIEW TRANSITIONAL... CARE... SERVICES . MEMBERS... MANAGED... BY... EVICORE
TABLE OF CONTENTS. OVERVIEW............................................................................................. 452..... TRANSITIONAL................. CARE...... SERVICES......................................................................
Medicare: This subset aligns with the requirements defined by CMS and is for the review of Medicare and Medicare Advantage beneficiaries
InterQual Level of Care Criteria Subacute & SNF Criteria Review Process Introduction InterQual Level of Care Criteria support determining the appropriateness of admission, continued stay, and discharge
Objectives 9/18/2018. Patient Driven Payment Model(PDPM) Janine Finck Boyle, MBA/HCA, LNHA Vice President of Regulatory Affairs Fall 2018
Patient Driven Payment Model(PDPM) Janine Finck Boyle, MBA/HCA, LNHA Vice President of Regulatory Affairs Fall 2018 Mission: The trusted voice for aging. Objectives List the five(5) case mix components
5/1/2017. Medicare Coverage Guidelines for DSMT and MNT Telehealth. Telehealth Defined
Medicare Coverage Guidelines for DSMT and MNT Telehealth Mary Ann Hodorowicz, RDN, MBA, CDE Certified Endocrinology Coder Mary Ann Hodorowicz Consulting, LLC 4-30-17 MEDICARE DSMT - MNT TELEHEALH KEY TOPICS
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection
CAPITAL HEALTH PLAN (CHP)
10/03/18 Office Clerk Member 09/11/18 Utilization Management Nurse I Care Coordination 09/07/18 Ophthalmic Technician Eye Care * M F, 8 am 5 40-hour work week may vary between the hours of 8am- Assists
American Health Information Management Association Standards of Ethical Coding
American Health Information Management Association Standards of Ethical Coding Introduction The Standards of Ethical Coding are based on the American Health Information Management Association's (AHIMA's)
Leon Medical Centers Health Plans will not accept ICD-10 codes until October 1, 2015.
ICD-10 Implementation Frequently Asked Questions Updated August 2015 ICD-10 Compliance Date The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing October 1, 2015
Getting Started in a Medicare Shared Savings Program Accountable Care Organization
1 Getting Started in a Medicare Shared Savings Program Accountable Care Organization Tuesday, September 16 th Pam Maxwell, Chief Growth Officer What is an ACO? Accountable Care Organizations (ACOs) are
Our Patient Portal Experience
Our Patient Portal Experience Pat Bracknell, CHDA May 13, 2016 Central Oregon 1 Goal Describe how our organization is working through the benefits and challenges of implementing a patient portal in response
ABCs of Building a Clinically Integrated Network
ABCs of Building a Clinically Integrated Network St. Vincent s Health Partners, Inc. Dr. Thomas A. Raskauskas President/CEO Thomas.raskauskas@stvincentshealthpartners.org Dr. Michael G. Hunt CMO/CMIO Bridgeport,
An Overview of Eligibility, Registration, and Attestation for the Medicare & Medicaid EHR Incentive Programs Eligible Professionals
An Overview of Eligibility, Registration, and Attestation for the Medicare & Medicaid EHR Incentive Programs Eligible Professionals Jon Langmead 10/31/2011 Centers for Medicare & Medicaid Services 1 Eligible
Accountable Care Organizations American Osteopathic Association Health Policy Day September 23, 2011
Accountable Care Organizations American Osteopathic Association Health Policy Day September 23, 2011 Cary Sennett MD PhD Cary Sennett, MD, PhD Managing Director, Engelberg Center for Health Care Reform
2011 Melanoma Physician Quality Reporting (PQRS): FREQUENTLY ASKED QUESTIONS
Q: What is the Physician Quality Reporting System? A: The Physician Quality Reporting System, formerly known as PQRI, is a program developed by the Centers for Medicare and Medicaid Services (CMS) to provide
Reinventing Health Care: Health System Transformation
Reinventing Health Care: Health System Transformation Aspen Institute Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for
Health System Transformation. Discussion
Health System Transformation Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for Medicare & Medicaid Innovation Director, Center for
Trends in the Use of Contract Labor among Hospitals
Trends in the Use of among Hospitals A study by: Paul Shoemaker President and CEO American Hospital Directory, Inc. www.ahd.com Douglas H. Howell Senior Vice President, Organization and Performance Norton
Designing Quality into an EMR/CPOE Implementation. Kristine Martin Anderson
Designing Quality into an EMR/CPOE Implementation Kristine Martin Anderson 1 Healthcare Industry Movements Impacting Hospitals Pay for Performance brings employers, purchasers and providers together to
Troubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines