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Hospital Administration

How Merck's Jain is Helping Pharma Catch up to the Digital Health Movement

September 18, 2014 by Deanna Pogorelc

Jain is Catching Merck Up

Dr. Sachin Jain is a very good example of how pharma is leveraging digital technologies to improve how treatments are developed and delivered to patients. He joined Merck in 2012 as its chief medical information and innovation officer charged with pairing with health systems.[read more]

Are Those Cute Baby Pictures in the Doctor's Office Offending HIPAA?

September 18, 2014 by Stewart Gandolf, MBA

Pictures and Privacy

Baby pictures have a nearly universal “human touch” appeal. On the social media scale of cuteness, engagement and share-ability, babies, kids and grandkids are at the top. But evidently “cute” has its limits when baby pictures are publically posted, as they commonly are, in doctors’ offices.[read more]

Why Outsourcing Your IRO Is a Good Idea

September 18, 2014 by Abby Norman

Outsourcing IROs

In any industry there are times when an outside perspective is the difference between progress and an impasse. In healthcare, where the bottom line of can be at odds with the wants and needs of the patients and payers, a third-party perspective can help to untangle the web of miscommunication.[read more]

Veterans and mHealth: A Sensible Patient Engagement Strategy

September 17, 2014 by Bill Crounse

Patient Engagement

The US Department of Veterans Affairs has been taking it on the chin of late with allegations (and proof) of delayed appointments and care at some facilities, and charges that these delays have led to poor outcomes and even death. This is most likely caused by poor administration rather than poor care.[read more]

Taking a Fresh Look at Disruptive Physician Conduct

September 17, 2014 by Kenneth Cohn

The reason that I entitled this post “A Fresh Look at Disruptive Physician Conduct” is that I was pleased that it had been selected for presentation at a major surgical meeting. For too long, this subject has been swept under the rug.[read more]

Is NCQA Accreditation Right for You?

September 16, 2014 by Abby Norman

NCQA accreditation

In the alphabet soup of healthcare accreditation, chances are there are at least one or two accrediting bodies that you aren’t entirely sure about – one of those might be NCQA. Who are they, what do they accredit and do you need their accreditation in your organization?[read more]

Stanford Ends Anthem Contract, Cites PriceCheck Data

September 13, 2014 by Jeanne Pinder

Stanford Medicine

Price transparency has some unexpected consequences. Stanford, the big university-centered health system, cut off its contract with Anthem Blue Cross, the big California insurer, on September 5. Anthem struck back at Stanford, announcing that Stanford had ended the contract, and citing our PriceCheck information in its press release.[read more]

The Skinny on TJC Accreditation

September 13, 2014 by Abby Norman

Traditionally, TJC surveys hospitals every three years for TJC accreditation. While the information garnered from the surveys is relatively comprehensive, most of it is “need to know” in terms of public consumption – the gritty details are left up to the hospital to decide if or how much they want to share with the public.[read more]

Measuring Physician Productivity through RVUs

September 12, 2014 by Linda Ringquist

RBRVU

One manner by which physician productivity can be measured, a relatively new player in the healthcare game, is Relative Value Units, or, RVUs. RVUs attempt to suss out the relative level of difficulty in performing certain tasks, or, the amount of work involved in relation to other tasks common to most physicians.[read more]

The Pros and Cons of Outsourcing Medical Billing

September 11, 2014 by Alleli Aspili

medical billing

If you’re a doctor or a practice manager, one of the hardest and most financially impactful decisions that you will have to make is choosing between outsourcing your medical billing operations and keeping an in-house billing staff. To help you decide, I will lay out the pros and cons of outsourced medical billing.[read more]

Payor Contract Compliance and Tracking Reimbursements: Are You Being Paid Correctly?

September 9, 2014 by Andy Salmen

payor contract compliance (phasinphoto / Freedigitalphotos.net)

If you are a practicing physician in this market, you may wonder why you are working long hours and seeing as many patients as you can, yet the amount of money you are collecting seems to be decreasing. Here are some steps you can take in your revenue cycle management so that you can identify and rectify the underpayment problem.[read more]

Hospital-Based Physicians and Revenue Cycle Management

September 7, 2014 by Abby Norman

revenue cycle management

When we talk about revenue cycle management systems it’s easiest to draw comparisons to physicians working in an ambulatory setting. However, their inpatient counterpart physicians are less likely to reap the benefits of the EMR’s billing functions – if they’re reaping the benefits of an EMR at all.[read more]