Observation status, ED visits create illusion of fewer readmissions, quality gains

http://www.fiercehealthcare.com/story/hospitals-cheat-readmissions-quality-standards-with-observation-status/2015-08-27

Observation Unit

Pay for performance “pressures hospitals to cheat,” authors say

How Medicare’s transitional care movement may prevent readmissions

http://www.fiercehealthcare.com/story/how-medicares-transitional-care-movement-may-prevent-readmissions/2015-08-27?page=full

CEO Rani Khetarpal: Clinical interventions needed throughout 30-day post-discharge period

“Cowboy Doctors” and Health Costs

http://harvardmagazine.com/2015/08/cowboy-doctors-and-health-costs

WHO’S DRIVING UP U.S. healthcare costs? A recent study by Harvard professors and colleagues revealed that the culprits may be “cowboy doctors”—physicians who provide intensive, unnecessary, and often ineffective patient care, resulting in wasteful spending costing as much as 2 percent of the nation’s Gross Domestic Product—hundreds of billions of dollars annually

Transitional care poised to increase impact on health insurance

http://www.healthcaredive.com/news/transitional-care-poised-to-increase-impact-on-health-insurance/403767/

Transitional care, a new Medicare billing category as of 2013, is about to see a new form of action thanks to California-based Global Transitional Care, the country’s first Medicare-approved, third-party transitional care provider dedicated exclusively to this service.

Patient Notification of Observation Status is Now Law

http://healthleadersmedia.com/content.cfm?topic=QUA&content_id=319548

digitalcaduceus

Under new federal law, Medicare patients who have been in the hospital for more than 24 hours will be required to be notified of their status within 36 hours of when they start receiving medical services as an outpatient.

What healthcare executives should know about ICD-10

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/what-healthcare-executives-should-know-about-icd-10

ICD 10

Despite efforts by critics to stave off the transition to the ICD-10 coding system, the mandated October 1, 2015 deadline became a near certainty when the American Medical Association (AMA) signaled a cooperative arrangement with the Centers for Medicare and Medicaid Services (CMS) in early July to assist practitioners in making the switch.