Physicians spend more than half their time on EHR tasks
Editor's Note Primary care physicians spend more than half of their workday typing data on a computer screen and completing other electronic health record (EHR) tasks, this study from the University of Wisconsin and the American Medical Association finds. During a typical 11.4-hour workday, physicians spent nearly 6 hours on…
Editorial
Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…
CMS granting exemptions for providers affected by Hurricane Irma
Editor's Note The Centers for Medicare & Medicaid Services (CMS) is granting exemptions under Medicare quality reporting and value-based purchasing programs for certified providers (eg, acute care hospitals, long-term care hospitals, ambulatory surgical centers) affected by storms and flooding from Hurricane Irma. Providers will be granted exemptions without having to…
Can HAI data be useful in differentiating US hospitals?
Editor's Note There are enough healthcare-associated infection (HAI) data reported on the Centers for Medicare and Medicaid Services (CMS) Hospital Compare website to meet minimal criteria for useful hospital comparisons in many geographic areas; however, it varies by type of HAI, this study finds. The analysis included data from 4,561…
Effect of Medicare's Hospital Readmission Reduction Program on surgical readmissions
Editor's Note From 2008 to 2014, rates of postoperative readmissions declined for both Hospital Readmission Reduction Program targeted procedures (total hip and total knee replacements)--from 6.8% to 4.8%--and nontargeted procedures (colectomy, lung resection, abdominal aortic aneurysm repair, coronary artery bypass graft, aortic valve replacement, and mitral valve repair)--from 17.1% to…
CMS grants exceptions for quality reporting to ASCs in Harvey’s path
Editor's Notes The Centers for Medicare & Medicaid Services (CMS) will grant exceptions for quality reporting requirements for ambulatory surgery centers (ASCs) located in the path of Hurricane Harvey, the September 1 ASCA News reports. ASCs in affected counties and parishes in Texas and Louisiana will get exceptions without having…
Flooding from Harvey prompts HHS to declare public health emergency
Editor's Note Health and Human Services (HHS) Secretary Tom Price, MD, has declared a public health emergency because of flooding and lingering rain in the aftermath of Hurricane Harvey, the August 28 Healthcare Finance News reports. This declaration gives healthcare providers in Texas and Louisianian greater flexibility in treating people displaced by the…
Payment variation in CABG episodes of care can affect bundled payments
Editor's Note Wide variation was found in 90-day coronary artery bypass grafting (CABG) episode payments for Medicare and private payer patients in this study. The differences were driven by increased use of evaluation and management services, higher utilization of inpatient rehabilitation, and patients with multiple readmissions. In the analysis of…
More than 800 ICD-10 code changes coming
Editor's Note ChartLogic (Salt Lake City) is reporting that as of August 9, 2017, a total of 419 ICD-10 codes were added, 273 codes were revised, and 123 codes were being deleted, according to the August 15 Becker’s Hospital CFO Report. The changes are slated for implementation on October 1,…
CMS proposes canceling two bundled payment models, scaling back a third
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on August 15 announced a proposed rule that would cancel two bundled-payment models and reduce the number of providers required to participate in a third. The proposed rule would cancel the Episode Payment Models and the Cardiac Rehabilitation incentive payment…
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