“Of all the Meaningful Use Stage 2 questions I'm asked by vendors, HISPs, and providers, many involve confusion between certification and attestation. (#MeaningfulUse Stage 2 data: Certification versus attestation.”
Researchers at Vanderbilt University Medical Center have used natural language processing technology in an electronic medical records system to identify patients with multiple sclerosis and collect data on traits of their disease course.
The work is significant, researchers say, because much remains unknown about the course of the disease, which varies widely among patients. “Most research studies have focused on the origin of the disease, partly because of the difficulty in ascertaining sufficient longitudinal clinical data to study the disease course,” according to the study published in the Journal of the American Medical Informatics Association.
“Electronic medical records may provide such a tool. We have previously shown that genomic signals of MS risk may be replicated using EMR-derived cohorts. In this paper, we evaluated algorithms to extract detailed clinical information for the disease course of MS.”
The study used algorithms based on ICD-9 codes, text keywords and medications to identify 5,789 patients with MS, and collected detailed data on the clinical course of the patients’ disease to measure progression of disability. “For all clinical traits extracted, precision was at least 87 percent and specificity was greater than 80 percent.”
When it comes to undergoing icd-10 training, you must know about some advantages if you go for the right kind of an institute. Some people go for icd-10 online training whereas others choose off-line options.
In 2014, providers who have elected to participate in the Centers for Medicare and Medicaid Services' meaningful use incentives program will need to begin stage 2. While stage 1 of the program had its challenges, stage 2 is set to be even more difficult. That is because while the power of successfully earning incentives for stage 1 was entirely in the hands of providers and vendors, patients play a much larger role in stage 2.
As part of this stage, providers need to get some of their patients to start accessing their electronic health records online. While doctors can encourage their patients to do this, there is no way that they could guarantee that they do so. This has led to many providers expressing concern that they will not be able to successfully complete this stage. EHRIntelligence recently spoke to Diana Warner, M.S., director of health information management practice excellence for the American Health Information Management Association, and asked her to give her take on what major challenges lie ahead for providers in stage 2, and whether she believes it will be possible for providers to collect incentives from it.
ICD-10 is the most current system of coding and documentation for physicians and health care facilities. This animated short video was made to introduce ICD-10 to University of Utah Health Care physicians, and help them understand their role in successfully implementing ICD-10 in our system
While I wasn't working in healthcare at the time, I've heard a number of doctors say that doctors missed out on being part of the HMO process. Their voice
While I wasn’t working in healthcare at the time, I’ve heard a number of doctors say that doctors missed out on being part of the HMO process. Their voice wasn’t part of the process and they suffered as a consequence of that decision. As I consider that idea, I wonder if doctors aren’t in the same position again with ACOs.
I was reminded of this as I was reading through this whitepaper called ACO & Collaborative Care – The Basics. The whitepaper digs into a number of good ACO discussions, but I was struck by one of the opening phrases:
Health reform IS REAL and NOT GOING away.
That struck me, because I think many doctors are just hoping that this shift to ACOs and value based reimbursement will just go away. Certainly some of this hope is founded since ACO is such a nebulous concept and we’re not sure how it’s going to be implemented. However, just because a concept isn’t totally defined doesn’t mean that it’s not going to be the future of healthcare. I assure you that this shift in reimbursement isn’t going anywhere.
The fact that ACO is a nebulous concept is exactly why doctors should get involved in the process of defining an ACO. When there’s uncertainty, there’s opportunity. The question is whether the opportunity is going to be taken by doctors or by someone else. Ideally all parties will be involved and there will be a give and take. However, I think currently physician voices are underrepresented and they’ll suffer for it.
One other thing that the ACO & Collaborative Care – The Basics whitepaper points out nicely is that you can’t just go out and buy an ACO. There’s no off the shelf ACO solution that will solve your problems. It’s not a software. It’s not a program. It’s not an organization. It’s likely going to include all of those things and that means that it takes some planning, coordination and collaboration. You’re not going to be ready for it if you’re not part of the ACO conversation.
WASHINGTON -- The House of Representatives acted Thursday to delay for a year problems physicians were facing with two three-letter acronyms: ICD and SGR.
Lawmakers voted to delay the switch to the ICD-10 coding system until Oct. 1, 2015. The bill containing that provision alsodelays by 12 months pending reimbursement cuts under Medicare's sustainable growth rate (SGR) payment formula.
The legislation also delays a requirement for hospitals to comply with the "two-midnight" rule for inpatient reimbursement, and pushes back recovery audits of allegedly unnecessary claims until March 2015.
The measure was approved via voice vote under a suspension of normal House rules -- despite a great deal of opposition from Democrats.
The bill now moves on to the Senate, where Sen. Ron Wyden (D-Ore.), the newly appointed chair of the Senate Finance Committee, which oversees Medicare, is pushing for a permanent solution to the SGR. Washington lawmakers, while agreeing on a policy for an SGR resolution this spring, have been unable to find a way to pay for the bill.
Under the SGR formula, physician payments will drop by roughly 24% on April 1 unless the Senate passes the measure now being considered.
A long list of physician groups -- including the American Medical Association (AMA), the American College of Physicians, the American Academy of Family Physicians, and the Alliance of Specialty Medicine -- opposed the 12-month SGR patch, saying it would derail efforts to permanently kill the SGR.
The AMA questioned the political fortitude of those on Capitol Hill.
"There was bipartisan, bicameral support for reform this year, yet too many in Congress lacked the courage and wherewithal to permanently fix Medicare to improve care for patients and provide greater certainty for physician practices," AMA President Ardis Dee Hoven, MD, said in a statement.
With elections looming in November, organized medicine will likely have to start anew with its lobbying efforts under a new Congress next year.
Physician groups -- although they oppose the SGR patch -- have been pushing for help on ICD-10, which they received Thursday.
Groups like the AMA have been lobbying the Centers for Medicare and Medicaid Services (CMS) to delay the switch to the ICD-10 system to give physicians more time for the transition. But with CMS firmly against another delay, Congress stepped in to give an extra year.
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