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She Said; She Said

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Hello.   My name is Nicole Duperon Harper, PhD.   My passion – is learning, education and intellectual stimulation.  My inspiration – Healthcare. There are so many various things I’ve seen and conversations I’ve had the privilege to be involved in – I long for more.  More ideas, more perspectives, more insight – more, more, more.  I am currently the Director of Revenue Cycle Operations for a Large Health System in the Midw...
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?? Medicare’s Recovery Audit Contractors (RAC) to pay??
357,000 backlogged appeals awaiting determination in the Office of Medicare Hearings and Appeals (OMHA) has caused Representative Jim McDermott (D-WA), ranking member of the House Ways and Means Health Subcommittee, to voice his concern. In a letter to Department of Health and Human Services (HHS) Secretary Kathleen Sebelius on March 18,2014, he implicated the RAC's and the "Two Midnight Policy" as the "immediate cause" of the backlog and proposed several administrative solutions.
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Posted in: | Tags: Clinical documentation Improvement , Medicare , DENIALS AND APPEALS , physicians , health care compliance , ADMINISTRATORS , RECOVERY AUDIT CONTRACTORS , health care reform | Comments (0) | View Count: (4377)
CMS ANNOUNCES CHANGES IN RECOVERY AUDITOR (RA) PROCEDURES AND “A PAUSE IN OPERATIONS”
On February 18, 2014 CMS announced that they are in the process of “procurement for the next round of Recovery Audit Program contracts.” There will be a pause in operations to allow current RA contractors to complete all outstanding claim reviews and other processes by the end date of the current contracts. This will also allow CMS “to continue to refine and improve the Medicare Recovery Audit Program.”
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Posted in: | Tags: CMS , DENIALS AND APPEALS , RECOVERY AUDIT CONTRACTORS , ADMINISTRATORS , MEDICARE , health care reform , PHYSICIANS | Comments (0) | View Count: (2836)
05

Healthcare will survive October 1, 2014!

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Healthcare will survive October 1, 2014!
Most industry leaders have been working diligently to execute ICD-10 implementation plans – getting through training, tying up loose ends, preparing for testing & successfully avoiding the evident potholes. Will we be prepared??
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Posted in: | Tags: Clinical documentation Improvement , Coding , ICD-10 , HIT , health care reform , health care compliance | Comments (0) | View Count: (500)
Model Notices of Privacy Practices for Health Care Providers and Health Plans Released
The Office for Civil Rights and Office of the National Coordinator for Health Information Technology have collaborated to develop model Notices of Privacy Practices for health care providers and health plans to use to communicate with their patients and plan members. The HIPAA Privacy Rule gives individuals a fundamental right to be informed of the privacy practices of health plans and health care providers, as well as to be informed of their privacy rights with respect to their personal hea...
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Posted in: | Tags: HIPPA , Privacy , Compliance , EHR , Electronic Health Record , HIT , Health Information Technology | Comments (0) | View Count: (632)
CLINICAL DOCUMENTATION STRATEGY; TAMING THE TEMPEST
And Glinda the Good Witch of the North a beautiful young woman with long, rich red hair and blue eyes, wearing a pure white glistening gown replete with sparkling jewels in her crown and magic wand in hand says in a sweet, reassuring voice… “Turn around, close your eyes, tap your heels together three times and think to yourself……There’s no place like pre- health care reform, There’s no place like pre- health care reform, There’s no place like pre- health care reform.”
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Posted in: | Tags: physicians , nurses , health care reform , case managers , physician documentation , hospital , health care , HIMs , utilization review , revenue cycle professionals , Medicare , compliance , coders , ICD-10 , administration | Comments (0) | View Count: (1031)
DOES YOUR CLINICAL DOCUMENTATION PAINT A CLEAR PICTURE?????????
The medical record is the cornerstone of information within a healthcare organization. Implicit, ambiguous or missing documentation paints an obscure picture of a patient’s severity of illness, intensity of service, medical necessity, and justification of resources consumed. But, most importantly the quality of care rendered is interpreted exclusively by the documentation within the medical record.
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10

Welcome to the AIHCD blog!

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Welcome to the AIHCD blog!
Welcome to the AIHCD blog! ICD-10 is just around the corner and will bring the most dramatic change to health care since the advent of Medicare in the 60's. Share your knowledge, questions, opinions, fears, experience and anything else you desire to help equip the health care community to cope with ICD-10. This Blog is for Physicians, Nurses, Case Managers, Coders, Revenue Cycle professionals, Administrators, Residents and everyone else who will be impacted by ICD-10. Your voice needs to be h...
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Posted in: | Tags: physician , nurses , clinical documentation , compliance , health care , ICD-10 , coders , administration , coders , HIMs , doctor , Medicare , hospital , physician documentation , case managers , utilization review , revenue cycle professionals | Comments (0) | View Count: (595)
Is the government controlling the practice of medicine and rendering clinical acumen obsolete?
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Posted in: | Tags: | Comments (0) | View Count: (2446)
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  • She Said; She Said
    Hello.   My name is Nicole Duperon Harper, PhD.   My passion – is learning, education and intellectual stimulation.  My inspiration – Healthcare. There are so m...
  • ?? Medicare’s Recovery Audit Contractors (RAC) to pay??
    357,000 backlogged appeals awaiting determination in the Office of Medicare Hearings and Appeals (OMHA) has caused Representative Jim McDermott (D-WA), ranking member of the House Ways and Means Hea...
  • CMS ANNOUNCES CHANGES IN RECOVERY AUDITOR (RA) PROCEDURES AND “A PAUSE IN OPERATIONS”
    On February 18, 2014 CMS announced that they are in the process of “procurement for the next round of Recovery Audit Program contracts.” There will be a pause in operations to allow current RA contr...
  • Healthcare will survive October 1, 2014!
    Most industry leaders have been working diligently to execute ICD-10 implementation plans – getting through training, tying up loose ends, preparing for testing & successfully avoiding the evident po...