The Amazon Effect On Health Care

Nearly everyone knows Amazon, the successful international e-commerce website for consumers and sellers, founded in 1994. The “Amazon effect” affects multiple industries, including health care.   What exactly is the “Amazon effect”? It’s a term used to describe Amazon.com’s success. The meaning can vary depending on the industry, but it generally refers to the difficulty many…

MACRA: Big Changes

There’s a reason why the “Medicare Access & CHIP Reauthorization Act” (MACRA) is also called the “permanent doc fix”. MACRA permanently eliminates the sustainable growth rate (SGR) formula (and its annual threat of physician payment cuts) and provides positive annual payment updates lasting through 2019. Right now, Medicare measures the value and quality of care…

How Millennials Are Transforming Health Care

Most of us here in the United States are used to the traditional health care delivery model: A fee-for-service delivery system, where private insurance companies or patients themselves pay for services received. This includes everything from standard office visits to surgical procedures. The roles between patients and health care providers are clear-cut and usually leave…

OCR Phase 2 Audits

About the HIPAA Privacy, Security, and Breach Notification Audit Program The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has begun its next phase of audits of covered entities and their business associates. This is part of their ongoing efforts to assess compliance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy regulations which…

Anticipating the Undesirable: Disaster Preparedness

The increase in weather changes, along with recent natural disasters (think Hurricane Katrina, Irma, and Florence, the latest one), has accentuated the importance of electronic health records (EHRs) and their accessibility. Here is the primary importance: Whatever structures and systems are developed, they must be in place and functioning pre-disaster. Only a little over half…

ICD-10 grace period ends…

ICD-10 grace period ends, but it’s not the end of the world During the first year following ICD-10 implementation in October 2015, physician practices have had nearly a year to adapt themselves to ICD-10 coding. This grace period, also known as ICD-10 “relaxed rules”, notes that Medicare review contractors could not deny physicians’ claims if…