Revenue cycle management (RCM) including coding and claims submission, is a significant function within any healthcare organization or practice and has given birth to an entire industry...
As medical groups deal with increasingly complex issues that come at a faster rate, professionals must adopt group governance survival skills. Unfortunately, many medical groups are not able to effectively...
In an article in The Deal Pipeline, Dougherty & Co. analyst Brooks O'Neil says that the anesthesia space is consolidating quickly and large practice management companies are experiencing competition for acquiring anesthesiology groups
Why anesthesiologists are viewed as replaceable, and how to become indispensable.
MGMA empowers healthcare practices and providers to create meaningful change in healthcare. Become a member and unlock the most powerful resources to...
A three-part article outlining experience and opinions with anesthesia information management systems
Although many groups may believe they already provide for paid sick days, they may find their sick pay policies do not strictly comply with the new law (2015).
In this article I will discuss 10 things to keep in mind when working out the terms of anesthesia contracts.
When anesthesiology group practices and hospitals enter contractual relationships, they frequently fail to define expectations for the nature, capacity and timing of care. Poorly defined expectations make it difficult for practices to satisfy their hospital clients, straining or even polarizing relationships.
Anesthesiologists are often attentive to the terms and conditions of their contracts with third-party payers. However, there is an important contract that virtually every anesthesiologist or anesthesia...
Here, I review certain aspects of the typical anesthesia group's negotiation leverage. Anesthesiologists...often have significant leverage in their negotiations with hospitals and are rarely...
Disruptive innovation is coming to operating-room-focused anesthesiology practices...
Anesthesiology, like all medical specialties, is undergoing cataclysmic changes. The good news: our physician-led research in patient safety makes us the internationally recognized leaders in all....
The ASA's PSH Learning Collaborative 2020 brings together subject matter experts and leading organizations from across the country to learn from each other how to achieve the quadruple aim; gratify providers, improve population health, reduce care costs and satisfy patients.
…an affiliate of ASA, has developed a meaningful way for physician anesthesiologists to successfully participate in the Physician Quality Reporting System (PQRS). Briefly, by reporting through AQI any member can comply with CMS PQRS reporting requirements.
Explanations of measures, reporting criteria and modalities, qualified clinical data registries (QCDR’s), and benchmarking.
Maintained by the Anesthesia Quality Institue, NACOR has been designated as a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare & Medicaid Services for PQRS reporting.
Spotlights, official rules, conversion factors, and access to the Medicare Learning Network specifically for Anesthesiologists.
(2015) CMS has issued a final rule to implement a Comprehensive Care for Joint Replacement model of payment. Under this model, acute care hospitals in certain selected geographic areas will receive retrospective bundled payments for episodes of care for lower extremity joint replacement...
(2015) MACRA specified that the Medicare conversion factors would increase in 2015 by 0.5% for services provided from July 1, 2015 through December 31, 2015. This article will explain what other factors remain in play and how they continue to impact the Medicare CFs.
Open Payments is a national disclosure program that promotes a more transparent and accountable health care system by making the financial relationships between applicable manufacturers and group purchasing organizations (GPOs) and health care providers (physicians and teaching hospitals) available to the public.
Assembly Bill 72 (Bonta, 2016) includes a requirement that, for services received from a noncontracting individual health professional in a contracting facility (see Insurance Code section 10112.8), the reimbursement for the provider is limited to either the insurer’s average contracted rate or 125 percent of Medicare
Links to the CMS page for ICD-10 information, resources, and FAQ’s
HICS is an incident management system based on principles of the Incident Command System (ICS), which assists hospitals and healthcare organizations in improving their emergency management planning, response, and recovery capabilities for unplanned and planned events. HICS is consistent with ICS and the National Incident Management System (NIMS) principles.
The Disaster Medical Services (DMS) Division is the lead division within EMSA for disaster preparedness and response. The DMS Division is responsible for coordinating the prompt delivery of disaster medical resources to local governments in support of their disaster medical response.
The CDC’s Center for Preparedness and Response provides a comprehensive overview of etiology, identification and treatment of the entire scope of natural and unnatural disasters with links to training and preparedness sites.