Throw The Forms Away: CMS Relaxes Inpatient Certification

Throw the Forms Away: CMS Relaxes Inpatient Certification

  • November 25, 2014

By Steve Silverstein, MD, FACEP, Vice President, Chief Clinical Architect, McKesson Health Solutions Have you heard the news? The Centers for Medicare & Medicaid Services (CMS) eliminated the need for two-midnight certifications at the time of inpatient admission as part of updates included in the final Outpatient Prospective Payment System (OPPS) Rule for calendar year 2015, effective January 1. A requirement for certification for prolonged inpatient stays of 20 days or more is also included in the rule but does not affect the now eliminated admission certification requirement. While the requirement for a separate written certification at the time of…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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Webinar: A Update On McKesson’s VBR Research

Webinar: A update on McKesson’s VBR research

  • November 10, 2014

You probably heard about McKesson's The 2014 State of Value-Based Reimbursement research, released in June at AHIP Institute 2014. What you haven't heard is the latest update to this research, which includes quotes from interview subjects who participated in this important research project. Dr. Andrei Gonzales, director of value-based reimbursement at McKesson Health Solutions, and Dana Benini, vice president at ORC, shared the latest insights into the industry's transformation from volume to value during a November 12 webinar: Payer and Provider Insights on Reimbursement Models. They shared which reimbursement models are gaining traction, how decisions around VBR models are influenced by regional factors.…

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ICD-10 Readiness: Countdown Considerations

ICD-10 Readiness: Countdown Considerations

  • November 4, 2014

ICD-10 Watch's Carl Natale invited Josh Berman, Director of Analytics and ICD-10 at RelayHealth Financial, to write a series on the ICD-10 transition and what payers and providers need to do starting now. In this first installment, Berman reviews the three key areas: testing, training and key performance indicators. Look for his piece on the perils of procrastinating coming soon. Read his full story here

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Reimbursement Coding For Molecular Diagnostics

Reimbursement Coding for Molecular Diagnostics

  • October 28, 2014

In Advance for Laboratory, McKesson medical director Douglas Moeller, MD, explains what Z-Code Identifiers are and why they're needed to identify molecular diagnostic tests. Dr. Moeller also explains how they can work alongside CPT codes to uniquely identify tests, help labs bring their tests to market, and help speed reimbursement. Read the full article here

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McKesson Health Solutions Conference 2014 Opens Today

  • October 27, 2014

This year’s MHSC 2014, an exclusive gathering of healthcare industry leaders convening at the Baltimore Marriott Waterfront and running through October 30th, brings payers and providers together against the backdrop of a healthcare industry in transition, challenged by the rapid pace of healthcare payment model transformation. Dozens of experts from McKesson’s customer roster and solution areas will be on hand to share and discuss their experiences, best practices, and technology insights to help attendees tackle the unprecedented challenge of running complex reimbursement models at scale across markets. Attendees will be joined by MHS’s new president, Rod O’Reilly, a 12-year McKesson veteran…

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A Healthcare IT Halloween

A Healthcare IT Halloween

  • October 26, 2014

There are lots of scary issues that payers and providers face in healthcare IT every day. Payment reform, ICD-10, uncontrolled molecular diagnostic spends, maintaining legacy systems running in a rapidly changing world -- there's no shortage of costly technical challenges to keep us up at night. But with Halloween approaching, we thought it was time to take a lighter look at "what’s scary about healthcare IT." To do that, and to celebrate McKesson Health Solutions 27th annual customer forum taking place this Halloween week in Baltimore, we commissioned some B2B cartoons around a Halloween theme. Here they are! Feel free to share them with your colleagues in email or…

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How To Handle Questions About Ebola

How to Handle Questions about Ebola

  • October 24, 2014

Adult infectious disease specialist Summerpal Kahlon, MD, has some advice for physicians across America who are now fielding frantic questions from patients about Ebola. Read Dr. Kahlon's article on actions to take and actions to avoid.

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Z-Code Identifiers And Their Role In MDx Identification And Reimbursement

Z-Code Identifiers and their Role in MDx Identification and Reimbursement

  • October 23, 2014

On OncLive, McKesson Health Solution's Medical Director Douglas Moeller, MD, details the role of Z-code identifiers and the McKesson Diagnostics Exchange in cataloging molecular diagnostic tests. "It allows healthcare stakeholders to make decisions on genetic tests based on their clinical and financial impact, which ultimately reduces disease burden and improves health outcomes," Dr. Moeller says. The article also explains how the catalog helps speed the process for test inventors and laboratories, including: Using Z-code identifiers, a test inventor can obtain a unique identifier during the clinical evidence justification process, allowing specific communication and publication of data regarding the new technology during…

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The Pulse Of Preventative Care

The Pulse of Preventative Care

  • October 20, 2014

Benefits Pro tackles lingering questions about the Affordable Care Act's mandate to cover preventive care. The article quotes Dr. David Nace, vice president of clinical development and medical director at McKesson, on which procedures constitute preventive care versus treatment. Dr. Nace also discusses concerns physicians have about the value of offering preventive care when patients are not incentivized to follow through with healthy behaviors. Read the full article

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