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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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VBP Ground Continues To Shift Under HHAs’ Feet

Under newly proposed configuration, half of VBP points will come from only two measures. As home health agencies (HHAs) navigate their first year of the Expanded Home Health Value-Based Purchasing (HHVBP) program, Medicare is proposing to change the rules of the game. The Centers for Medicare & Medicaid Services (CMS) wants to swap out the […]

The post VBP Ground Continues To Shift Under HHAs’ Feet appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Biggest Hurdle in Shift to Value? Physician Engagement




Health Leaders Media


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  December 30, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Biggest Hurdle in Shift to Value? Physician Engagement

Rene Letourneau, Senior Editor for HealthLeaders Media

Ambitious objectives for a health plan are at the center of CHI’s strategic vision for the future. Getting buy-in and support from its 4,000-plus physicians is "where the hard work resides," says one senior executive. >>>

 

Editor’s Picks

2015’s Top 10 Most Popular Stories from HealthLeaders Media

>>>

FTC says Hospital M&A Scrutiny ‘Not a New Development’

The director of the FTC’s Bureau of Competition says she has seen no evidence that consolidation leads to higher quality. >>>

Risk Adjustment Coding Gets a Technological Assist

How a California physician practice designed a system to catch coder errors without burdening doctors. >>>

Big Ideas:
Patient-Reported Outcomes: The Impact on Research and Engagement

PROs provide objective information about where a patient is in the disease process compared to the larger population and whether the patient is a candidate for certain procedures. >>>

Antimicrobial Stewardship in Action

A real-life look at the CDC’s core elements of antimicrobial stewardship in practice at two leading institutions. >>>

Intelligence Reports 2015: The Year in Review

>>>

News Headlines

Maine Gov. vows to veto Obamacare’s Medicaid expansion

The Hill, December 30, 2015

MO may appeal decision to cut off Medicare payments to Osawatomie hospital

The Kansas City Star, December 30, 2015

Health insurers to face fines for not correcting doctor directories

The Wall Street Journal, December 30, 2015

State-level brawls over Medicaid reflect divide in G.O.P.

The New York Times, December 29, 2015

Opinion: Transforming healthcare takes continuity and consistency

Harvard Business Review, December 29, 2015

In budget deal, health law foes took a different path

ABC News / Associated Press, December 22, 2015

Health plans’ coverage of some drugs can be a source of confusion

Kaiser Health News, December 22, 2015

Healthcare costs a top concern for Republican and Democratic voters

Reuters, December 22, 2015

Big surge in enrollment lifts Obamacare marketplaces

Los Angeles Times, December 21, 2015

Hospitals to pay $ 28 million to settle false spinal treatment claims

Yahoo News / Reuters, December 21, 2015

Stay Connected to HealthLeaders

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Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

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Emergency Department Collection

This collection of HealthLeaders Media products combines the most effective and innovative strategies for strengthening care processes and driving efficiency in the ED. Includes best practices from Cambridge Health Alliance, Sharp Memorial, Mercy Health, and more. Now 66% off the cover price.
Order Today >>>

Physician-Hospital Alignment Collection—66% off

As new employment and reimbursement models take precedence, leaders are looking for innovative ways to collaborate with and incentivize physicians under accountable care and population health objectives. The Physician-Hospital Alignment Collection reveals the strategies these leaders are employing to drive alignment in their organizations.
You get five titles—3 webcasts, a book, and an intelligence report—for only $ 490 (a $ 1,485 value).
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From HealthLeaders Magazine

Big Ideas

What big ideas have you enacted? What big opportunities await your organization? >>>

 

Ups and Downs of High Volume

 

Remaking the Board

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©2015 HealthLeaders Media

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HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
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Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

The Next Big Shift for Healthcare

Dr. Karen DeSalvo’s keynote address at HEALTHCON 2019 will astound you.   HEALTHCON 2019 (April 28-May 1) in Las Vegas is for anyone who plays a role in healthcare revenue cycle management and is looking for cutting edge education, networking opportunities galore, and exhibitor takeaways – at a venue that can’t be beat. Keynote speaker […]

The post The Next Big Shift for Healthcare appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Biggest Hurdle in Shift to Value? Physician Engagement




Health Leaders Media


Please add this newsletter to your Safe Sender list
View this email as a Web page | Manage Account

  October 14, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Biggest Hurdle in Shift to Value? Physician Engagement

Rene Letourneau, Senior Editor for HealthLeaders Media

Ambitious objectives for a health plan are at the center of CHI’s strategic vision for the future. Getting buy-in and support from its 4,000-plus physicians is "where the hard work resides," says one senior executive. >>>

 

Editor’s Picks

Stars Rise, Fade in 2016 Medicare Advantage Ratings

When weighted for enrollment, more than 70% of MA-PD enrollees are in contracts with four or more stars, a nearly 11 percentage point in increase from 2015, CMS said. But six health plans that have received fewer than three stars for the past three years face termination by Medicare. >>>

Medicare Shared Savings ACO Trio Shares Keys to Success

The top performers in the Medicare Shared Savings Program are leveraging their experience with population health and their willingness to embrace innovation. >>>

Make a Wholesale Shift to Value

Many health systems create divisions charged with value-based care, but if they are to succeed, the other parts of the organization must also see transformation as part of the overall mission. >>>

Developing Value-Based Payment Models

Industry stakeholders are trying new ways to deliver and pay for care, but the shift to value remains an unfinished journey. >>>

Boost VBP with Financial Incentives For Physicians

The right approach, such as annual bonuses for meeting quality measures, can help reluctant physicians embrace value-based payment models. >>>

Business Roundup: Aria Health, Jefferson Sign Merger LOI

Aria Health CEO and President Kathleen Kinslow says finances are not the driving factor, rather, the deal is about "how can we be effective with population health and moving from volume to value." >>>

Health Policy Experts Fear the Worst With Payer Mergers

Critics say merging four of the five biggest insurers in the nation will kill competition, causing premiums to rise, benefits to narrow, and provider payments to decline. From MedPage Today. >>>

LIVE Webcast

Webcast: Health Systems Success Keys for ICD-10—Physician Alignment, Support and Technology

Date: October 20, 2015, 1:00–2:00 p.m. ET
In this expert webcast, hear from the University of Mississippi Medical Center’s Chief Health Information Officer as he discusses how his organization overcame the obstacles of implementing ICD-10, the experience so far, and what to expect in the months ahead.
Register Today >>>


News Headlines

As US insurers aim to get bigger, hospitals eye health plan entry

Reuters, October 14, 2015

Popular high-deductible plans could be hurting healthcare

The Washington Examiner, October 14, 2015

Who pays hospital bills when patients can’t

The Atlantic, October 14, 2015

Transatlantic divide: How US pays three times more for drugs

Reuters, October 13, 2015

Makeover coming for Healthcare.gov

The New York Times, October 13, 2015

As US insurers aim to get bigger, hospitals eye health plan entry

Reuters, October 13, 2015

Insurance dropouts present a challenge for health law

The New York Times, October 12, 2015

MO files suit to block US from recouping overpayments made to hospitals

St. Louis Post-Dispatch, October 12, 2015

TX doctor accused of raping hospital patient

KSN.com / KTRK, October 12, 2015

CT hospitals may take legal action over Medicaid cuts

Fox CT / Associated Press, October 12, 2015

Stay Connected to HealthLeaders

Don’t Miss the News You Want.

Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your daily and/or weekly industry coverage. Add our address — [email protected] — to your address book or e-mail whitelist to keep the news you need in your inbox.

Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media LIVE from Memorial Hermann: A Care Management ACO

Date: November 11, 2015 | 11:00–2:00PM ET
In this live e-conference, Memorial Hermann shares details of its multi-pronged approach to its successful accountable care organization, including how physician alignment, patient engagement methodologies, and a focus on community health have propelled it to the top.
Register Today >>>

From HealthLeaders Magazine

Rural Healthcare and the Challenge of Population Health

The issues facing rural providers are significant, but leaders are creating ways to survive in the changing healthcare environment. >>>

 

Leveraging Resources Through Clinical Affiliations

 

HCAHPS: Making a Difference While There’s Still Time

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  MAGAZINE | NEWS | TERMS OF SERVICE | PRIVACY POLICY | ADVERTISE Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

©2015 HealthLeaders Media

If you prefer not to receive this email newsletter, let us know.
HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
HEALTHLEADERS MEDIA
100 Winners Circle, Brentwood, TN 37027
Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

Can I shift to “swelling” code for specificity on edema?

Hi there!

So, if the narrative states, "Extremities: 2+edema on the right, and 3+ on the left" do I need to stay with a single, unspecified edema code or can I better capture this using two codes under "swelling" coding the left first and then the right in order of severity?

Thanks so much for your input!

Lynn

Medical Billing and Coding Forum