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by Madeline Angela Meyer and Dr. Michael Alan Meyer, August 30, 2012
There have been many major milestones in the history of healthcare reform. There have been an equal number of reform failures. The roller coaster ride is because healthcare is a very personal and emotional issue for most of us, therefore, a very heated topic in the political arena. More important, change in such a complex system affects all industry stakeholders.
After more than fifteen years of managed care and managed competition, and with healthcare expenditures reaching $2.5 trillion, or 17.9 percent of the nation’s Gross Domestic Product (GDP) in 2009 (Healthcare.gov, 2012), the Affordable Care Act (2010) was passed into law. This is the most significant reform Act since the Social Security Act of 1965, which implemented Medicare and then Medicaid. The effects of the implementation of the new law are being felt, and will intensify as it changes our current US healthcare system through 2020 when it is fully implemented. Therefore, the future of healthcare is truly a work in progress!
How will the ACA changes impact consumers, employers, health services, providers, payers, vendors and you, the administrative allied health professional? Attached is a presentation that provides a “birds’ eye view” of the future health care system in the US under ACA legislation. ACA Presentation URL:
Next week we will explore how the ACA may impacts provider relationships, operational infrastructure (example, medical billing software, electronic medical records…), payer and vendor contracts.
______________
References:
CMS. (2012). National Health Expenditures 2010 Highlights. [.pdf]. Accessed August, 2012 from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/highlights.pdf
Healthcare.gov. (2012) Law: The Healthcare Law and You. [website] Accessed August, 2012 from: http://www.healthcare.gov/law/index.html
There have been many major milestones in the history of healthcare reform. There have been an equal number of reform failures. The roller coaster ride is because healthcare is a very personal and emotional issue for most of us, therefore, a very heated topic in the political arena. More important, change in such a complex system affects all industry stakeholders.
After more than fifteen years of managed care and managed competition, and with healthcare expenditures reaching $2.5 trillion, or 17.9 percent of the nation’s Gross Domestic Product (GDP) in 2009 (Healthcare.gov, 2012), the Affordable Care Act (2010) was passed into law. This is the most significant reform Act since the Social Security Act of 1965, which implemented Medicare and then Medicaid. The effects of the implementation of the new law are being felt, and will intensify as it changes our current US healthcare system through 2020 when it is fully implemented. Therefore, the future of healthcare is truly a work in progress!
How will the ACA changes impact consumers, employers, health services, providers, payers, vendors and you, the administrative allied health professional? Attached is a presentation that provides a “birds’ eye view” of the future health care system in the US under ACA legislation. ACA Presentation URL:
Next week we will explore how the ACA may impacts provider relationships, operational infrastructure (example, medical billing software, electronic medical records…), payer and vendor contracts.
______________
References:
CMS. (2012). National Health Expenditures 2010 Highlights. [.pdf]. Accessed August, 2012 from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/downloads/highlights.pdf
Healthcare.gov. (2012) Law: The Healthcare Law and You. [website] Accessed August, 2012 from: http://www.healthcare.gov/law/index.html
by Dr. Mike A. Meyer, August 30, 2012 I would like to tell you that ICD-10-CM/PCS is job security; however, this may not be true. The reality is that ICD-10-CM is a much more complex coding system. ICD-10-CM coding system … Continue reading
It is CollaborateMD’s mission to help healthcare entities optimize clinical and financial workflow, improve net profitability and patient care, as well as lead healthcare collaboration. The company does this by providing electronic medical billing that is meant to improve the … Continue reading
The clearinghouse now has the following electronic connections available: CPID 5530 – West Virginia Medicare – Institutional Claims and Remittance CPID 4695 – Arizona Priority Care Plus – Institutional Claims CPID 2274/8993 – Essence – Professional and Institutional Remittance If … Continue reading
Professional 5010 Claims for payers listed below may have received an error message on the Payer Claim Data Report (SR): A8:496:85 – Submitter not approved for electronic claims submissions on behalf of this entity – Billing Provider A8:562:85 ******* A8:128:85 … Continue reading
Effective immediately, t he following payer will no longer accept electronic claims with dates of service on or after 01/01/2012: CPID 2161 Guardian Healthcare – Professional CPID 5975 Guardian Healthcare – Institutional Electronic claims with dates of service on or … Continue reading
Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR): An issue with electronic crossover claims is causing some erroneous … Continue reading
