Healthcare Risk Management

The Critical Role of IT in Healthcare Risk Management

Risk management is vital to any organization but especially important in healthcare. Business and clinical leaders must continually identify and evaluate risks to minimize the chance of injury to patients, staff and visitors. Healthcare organizations must also consider financial and reputational risks and establish processes for responding to incidents and controlling damage.

Managed IT Services for Assisted Living Communities

Helping Senior Assisted Living Facilities Use Technology to Keep Residents Connected

The COVID-19 pandemic has been especially hard on the nation’s seniors. Because of the risk the coronavirus poses to older folks with health problems, many seniors have had to remain isolated from family and friends. Nursing homes, retirement communities and other facilities providing long-term care have been forced to strictly limit visits from outsiders to reduce the risk of spreading the disease.

How the Right Technology Solutions Can Help Home Health Providers Weather Payment System Changes

In our last post we discussed the Patient Driven Groupings Model (PDGM), an overhaul of the way home health providers are paid by the Centers for Medicare and Medicaid Services (CMS). The new billing model creates hundreds of new categories for home health services, and implements a 30-day billing cycle to replace the current 60-day cycle. It also changes the way providers are assessed Low Utilization Payment Adjustments (LUPAs), and uses “behavioral assumptions” to identify providers that might structure services to maximize billing.

Pandemic Puts the Spotlight on Challenges Facing Healthcare IT

As our healthcare heroes work around the clock during the COVID-19 pandemic, the IT systems that support them are also being put to the test. Healthcare organizations are expanding their networks to support additional clinics, labs and testing facilities. More medical devices are connecting to the network, as well as the smartphones, tablets and wearables of clinicians, staff and patients. Employees who can work from home are connecting to systems remotely.

Overhaul of Payments System Will Force Home Health Providers to Become More Efficient

Last year, the Centers for Medicare and Medicaid Services (CMS) proposed a new billing model for home health services that would adjust payments based upon “behavioral assumptions” as opposed to actual provider billing or evidence of changes in billing behaviors. The Patient Driven Groupings Model (PDGM), slated to go into effect Jan. 1, is expected to reduce payments for home health services by 6.42 percent in 2020 alone — an estimated $1 billion.

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