HEALTHCAREfirst Announces Business Intelligence Enhancements That Help Reduce Medicare Denial Rates

Earlier this year, Palmetto GBA announced new medical prepay audits based on certain HIPPS codes that have the highest denial rates. While they have internally identified the top 20 HIPPS groupings with the highest denial rates, they have currently published and set up pre-pay audits for two code groupings. When an End of Episode (EOE) claim is submitted using one of these two HIPPS groupings, Palmetto GBA could place the claims into ADR status and providers will be required to submit additional documentation from the chart in order for a payment determination to be made.

In response to this announcement by Palmetto GBA, HEALTHCAREfirst developed Business Intelligence reporting that will enable home health agencies to identify and monitor episodes that will be audited upon EOE submission. Agencies can then focus on the charts that make up these at-risk claims, ensuring that their documentation is accurate and complete should the claims go into ADR status.

In addition, HEALTHCAREfirst has expanded the HIPPS code groupings beyond the two identified by Palmetto GBA to include ten additional code groupings that may be subject to audit, based on internal statistics. This assists home health agencies in preparing for potential upcoming audits, regardless of their MAC. In addition, Episode Master, the automated QA tool within Business Intelligence has received a number of enhancements that include more detailed messages and suggestions to help protect agency review and ensure documentation is as accurate as possible due to increased industry scrutiny. These edits focus on many of the issues that typically result in take backs when agencies are targeted.

“Like never before, home health agencies must know where their money is at all times in order to avoid interruptions in their revenue cycle. These new enhancements are important additions to our Business Intelligence analytics tool, providing the information needed to make informed business decisions before it’s too late,” said Stan Bell, Vice President of Product Management.


University of Chicago Medical Center Expansion Includes Conversion to Omnicell Automation Systems for Pharmacy and Patient Care Areas

Omnicell Solutions Chosen to Improve Efficiency and Allow More Time for Patient Care

Omnicell, Inc. (NASDAQ:OMCL), a leading provider of medication and supply management solutions and analytics software for healthcare facilities, today announced that the University of Chicago Medical Center (UCMC) will implement a decentralized drug dispensing model using Omnicell solutions. The installation will include Omnicell Inventory Management Carousels with WorkflowRx™ software for comprehensive medication inventory management, as well as Omnicell automated dispensing systems to help streamline pharmacy and nursing workflow efficiency. The 532-bed UCMC is rapidly growing to better serve patients, and will open its newest hospital pavilion in 2013. The expansion will feature the introduction of the new Omnicell G4 platform into nursing units throughout the Medical Center. Omnicell’s new G4 platform features a single unified database across the continuum of medications maintained in the hospital’s automated dispensing cabinets and mobile medication systems, thereby decreasing the risk of human error and improving pharmacy workflow.


PMI Private Medical Insurance Magazine

Medical Insurance for International Mobile Workers: International Medical Insurance and Health Plans that deliver Value and the correct Cover for International Assignments.

Expatriates, Leisure and Business travelers all benefit from health plans and medical insurance for internationalcompany assignments. Health insurance for international coverage and PMI; Private Medical Insurance must cover any type of situation you may face abroad. A Medical health insurance policy for international travel may be provided y a number of private medical insurance underwriters like Bupa International, Allianz, AXA PPP, Cigna International or Interglobal.

Make sure you read the international medical insurance cover and health insurance policy before you buy it to make sure it will cover you for all your international health insurance and private medical insurance needs. A health plan that delivers value may include additional services and value like travel assistance and travel insurance. Private medical insurance and international health medical insurance underwriters have become more innovative of late offering employee assistance programs, home healthcare monitoring, mobile applications and online information and healthcare insurance advice and guides. Medical Insurance for international coverage is a complex, service led industry so make sure you pick the correct PMI medical insurance company for medical insurance working abroad.

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Omnicell Renews Medication and Supply Automation Agreement with the Premier Healthcare Alliance

Omnicell, Inc. (NASDAQ:OMCL), a leading provider of medication and supply management solutions and analytics software for healthcare facilities, have announced a joint partnership with Premier Purchasing Partners, L.P., the group purchasing unit of Premier Inc. The 36-month agreement allows Premier member hospitals and healthcare organizations to take advantage of premium pricing for the comprehensive suite of award-winning Omnicell medication and supply management solutions. Designed to maximize Premier members’ clinical and operational performance, this new agreement is effective from July 2011 through June 2014.



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