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.

Read more...

Ziehm Imaging Receives "Top100" Seal of Approval

Ziehm Imaging Receives

German manufacturer of mobile C-arms recognized for innovation management in the SME sector Ziehm Imaging was honored last Friday in Friedrichshafen, Germany as one of the country's most innovative medium-sized enterprises. Ziehm Imaging, with headquarters in Nuremberg, has been manufacturing mobile C-arms for 40 years and is now the acknowledged technology leader in the industry. With its innovative solutions, Ziehm Imaging has played a significant role in the rapid development of mobile X-ray technology in recent years and brought numerous revolutionary developments onto the world market.

Read more...

Philips Sparq ultrasound provides high quality images at high paced Yale-New Haven Hospital emergency department

Philips Sparq ultrasound provides high quality images at high paced Yale-New Haven Hospital emergency department

WHAT: Philips has sold six Sparq ultrasound systems to Yale-New Haven Hospital (YNHH), a non-profit, 1,008-bed tertiary medical center receiving national and international referrals, located in New Haven, Conn.

WHY: Given the often hectic pace of an emergency department, each timesaving measure can make a significant difference. This is especially true at a Level 1 trauma center like YNHH which triages more than 80,000 patients a year. In an effort to bring a new level of productivity to emergency ultrasound, Philips offers the Sparq ultrasound system. Sparq combines ease-of-use with efficiency-enhancers like a Simplicity Mode that presents only the ultrasound functions used most often and AutoSCAN, which continuously adjusts the image gain while scanning, and can help a clinician identify tissue type. YNHH recently purchased a half dozen Sparq systems to help meet its high volume ultrasound imaging and needle guidance needs.

The department is led by Christopher Moore, M.D., a world-renowned thought leader, researcher and instructor in emergency medicine. Dr. Moore was involved in the early product development of Sparq. “Sparq puts Philips image quality into a compact, affordable package that is designed for use at the point of care,” said Dr. Moore.

“Innovations like a large articulated screen, embedded wireless capabilites and long battery life allow it to be used effectively at the bedside. The glass touch control panel is intuitive to use and button-free, which allows for easy cleaning.”

Read more...

Qualicode and CellTrak Deliver Integrated Mobile Scheduling and Health Record Solution

Qualicode and CellTrak Deliver Integrated Mobile Scheduling and Health Record Solution

  • New partnership brings together industry solution leaders to provide a new and improved experience for clients across Canada.

Qualicode Software and CellTrak Technologies announced today that they have entered into an expanded partnership agreement whereby CellTrak will contract its healthcare scheduling solutions (HC) to Qualicode and expand its strategic relationship with them. The new relationship will provide an integrated mobile solution with Qualicode’s industry leading scheduling software and CellTrak’s mobile solution platform bringing the new solution to Quebec and the rest of Canada. Qualicode is the leading software company in home and community care field in the province of Quebec. Their cost-effective software solution is found in over 125 health care facilities throughout Quebec, serving 65% of Community Health and Social Services centers (known as: Centre de santé et de services sociaux or CSSS) and 85% of Home Help Social Economy Companies (ÉESAD).

Read more...

Woburn Pediatrics Deploys ADTRAN’s Virtual Wireless LAN Solution to Support Mobile Electronic Medical Record System

Woburn Pediatrics Deploys ADTRAN’s Virtual Wireless LAN Solution to Support Mobile Electronic Medical Record SystemvWLAN builds on practice’s VMware infrastructure to provide reliable mobile wireless access. ADTRAN®, Inc., (NASDAQ:ADTN), a leading provider of converged access and unified business solutions, today announced that Woburn Pediatric Associates has deployed ADTRAN’s virtual wireless LAN (vWLAN®) solution with ADTRAN’s Bluesocket® 1800 series 802.11n access points, to help physicians, nurses and staff access patient medical information from any treatment room within Woburn Pediatrics’ two locations. “Woburn Pediatrics wisely leveraged their investment in VMware by deploying vWLAN to