decisionhealth Newsletters, Part B News - 2015 Issue 1 (January)
2014 predictions: Too early on ICD-10; right about HIE, permanent SGR fix
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Article Overview
This article reviews several 2014 healthcare policy and practice-management forecasts and explains which ones proved accurate, inaccurate, or still unresolved. It is relevant to physicians, practice managers, coders, and compliance professionals tracking Medicare administration, quality reporting, health IT adoption, and payer-related workflow issues. The discussion stays at a high level and focuses on broad operational impacts, survey findings, and agency activity tied to coding, reporting, and reimbursement policy.
Why This Topic Matters
The article helps readers understand how federal policy changes and payer workflow issues affected practices in 2014 and what those trends meant for operations, compliance, and revenue cycle planning.
Article Sections
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ICD-10 implementation outlook
A review of whether the expected coding transition timing was likely to affect practice operations and preparedness.
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Health insurance exchange plan collection issues
A discussion of how exchange-plan enrollment and verification problems influenced collections and administrative workload.
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PQRS reporting burden
Coverage of changes in quality-reporting expectations and how practices responded to reporting requirements.
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Meaningful use stage 2 expectations
An overview of adoption progress and timing flexibility for electronic health record incentive program objectives.
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Meaningful use audits
A summary of audit activity and enforcement attention related to the electronic health record incentive program.
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Permanent SGR fix
A retrospective on legislative efforts affecting the physician payment formula and the status of a lasting fix.
What You Will Learn
- How the article frames 2014 predictions about Medicare and practice operations
- What broad operational issues were associated with coding transition planning
- How exchange-plan administration affected practice collections
- How quality reporting and meaningful use oversight evolved
- Why physician payment policy remained unresolved at the time
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Health IT staff
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