The Future is Now – Telemedicine in the Marketplace

For years, telemedicine has been touted as the next frontier in healthcare. Based on data from multiple health systems, the future has arrived. Some of the country’s largest and most prestigious health systems such as Kaiser Permanente, NewYork-Presbyterian, and Johns Hopkins now boast robust telemedicine programs. At Kaiser Permanente, virtual patient encounters now outnumber in-person

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Big Differences Between Three ICD-10 Coding Systems

Here are some interesting facts about ICD-10 that may not be commonly known. International Classification of Diseases (ICD) was created by the World Health Organization (WHO), which has served the healthcare community for over a century. While most industrialized countries moved to the ICD’s “tenth revision” – ICD-10 – 30 years ago (1983), the United

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Largest Single Healthcare Fraud Case in U.S. History

The U.S. Justice Department just recently indicted three Florida residents in the “largest single criminal healthcare fraud case ever brought against individuals.” While the case has not gone to trial yet, the numbers are staggering. It is alleged that over $1 billion in Medicare and Medicaid billings were fraudulently charged by just a few co-conspirators –

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War of Mergers

I have previously written about the increased pace of medical provider/hospital mergers since the Affordable Care Act was passed. By consolidating choices and moving more services into hospital settings, where pricing is much higher for the same treatment, facilities are able to negotiate better PPO rates, increase revenue, and improve profitability. This exact same trend

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An Observation – Deadly Healthcare Mistakes & Orlando’s Tragedy

I often find myself coming back to this issue because it is so troubling – the third leading cause of death in America is, in fact, our nation’s healthcare. Patients are dying from the medical treatment itself versus the actual health issue they sought care for in the first place. Whether it be inappropriate medications,

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Erosion of the California Work Comp Reforms & MPN

Recently, we were researching the likely impact of an MPN (Medical Provider Network) implementation for a client in California.  The data can vary dramatically depending upon the client and region of the state. The California Workers’ Compensation Institute (CWCI) issued a Research Report in early June regarding the impact of physician networks in California Workers’ Comp.

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