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Medicare’s new preventive services are not as popular as CMS would like which has sparked intensification of efforts in providing preventive care to all Medicare patients through a “word of mouth” and media campaign, HHS Secretary Kathleen Sebeliusannounced in a news conference Monday.

AMA image used with permission Nearly one in five of your private payer payments were inaccurate in 2011, according to the AMA's latest "National Heatlh Insurer Report Card," released June 20. The average rate of inaccurate payments is 19.3% in 2011, up from 17.3% in 2010, the AMA says. That 2% jump comes out to a $1.5 billion increase in administrative costs to the health system, the AMA estimates. "A 20% error rate among health insurers represents an intolerable level of inefficiency that wastes an estimated $17 billion annually," AMA Board Member Barbara McAneny, MD, said in a prepared statement.

Most practices have failed to progress toward the critical HIPAA Version 5010 implementation, which could impede claims processing and keep you from getting paid, according to a Medical Group Management Association (MGMA) follow-up survey.

Remember:  Since HIPAA 5010 is needed to process ICD-10 codes, which will take effect Oct. 13, 2012, not having a 5010-ready system by the Jan. 1, 2012 deadline would result in providers not getting paid (PBN 4/25/11).

DecisionHealth stock imageYour providers' performance, based on Medicare claims data for Parts A, B and D of program, will be shared with the public under a new proposed rule from CMS. Certain "qualified entities" would process the Medicare data, along with private payer data, to create public reports. This new initiative, which was made possible by the health reform law, would be similar in principle to the Hospital Compare website, CMS says in a June press release.

DecisionHealth stock photoYou and your peers are likely to boost your health information technology (IT) spending this year, according to a May 2011 study by RNCOS Industry Research Solutions, a private market research company. Health IT spending is projected to hit $40 billion -- with a "B" -- in 2011, driven by massive growth in electronic health records (EHRs) and mobile health applications, the study claims.

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