One EPIC Nation. Is it Coming?


By Brian Murphy There appears to be an inevitable march toward one giant dominating the healthcare industry. An EPIC win in the EHR industry, you might say. If so, what does this mean for healthcare? With all due respect to AthenaHealth, Meditech, Oracle/Cerner, etc., EPIC is the 800-pound gorilla of EHRs and shows no sign…

Read More

How do you handle “unable to determine” query responses?

unable to determine

By Brian Murphy Unable to determine. Love it? Hate it? Or do you understand why it must (usually) be offered as a query option? The latest ACDIS-AHIMA guidance, Guidelines for Achieving a Compliant Query Practice, imply that “unable to determine” should typically (but crucially, not always) be offered to the physician in a traditional multiple-choice…

Read More

Explosive growth of Medicare Advantage covered lives requires organizational mindset shifts

medicare advantage

By Jason Jobes, SVP Consulting How do you incorporate the growth of rate of Medicare and/or Medicare Advantage in your organizations operational plans? Do you monitor changes in market share when considering population changes moving forward? As of April, 2023 there are 64.4 million Medicare beneficiaries in the country. This has grown from 57.9 million…

Read More

Positive or negative reinforcement… which works best? HAC and HRRP vs. Meaningful Use


By Brian Murphy The recent release of the 2024 IPPS proposed rule got me thinking about the Hospital Acquired Condition (HAC) and Hospital Readmissions Reduction (HRRP) programs. Both are built upon the precept that hospitals will respond positively to the threat of penalties by improving their quality of outcomes. Quick refresher on these programs: Hospitals…

Read More