Is Ingenix’s Purchase of EHR a Conflict of Interest?
Ingenix, a mega health information technology and services company recently acquired Executive Health Resources, a provider of medical necessity compliance and physician medical management solutions for hospitals. The transaction, valued at about $1.5 Billion, is subject to regulatory approval and other customary closing conditions and is expected to close before the end of 2010.
Ingenix is a subsidiary of one of the country’s largest insurance companies, UnitedHealth Group. In the private health insurance industry, Ingenix…
Medical Necessity Audits Coming Soon
The Centers for Medicare & Medicaid Services’ (CMS) New Issue Review Board has recently approved the first “medical necessity review” audits for Medicare’s permanent Recovery Audit Contractor (RAC) program, allowing contractors to begin posting items of interest to their respective websites. This had been put on hold for quite a while by CMS. Look for the RACs to post the approved issues on their websites in next two weeks.
During the three-year RAC demonstration project…
Yomi Faparusi Published in “Compliance Today”
Yomi Faparusi, Sr., MD, JD, PhD, Intersect Healthcare’s Director of Medical Review & Research was recently published in the Heath Care Compliance Association’s (HCAA) magazine “Compliance Today”. Dr. Faparusi’s article “Preventive medicine: Root cause analysis and the RAC audit process” appeared in the August 2010 edition of the magazine. Below is the article:
————————————————————————————–
Preventive medicine and health care reform: Importance of root cause analysis in the RAC audit process
By Yomi Faparusi, Sr., MD, JD, PhD
Editor’s…
AHA Favors Socialized Health Care?
The American Hospital Association’s (AHA) President and CEO Rich Umbdenstock “endorsed” Obama’s pick of Dr. Berwick for the new head of Medicare & Medicaid Services (CMS). I found this very disturbing in light of all of the background information that has come out on Dr. Berwick. I was also surprised to see that Berwick was an independent member of the AHA Board of Trustees from 1996 to 1999.
I don’t think that most hospitals desire a…
Reality Setting in on Obama’s Healthcare Reform
The White House announced on Tuesday, July 6, 2010 that President Obama will bypass Congress and appoint Dr. Donald M. Berwick, a health policy expert, to run Medicare and Medicaid. In April, President Obama nominated Dr. Berwick to be the administrator of the Centers for Medicare and Medicaid Services (CMS). The agency has been without a permanent administrator since October 2006.
The White House said that the recess appoint is necessary because there is much…
VERACITY Revenue Integrity & Compliance System Compatible with the AHA RACTrac Initiative
BALTIMORE, MD – January 26, 2010 – Intersect Healthcare, the leading provider of healthcare data management, analytics, decision-support, and process automation solutions to healthcare provider organizations, today announced that VERACITY™, Intersect Healthcare’s all-payer audit and compliance management software is compatible with the American Hospital Association’s (AHA) RACTrac survey.
“Intersect Healthcare continues to play a key role in assisting hospital and health systems through the Recovery Audit Contractor (RAC) program and is working with national associations…
