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Posts Tagged ‘implementation’

Indianapolis, IN (PRWEB) July 11, 2014

Diagnotes Inc. and Advanced Healthcare Associates (AHA) today announced an agreement that will place the Diagnotes mobile and web-based clinical communication system in the hands of AHAs medical directors, physicians and nurse practitioners at more than 100 nursing homes in Central Indiana and Kentucky.

Our highly skilled clinicians have been providing leading-edge geriatric care for nursing home patients since 1988, said Bryon Miller, JD, GNP of AHA. The Diagnotes technology makes us one of the first post acute care practices in the nation to incorporate truly secure, mobile communication throughout our organization from our 24-hour nurse triage call center to our medical directors, rounding clinicians and billing staff.

The two companies initiated a pilot program in April 2014, initially integrating the Diagnotes system into the triage call center where more than 20 trained nurses take calls around-the-clock from AHA-staffed nursing homes reporting patient information and requesting clinician consultation and orders.

The Diagnotes secure text messaging and secure voicemail technologies allow triage nurses to communicate vital information to the clinician, and to verify that it has been received, explained Dave Wortman, Diagnotes chairman and CEO. Because professional staff scheduling is incorporated, the triage center is able to quickly identify and contact the on-call physician or nurse practitioner.

The mobile and web-based platform is designed for a BYOD (Bring Your Own Device) environment, in which all users are able to use the smartphone, tablet, or laptop of their choice at any location. Diagnotes pushes critical information current medications, histories, allergies, etc. from the patients medical record to the clinician. Those facts, along with the triage information from the call center, efficiently provide what the practitioner needs to make a timely treatment decision.

The closed-loop system also allows the clinician to communicate follow-up and transition information to other team members, and to document the encounter, choosing from provided codes and descriptions to securely send details to the billing office. AHA, in the early stages of implementation, is already seeing decreased response times and increased revenue capture.

All evidence suggests that the Diagnotes communication system will allow us to improve the quality of care we deliver, with greater efficiency and effectiveness, said Meredith Hole, practice administrator. We couldnt be more pleased that we chose to partner with Diagnotes in this endeavor.

Wortman echoed the comments of Miller and Hole. We have an aging population, and the practice of geriatric medicine is bound to grow in nursing homes, smart medical homes, and congregate living, he said. AHA is clearly planning for the future by keeping its operations and staff on the cutting-edge of medical care for our seniors. Were proud to be their choice for enhanced mobile communication.

About Diagnotes

Diagnotes is a mobile and web-based software system that gives medical groups the tools to improve physician communication with their patients, care teams and office staff. Diagnotes accurately routes phone calls and text messages using its built-in provider directory and call schedules, automatically delivers key patient data from patient medical records and supports immediate, hassle-free documentation of every encounter. Diagnotes Inc. is using its process improvement and mobile technology expertise to improve productivity, increase profitability and enhance both physician and patient satisfaction for its clients. For more information about Diagnotes, visit

About AHA

Advanced Healthcare Associates is a successful and thriving practice of physicians and nurse practitioners who exclusively focus their services across the Post Acute Care continuum. The company has been specializing in geriatric care of nursing home patients since 1988, and is affiliated with most payors and health systems. For more information, visit or contact Tom Haithcoat at tom.haithcoat(at)advancedhealthcareassociates(dot)com.

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Atlanta, GA (PRWEB) September 05, 2012

With HHS issuing a final rule that establishes October 2014 as the deadline for ICD-10 compliance, physicians and medical personnel are girding themselves for what many perceive to be a complex labyrinth of documentation.

ICD-10 is the acronym for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Procedure Coding System (ICD-10-PCS). This diagnosis code set will replace ICD-9 and expand the number of codes from 17,000 to approximately 141,000.

In a recent survey of 480 physicians, administrators, office managers and billers, Attitudes Toward the Transition to ICD-10 and ANSI-5010, conducted by Nuesoft Technologies, 96 percent of the respondents reported that they are concerned about the potential impact of the transition to ICD-10. In fact, 60 percent of all respondents indicated that they are significantly or highly concerned.

By comparison, when asked about the impact of the January 2012 adoption of ANSI 5010, 64 percent indicated it had a negative impact on their practice. Three months later, 50 percent of the respondents indicated they were either not at all or only minimally upset. The other 50 percent responded that they were moderately, significantly or highly upset.

Respondents also expect that the ICD-10 transition will significantly affect their practice. More than 73 percent of the respondents anticipate the process will negatively impact their operations and finances, as well as their personal and staff state of mind.

Physicians continue to be unfairly burdened by the rising cost of the reimbursement process and interruptions to their workflow, said Massoud Alibakhsh, Chief Executive Officer and President of Nuesoft Technologies, Inc., a leader in the development of practice management, medical billing and EHR software.

The transition to ICD-10 will be one of the most significant changes the physician practice community has ever undertaken. The more detailed level of specificity required by ICD-10 will impact all practice management processes, including documentation, billing, workflow, and quality reporting. In addition, practice software systems will need to be upgraded, and physicians and responsible staff will need extensive training to successfully make the transition.

Most physicians are dreading the change to ICD-10 because the number of codes and level of specificity will increase exponentially, said Barbara Dunn, president of MedRecovery Solutions, Inc., a large billing firm that works with practices throughout the country to optimize operations through appropriate coding and billing.

Julie Nobles, president of Premiere Medical Billing, echoed Dunns concern. Most physicians I have spoken with are worried about the rollout of ICD-10 because they are not certain the increased costs and staff hours justify the change to a new and larger set of diagnostic codes.

Yet, for some physicians, the impending transition is being taken in stride. According to Robert Goldman, M.D., the founding physician of Georgia Hormones, We wanted to stay ahead of the curve so the transition to ICD-10 would be as streamlined as possible. Our practice coding specialist, as well as all of our physicians, finished a course this year all about ICD-10 and the new diagnosis codes. Even though the list of codes will be the size of ten Manhattan phone books, we are prepared. In fact, Europe has been using ICD-10 codes successfully since 2002.

AAPC, the nation’s largest training and credentialing organization for medical coding, auditing, compliance and practice management, offers several courses on ICD-10 implementation. According to Rhonda Buckholtz, the organizations vice president responsible for ICD-10 training and education, Most often the response we receive from attendees after completing the training is that they no longer fear ICD-10.

The Centers for Medicaid and Medicare Services (CMS) has stressed that ICD-10 will provide more specific data than ICD-9 and better reflect current medical practices. CMS, a division of Health and Human Services, indicated that the added detail embedded within ICD-10 codes will inform health care providers and health plans of patient incidence and history, which improves the effectiveness of case management and care coordination functions.

The ICD-10 transition is one example of the many challenges facing medical practices today. Others challenges expressed by physicians include:


Related Posts: Financial Risk Forecasting: The Theory And Practice Of Forecasting Market Risk With Implementation In R And Matlab – Jon Danielsson Financial Risk Forecasting is a complete introduction to practical quantitative risk management, with a focus on market risk. Derived from the authors teaching notes and years spent training practitioners in risk management techniques, it brings together the three key disciplines of finance, statistics and modeling (programming), to provide a thorough grounding in risk management techniques.Written by renowned risk expert Jon Danielsson, the book begins with an introduction to financial markets and market prices, volatility clusters, fat tails and nonlinear dependence. It then goes on to present volatility forecasting with both univatiate and multivatiate methods, discussing the various methods used by industry, with a special focus on the GARCH family of models. The evaluation of the quality of forecasts is discussed in detail. Next, the main concepts in risk and models to forecast risk are discussed, especially volatility, value-at-risk and expected shortfall. The focus is both on risk in basic assets such as stocks and foreign exchange, but also calculations of risk in bonds and options, with analytical methods such as delta-normal VaR and duration-normal VaR and Monte Carlo simulation. The book then moves on to the evaluation of risk models with methods like backtesting, followed by a discussion on stress testing. The book

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PPACA: A Brief Overview of the Law, Implementation, and Legal Challenges

PPACA: A Brief Overview of the Law, Implementation, and Legal Challenges

In March 2010, the 111th Congress passed health reform legislation, the Patient Protection and Affordable Care Act (P.L. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Jointly referred to as PPACA, the law increases access to health insurance coverage, expands federal private health insurance market requirements, and requires the creation of health insurance exchanges to provide individuals and small employers with access to insurance. The costs for expanding access to health insurance and other provisions are projected to be offset by increased taxes and revenues and reduced Medicare and Medicaid spending. Implementation of PPACA, which is scheduled to unfold over the next few years, involves all the major health care stakeholders, including the federal and state governments, as well as employers, insurers, and health care providers. Following the enactment of PPACA, state attorneys general and others have brought a number of lawsuits challenging provisions of PPACA, including the individual mandate, on constitutional grounds.

This report provides a brief summary of major PPACA provisions, implementation and oversight activities, and current legal challenges. For more detailed information on the topics included in this report, and other information about PPACA, CRS has produced a series of comprehensive reports. The information provided in these reports ranges from broad overviews of PPACA provisions, such as Medicare provisions, to more narrowly focused topics, such as grandfathered health plans.

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Leading off Crain’s Health Care Leadership Summit today, health economist Paul Keckley predicted that the much-discussed 2,700-page reform bill will not be repealed, but that it would grow to 60,000 pages of regulations as part of the implementation process. “It won’t be repealed. It is likely to be slowed down, starved by lack of financing,” especially if Republicans gain control of one or more …

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Crain’s health summit attendees get primer on understanding reforms

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The first major trend is a response to the new Obama health care law, in which several states are offering citizens the chance to cast a largely symbolic vote against its implementation within the state’s borders. The initiatives seem …

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State Ballot Props on Health Care Repeal, Marijuana Could Drive …

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Healthcare chief information officers believe a lack of IT workers in the field could slow the implementation of electronic health records, according to a.

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Healthcare CIOs Fear IT Worker Shortage | Executive Gov

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E-health needs implementation body: Haikerwal
NEHTA’S Mukesh Haikerwal has called for a new entity to co-ordinate activities across the states and with the private sector.


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Hears from Health Care Workers and Academic Experts. A panel created by Governor Pat Quinn to guide the state’s implementation of national health care reform held its second public hearing today in Peoria.

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Illinois Health Care Panel Holds Second Public Meeting | Gov Monitor

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The implementation of the healthcare reform bill that was passed in March has now begun. Unfortunately, it is becoming obvious that the promises made such as: a) you can keep your physician and medical plan if you like them; …

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» Healthcare Reform: Promises Made, Promises Not Kept – Big Government

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