News

EHR billing fraud: More than a numbers game

There's a well-known adage in business that 10 percent of people will never steal, embezzle or commit fraud; 10 percent will always steal, embezzle or commit fraud when they can; and 80 percent will do it under certain circumstances when given the opportunity.

That might finally explain what's occurring with electronic health records and billing fraud.

Premier: EHR vendors must move away from 'locked' proprietary systems

The Premier healthcare alliance has recommended several strategies to improve the utility of health data in response to the Senate Finance Committee's request for input.

Sharing electronic records with patients gains traction, raises new concerns

More hospitals and physicians are choosing to provide their patients with access to their electronic records, but the practice is also raising new controversies.

Community health centers embrace EHRs, collect occupational health info

Community health centers are making significant progress in adopting electronic health records, according to the latest data from HHS' Health Resources and Services Administration.

Hospitals using Meaningful Use med measures report fewer adverse drug events

Hospitals in Florida that implemented the medical management measures required by Meaningful Use reported significant drops in adverse drug events, according to a new study funded by the Agency for Healthcare Research and Quality.

EHR fraud prevention: What providers, payers must know

Simply using an electronic health record does not necessarily lead to billing fraud. But some of their functionalities, meant to create efficiencies, can lead to documentation that causes improper billing, as well as outright fraud. So how can providers root out EHR-related documentation issues and fraud before it occurs? And what steps can private payers take to ferret out improper claims? Read the full Special Report

EHR use correlates with predicted, reduced mortality

Hospitals with greater electronic health record capabilities can better predict and decrease mortality rates, according to a new study published by HIMSS Analytics.

Hospital CIO: Healthcare lags in harnessing IT

As industries flourish thanks to advances in technology and information sharing, healthcare lags far behind, says Dick Escue, CIO at Valley View Hospital in Glenwood Springs, Colorado.

Providers: Be prepared for 'EHR creep'

The Centers for Medicare & Medicaid Services' 2015 provider payment rules, many of which have been released this month, are receiving a lot of attention. But I'm surprised that one of the most consistent themes throughout them--"EHR creep"--has received very little publicity.

ONC quality measures workgroup wraps up, sets stage for transition

The Health IT Policy Committee's quality measures workgroup wrapped up its last meeting Aug. 12, noting how much it had has accomplished in the past four years, but looking forward to work left to be done as it transitions into the new Advanced Health Models and Meaningful Use workgroup.

Stakeholders to ONC: No one architecture perfect for EHRs, data sharing

Interoperability is a major part of Stage 3 of Meaningful Use, but the timeframes may be too short to transition from current Consolidated Clinical Document Architecture used in Stage 2 to the application program interfaces (APIs) and proposed HL7 Fast Healthcare Interoperability Resources Standard for Stage 3, according to vendors and stakeholders speaking at a recent joint Health IT Policy and Standards Committee listening session.

Collaborative creates model for reporting to state cancer surveillance registry

Collaboration among stakeholders is key to implementing a disease specific surveillance program through interoperable reporting of data from physician practices to a public health registry, according to a new case study published in the journal eGEMS.

Final IPPS rule tweaks Meaningful Use program

As promised, the Centers for Medicare & Medicaid Services' final rule updating the hospital inpatient prospective payment system (IPPS) for fiscal year 2015 makes several changes to the Meaningful Use electronic health record incentive program, but not as much as the proposed IPPS rule, issued earlier this spring.

As EHR adoption spikes, Meaningful Use Stage 2, HIE implementation lags

Hospitals and healthcare systems made significant progress in adopting electronic health records, according to two studies published in the journal Health Affairs, but have a long road ahead of them to meet all the criteria for Meaningful Use Stage 2 and the implementation of health information exchanges.

Everyone's to blame for weak EHR security

I fear the security of patient information in electronic health records has gone from bad to worse. First we learn that more people are withholding information from their providers who use EHRs because they fear the systems won't keep their information confidential. Now we learn that they're right.

Cerner to acquire Siemens' health IT division for $1.3 billion

Cerner Corporation and Siemens AG have announced that they have entered into a definitive agreement for Cerner to acquire Siemens' health IT business unit, Siemens Health Services, for $1.3 billion in cash.

EHRs embedded in payment rules for non-MU providers

Electronic health records continue to become a fixture in the healthcare industry, even in payment rules affecting providers that don't participate in the Meaningful Use program.  

Blue Shield, Anthem fund statewide info exchange in California

Two of California's biggest insurers are backing plans to launch one of the country's largest health information networks.

Poor ONC oversight left EHRs vulnerable to hackers

The Office of the National Coordinator for Health IT's lackluster monitoring of the Authorized Testing and Certified Bodies under the temporary certification program did not fully ensure that test procedures and standards could secure and protect patient information in electronic health record, according to a new report by the U.S. Department of Health and Human Services' Office of Inspector General.

Leading pediatric preventive guidelines not ready for EHR prime time

A "substantial" amount of work is needed to convert the American Academy of Pediatrics' "Bright Futures" guidelines into an electronic format, according to a new study published in Applied Clinical Informatics.