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Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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Wound Care Articles Practice Point: 2014 OPPS Final Rule Drives Critical Documentation Elements

Practice Point: 2014 OPPS Final Rule Drives Critical Documentation Elements

February 1, 2014 by Net Health

The tide is turning for healthcare as we are moving from fee-for-service to a pay-for-performance–based healthcare system. This was evidenced by the recent release of the Centers for Medicare & Medicaid Services (CMS) 2014 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates final rule with comment period.1

The final rule streamlines the current 5 levels of outpatient clinic visit codes, replacing them with a single Healthcare Common Procedure Coding System (HCPCS) code describing all clinic visits. The CMS states: “A single code and payment for clinic visits is more administratively simple for hospitals and better reflects hospital resources involved in supporting an outpatient visit. The current 5 levels of outpatient visit codes are designed to distinguish differences in physician work.”2

Per the CMS: “Under this proposal, all clinic visits would be reported using the new HCPCS G code, regardless of whether the patient has been registered as an inpatient or outpatient of the hospital within the 3 years prior to a visit” (see page 670 of Final Rule). Regarding non-Medicare payors, it will be the facility’s responsibility to maintain the current billing structure for non-Medicare payors until further notified by the payor. In addition, the CMS also announced it will create 2 payment bundles—“high price” and “low price”—to reflect the various skin substitute products on the market (see pages 332–342).1

Lastly, CMS clearly states that it is important to continue to document and report Current Procedural Terminology/HCPCS codes and charges supporting the work performed for the visit. The outpatient documentation will be reviewed for rate setting in the future (see page 671 of Final Rule).1

Read the rest of the article at Advances in Skin & Wound Care.

An excerpt from an article originally published in Advances in Skin & Wound Care, written by Cathy Thomas Hess, BSN, RN, CWOCN, VP and Chief Clinical Officer at Net Health

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