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Archive for September, 2011

Understanding HIPAA 5010

Tuesday, September 27th, 2011

In January 2009, the HHS or the U..S. Department of Health and Human Services had released two final rules as a part of HIPAA (Health Insurance Portability and Accountability Act of 1996) with a view to upgrade the existing standards set for electronic healthcare transactions. As a result, the X12 Version 5010 HIPAA Transactions Standards & Code Sets was created. The HIPAA 5010 is now mandated for all covered entities, i.e. all healthcare entities, clearinghouses and associated business partners handling patient/healthcare data.

Decoding HIPAA 5010

Version X12 HIPAA 5010 is meant to replace the conventional version of the HIPAA guidelines or the 4010A1 Version HIPAA Transactions Standards & Code Sets. HIPAA 5010 was conceptualized since the existing standards set for regulating electronic transactions in the healthcare industry were increasingly getting outdated. Many stipulations included in the original HIPAA seemed didn’t seem to be practical for the covered entities that was already struggling to adopt the HIPAA standards in their entirety. X12 Version HIPAA 5010 is committed towards improving the systems supporting healthcare practices, policies and processes and the implementation standards defined by HHS.

The X12 Version of HIPAA 5010 Transactions Standards & Codes is essentially a more comprehensive/detailed form of HIPAA Transaction Standards. This is why the X12 Version 5010 HIPAA Standards & Code is also referred to as ‘Enhanced HIPAA Transaction Standards’ by many of the insurance carriers. HIPAA 5010 has already received the highest level of official recognition in the US health industry after being endorsed by the HHS. Since HIPAA regulations are applicable to all types of Covered Entities, the 5010 update is equally applicable to group health plans too, i.e. both self-insured and fully-insured health plans.

Impact of HIPAA 5010

The HIPAA 5010 seeks to impact some aspects of HIPAA regulations in a more significant manner. These include health information processing aspects like:
• Claims & Encounters—including medical claims from dental, professional and institutional entities
• Issues related to Enrollment in healthcare stimulus plans
• Issues related to Authorization, Request, Referral & Response
• Issuing of Payment/Remittance Advices
• Payment of Premiums
• Eligibility Request
• Inquiries related to status of submitted Claims & their Response

Updating to 5010 HIPAA Standards is not Difficult

The integration of X12 Version 5010 will not put forth any major financial or technical issues and will significantly improve integrity of data (patient information) storage and sharing systems. Covered Entities necessarily do not need to establish separate clearinghouses for achieving compliance with HIPAA 5010. The adoption of X12 Version 5010 HIPAA is already underway with many of the EPMOs (Enterprise Program Management Offices) suggesting changes to help covered entities update their healthcare processing standards to meet HIPAA 5010 guidelines. Please note that EPMOs were established with the primary goal of overseeing HIPAA Compliance and thus, their involvement in ensuring 5010 HIPAA compliance is an expected outcome. A notable example in this niche is that of leading healthcare insurance providers like Anthem Blue Cross that have been proactive in moving towards HIPAA 5010 compliance through the effective use of EPMOs.

 

Health IT Jobs | Bureau of Labor Statistics

Saturday, September 24th, 2011
The Bureau of Labor Statistics recently came out with some information regarding Health IT Jobs.
Specifically, here were some of the points made:
  • As one of the largest industries in 2008, healthcare provided 14.3 million jobs for wage and salary workers.
  • Ten of the 20 fastest growing occupations are healthcare related.
  • Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry, largely in response to rapid growth in the elderly population.
  • Most workers have jobs that require less than 4 years of college education, but health diagnosing and treating practitioners are highly educated.

Here are some quotes regarding health IT Jobs and the Healthcare Industry in general:

The healthcare industry includes establishments ranging from small-town private practices of physicians who employ only one medical assistant to busy inner-city hospitals that provide thousands of diverse jobs. In 2008, around 48 percent of non-hospital healthcare establishments employed fewer than five workers. In contrast, 72 percent of hospital employees were in establishments with more than 1,000 workers.

The healthcare industry consists of the following segments:

Hospitals. Hospitals provide complete medical care, ranging from diagnostic services, to surgery, to continuous nursing care. Some hospitals specialize in treatment of the mentally ill, cancer patients, or children. Hospital-based care may be on an inpatient (overnight) or outpatient basis. The mix of workers needed varies, depending on the size, geographic location, goals, philosophy, funding, organization, and management style of the institution. As hospitals work to improve efficiency, care continues to shift from an inpatient to outpatient basis whenever possible.

Nursing and residential care facilities. Nursing care facilities provide inpatient nursing, rehabilitation, and health-related personal care to those who need continuous nursing care, but do not require hospital services. Nursing aides provide the vast majority of direct care. Other facilities, such as convalescent homes, help patients who need less assistance. Residential care facilities provide around-the-clock social and personal care to children, the elderly, and others who have limited ability to care for themselves. Workers care for residents of assisted-living facilities, alcohol and drug rehabilitation centers, group homes, and halfway houses. Nursing and medical care, however, are not the main functions of establishments providing residential care, as they are in nursing care facilities.

Offices of physicians. About 36 percent of all healthcare establishments fall into this industry segment. Physicians and surgeons practice privately or in groups of practitioners who have the same or different specialties. Many physicians and surgeons prefer to join group practices because they afford backup coverage, reduce overhead expenses, and facilitate consultation with peers. Physicians and surgeons are increasingly working as salaried employees of group medical practices, clinics, or integrated health systems.

Offices of dentists. About 20 percent of healthcare establishments are dentist’s offices. Most employ only a few workers, who provide preventative, cosmetic, or emergency care. Some offices specialize in a single field of dentistry, such as orthodontics or periodontics.

Home healthcare services. Skilled nursing or medical care is sometimes provided in the home, under a physician’s supervision. Home healthcare services are provided mainly to the elderly. The development of in-home medical technologies, substantial cost savings, and patients’ preference for care in the home have helped change this once-small segment of the industry into one of the fastest growing healthcare services.

Offices of other health practitioners. This segment of the industry includes the offices of chiropractors, optometrists, podiatrists, occupational and physical therapists, psychologists, audiologists, speech-language pathologists, dietitians, and other health practitioners. Demand for the services of this segment is related to the ability of patients to pay, either directly or through health insurance. Hospitals and nursing facilities may contract out for these services. This segment also includes the offices of practitioners of alternative medicine, such as acupuncturists, homeopaths, hypnotherapists, and naturopaths.

Ambulatory healthcare services. This segment includes outpatient care center and medical and diagnostic laboratories. These establishments are diverse including kidney dialysis centers, outpatient mental health and substance abuse centers, blood and organ banks, and medical labs that analyze blood, do diagnostic imaging, and perform other clinical tests.

Recent developments. In the rapidly changing healthcare industry, technological advances have made many new procedures and methods of diagnosis and treatment possible. Clinical developments, such as infection control, less invasive surgical techniques, advances in reproductive technology, and gene therapy for cancer treatment, continue to increase the longevity and improve the quality of life of many Americans. Advances in medical technology also have improved the survival rates of trauma victims and the severely ill, who need extensive care from therapists and social workers as well as other support personnel.

In addition, advances in information technology have a perceived improvement on patient care and worker efficiency. Devices such as hand-held computers are used record a patient’s medical history. Information on vital signs and orders for tests are transferred electronically to a main database; this process eliminates the need for paper and reduces recordkeeping errors. Adoption of electronic health records is, however, relatively low presently.

Cost containment also is shaping the healthcare industry, as shown by the growing emphasis on providing services on an outpatient, ambulatory basis; limiting unnecessary or low-priority services; and stressing preventive care, which reduces the potential cost of undiagnosed, untreated medical conditions. Enrollment in managed care programs—predominantly preferred provider organizations, health maintenance organizations, and hybrid plans such as point-of-service programs—continues to grow. These prepaid plans provide comprehensive coverage to members and control health insurance costs by emphasizing preventive care. Cost effectiveness also is improved with the increased use of integrated delivery systems, which combine two or more segments of the industry to increase efficiency through the streamlining of functions, primarily financial and managerial. These changes will continue to reshape not only the nature of the healthcare workforce, but also the manner in which healthcare is provided.

Various healthcare reforms are presently under consideration. These reforms may affect the number of people covered by some form of health insurance, the number of people being treated by healthcare providers, and the number and type of healthcare procedures that will be performed.

The full article is here.

Sheila is Founder and CEO of HIT Perm Jobs.  She can be reached at 214-929-8959, or via email at Sheila@hitpermjobs.com.

$40,000,000,000 — Healthcare IT Spending in 2011

Thursday, September 22nd, 2011

Take ten zeros and put a four in front of them.  What do you get?  $40 Billion Dollars!

That’s how much Healthcare IT spend there will be for the year 2011.

“Much of that growth will come from spending on electronic health record (EHR) systems, mobile health applications and efforts to comply with new government standards.Boosted by increased spending on healthcare software — which is needed for the rollout of EHR systems — the U.S. healthcare IT market is expected to grow at a rate of about 24 percent per year from 2012 to 2014, the study said. Spending on healthcare software rose 20.5 percent in the past year, from $6.8 billion in 2010 to a projected $8.2 billion this year, according to RNCOS.

Recent mergers and acquisitions in the healthcare IT market also point to growing private-sector interest in software, which will see sales grow at rate of more than 30 percent annually from 2012 to 2014, the report said.

The study attributed some of the increase in spending to the Healthcare Reform Act, the new ICD-10 coding system and adoption of EHR systems, which will be mandatory by 2015. Also a factor: Medicaid enrollment, which is expected to increase by 16 million people by 2019.”

Here is the link to the full article.

Take it from me, that’s a lot of money.

-Sheila Rogers

Sheila is Founder and CEO of HIT Perm Jobs.  She can be reached at 214-929-8959, or via email at Sheila@hitpermjobs.com.

Healthcare Finance News | America’s top 20 most beautiful hospitals

Monday, September 19th, 2011

As a consultant, your scenery is constantly changing. You may be driving along the coast of sunny California for one project then grabbing a taxi on the bustling streets of NYC the next. With the stress of meeting deadlines and a weekly travel schedule, wouldn’t it be nice to work at one of the nation’s most beautiful hospitals where the building and surroundings create a calming and peaceful presence?

This week, Healthcare Finance News released America’s top 20 most beautiful hospitals list by Soliant Health. Coming in at number one is Bon Secours St. Francis Medical Center in Midlothian, VA. “Bon Secours St. Francis Medical Center, which opened in 2005, is a welcoming state-of-the-art facility that offers the latest in digital technology while embracing an architectural celebration of the American spirit. The building’s peaceful gardens and paths provide a restful and contemplative environment for patients, families, staff and the community.”  According to Peter J. Bernard, CEO of Bon Secours Virginia Health System, “St. Francis, like all Bon Secours hospitals, is designed to be a place of both physical and spiritual healing. The hospital and the grounds were designed to incorporate natural elements like natural light, running water and foliage to promote a sense of healing and reflection for patients and visitors as well as staff.”

If Virginia is not your cup of tea, then check out the other 19 most beautiful hospitals. Might be a great time to start searching for your next project at these locations.

The Top 20 List:

1. Bon Secours St. Francis Medical Center in Midlothian, VA

2. Chippewa County Montevideo Hospital in Montevideo, Minnesota

3. Stony Brook University Hospital in Stony Brook, NY

4. West Kendall Baptist Hospital in Miami, FL

5. Columbus Regional Hospital in Columbus, IN

6. LeConte Medical Center in Sevierville, TN

7. The Elliot at River’s Edge in Manchester, NH

8. UPMC Hamot Women’s Hospital in Erie, PA

9. Manatee Memorial Hospital in Bradenton, FL

10. Sharp Memorial Hospital in San Diego, CA

11. McKay-Dee Hospital Center in Ogden, UT

12. Legacy Salmon Creek Hospital in Vancouver, WA

13. Carson Tahoe Regional Medical Center in Carson City, NV

14. Union Hospital in Terre Haute, IN

15. Forest Park Medical Center in Dallas, TX

16. Thomas Memorial Hospital in South Charleston, WV

17. Sumner Regional Medical Center in Gallatin, TN

18. Legacy Emanuel in Portland, OR

19. Florida Hospital Waterman in Tavares, FL

20. Metro Health Hospital in Wyoming, MI

You can view the article here http://www.healthcarefinancenews.com/news/americas-20-most-beautiful-hospitals-named?page=0,0

-Renee Brannan

Renee is a Business Development Manager for HIT Perm Jobs. She can be reached at 214-412-8871, or via email at renee@hitpermjobs.com.

One Website…

Monday, September 12th, 2011

I am asked often to recommend quality websites for learning more about Healthcare IT.  There are several sources that I read on a daily basis to keep up to date and current with my information.  The one website, for Healthcare IT, that everyone interested in the subject should read is The Office of the National Coordinator for Health Information Technology.

This site contains volumes of information that is important to all of us that work in HIT.  Some of the information is quite complex, and difficult to digest, but if you really want to understand the meaning of meaningful use, you will find it here.

Here are some other interesting websites:

http://www.icdten.com

http://www.icd-10jobsonline.com

http://www.hitconsultingjobs.com

http://www.healthcareitdirect.com

http://www.remotehealthcareit.com

http://www.hitcontractingjobs.com

http://www.hitconsultantjobs.com

http://www.hitcontractjobs.com

http://www.freeagentnation.com

and http://www.hitjobboards.com

We Remember, 09-11-2001

Sunday, September 11th, 2011

Ten years ago today, our world was changed forever.

I remember with distinct clarity the fear and the sadness.

As consultants, we travel all the time. And to see our typical vehicles, large commercial airplanes, crashing into buildings was unimaginable and unbelievable.

Things have changed an awful lot since then.

What has not changed is the American spirit. The outpouring of love for this country and it’s servants, each of us, was and still is awe-inspiring.

May God bless America, especially today, as we remember all of our fallen heroes.

-Sheila Rogers

Going Live Today — HIT Perm Jobs | Health IT Job Board

Thursday, September 8th, 2011

Welcome to our newest Job Board, www.hitpermjobs.com.

 

We strive to be your best choice for Health IT Jobs and Qualified Healthcare IT Talent.

 

You can also visit our sister site, HIT Consulting Jobs, at www.hitconsultingjobs.com.

 

 

 


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