Articles

Vitalware's experts and industry thought-leadership are often referenced in articles about the business of U.S. healthcare. Here is an informative selection of those industry news articles and blogs from leading publications and experts.

Understanding The Coding Nuances For COVID-19 (Coronavirus)

In order to track new cases of COVID-19 and to provide reimbursement for testing, the Centers for Medicare & Medicaid Services (CMS) has created two new HCPCS codes that are effective February 4, 2020, with an implementation date of April 1, 2020. This is what you need to know about these dates.

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Managing Facility ED Charge Capture: Fundamentals for Success with Evaluation and Management (E/M) Codes

In the era of continuing fluctuation with reimbursement, charge capture remains the mainstay of provider and facility revenues. Large failures or defects within the process can quickly cause a significant loss of revenue. Alternatively, small and difficult to identify defects lead to slow revenue leakage. In either case, the outcome is suboptimal. We will cover the basic components in this post.

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New Category III Codes Released for July 1, 2020

The American Medical Association (AMA) published changes to the Category III codes that take effect on July 1, 2020. The Category III codes represent emerging technologies and procedures and are updated on a semi-annual basis, which allows for faster creation of new codes.

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A Vitalware Case Study: Parkview Medical Center

Parkview Medical Center is continually working to provide the best care possible for patients, which often means evolving together with patient and community needs. However, the hospital’s chargemaster (CDM) solution was not doing the same. With their sights set on a more progressive solution, the team began their search for a technology partner that would contribute to making the hospital more efficient, help it adhere to changing regulations, and provide support when needed.

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Transparency and Your Chargemaster: Planning Ahead New Transparency Proposals Place Emphasis on Chargemaster Completeness, and Capabilities

Following up on the hospital price transparency rule that went into effect on January 1, 2019, [section 2718(e) of the Public Health Services Act] the Centers for Medicare & Medicaid Services (CMS) issued a series of proposed new rules on July 29, 2019. These proposed rules include several new requirements that up the ante on transparency required in the original rule.

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A Vitalware Case Study: Valley Presbyterian Hospital

Valley Presbyterian Hospital opened its doors to the community in 1958 as a small, neighborhood provider of personalized medical care. Today, they’re one of the largest and most prestigious full-service acute-care facilities in the San Fernando Valley. Their 350-bed hospital serves thousands of families each year, offering a wide range of topflight medical expertise and leading-edge technology across all elements of care.

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