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Archive for January, 2009

American Heart Association - Wear Red Day

~ This entry was posted on Friday, January 30th, 2009 at 12:12 pm

Posted By Carolyn Wgo-redeaver, Executive Consultant

It’s still not to late!. I can not forget to remind everyone to wear red next Friday, February 6, 2009 in honor of American Heart Association’s “Go Red For Women”. http://www.goredforwomen.org

* 52.6 % of the 864,500 deaths attributed to cardiovascular disease are female *

Hospital Quality Impact Reimbursement

~ This entry was posted on Friday, January 30th, 2009 at 10:54 am

j0201635Posted By Carolyn Weaver, Executive Consultant

In the January 26, 2009 cover story of Modern Healthcare magazine, 63 hospitals did not receive the quality bonus because of issues related to the “paperwork” of filing quality information or confusion. Many of these issues are reflective of the overall issue of health care and our lack of sophistication in the field, particularly when it comes to information systems. Smaller hospitals are particularly challenged with the limited funds for support staff and systems to support all of the regulatory requirements. Larger hospitals are challenged in the sheer volume of information that must be processed. The answer of course lies in streamlining the whole process of required documentation in the healthcare field and standardized reporting systems from a standardize record, rather than requirements of abstracting and resubmission.

Designing The Vascular And Stroke Patient Brochure

~ This entry was posted on Thursday, January 29th, 2009 at 12:59 pm

 Posted By Carolyn Weaver, Executive Consultant

As I have discussed in the 42-15765388past, since physicians do not always understand when to refer vascular disease to the specialist, patients or the general public, particularly the older population, present an especially unique challenge to understand vascular disease and stroke. As many of you have experienced, patient arrive too late in the Emergency Department to qualify for emergent stroke care. As you put together the patient brochure, think about these questions:

  • What is . . .
  • Hypertension (high blood pressure)?
  • Renal disease?
  • Stroke/carotid disease?
  • Abdominal aortic aneurysm?
  • PAD (peripheral artery disease)?
  • What are the symptoms of . . . ?
  • What causes . . . ?
  • What are the treatment options of . . . ?
  • When do I call my doctor about . . .?
  • Glossary of medical terms about . . .?
  • Questions to ask my doctor about . . . ?

Cardiac CTA

~ This entry was posted on Monday, January 26th, 2009 at 9:14 am

 

Posted By Carolyn Weaver, Executive Consultant

 

Cardiac CT is always a hot topic across the country and my travels proved no different this week. The potential increases every day and particularly with the continuing expanding presence of the 256-slice CT. Yes - it is in your horizon. Of course the issue of payment always comes up. To quote from the Medicare transmittal:

 

“Contractor shall be aware that section 220.1, Computed Tomography, of Pub. 100-03 of the NCD Manual, Remains unchanged. Therefore, all claims for CTA used to diagnose coronary artery disease shall continue to be determined by local Medicare Contractor discretion.”

 

Medicare had been looking at restricting the use to symptomatic patients - so no change is good. Be sure and read the entire transmittal as it contains critical information for you.

 

June 27, 2008

http://www.cms.hhs.gov/transmittals/downloads/R85NCD.pdf

Is Your Cardiology Practice Healthy?

~ This entry was posted on Friday, January 23rd, 2009 at 3:00 am

Posted By Carolyn Weaver, Executive Consultant

Several key benchmarks can immediately define the health of a practice. For example, the health of a cardiology physician practice is directly reflective of the health of a heart and vascular program. In determining the health of your practice, the following are some areas that should be evaluated and questions that should be addressed:

In reviewing E&M (Evaluation and Management) codes:

  1. ­What is the percentage of new patients versus established patients?
  2. ­How many office visits does each physician average on a daily basis?
  3. ­What is the percentage of office patients versus hospital-based patients?
  4. ­What is the mix of E&M codes within each category?

In the mix of procedures:

  1. What is the ratio of noninvasive diagnostics to catheterizations?
  2. ­What is the ratio of noninvasive diagnostics to office visits?
  3. ­What percentage of cardiac catheterizations results in interventions?
  4. ­What is the percentage of vascular procedures - invasive and noninvasive?

 Want to discuss your answers? Give us a call or leave a comment.