Archive for September 2011

WSAV TV: Freda Brinson Named St. Joseph’s/Candler’s 2011 James R. Lientz Humanitarian

The AAPC has a number of members who stand out in their own communities. Freda Brinson, CPC, CPC-H, CEMC is an officer for the AAPCCA and was recently featured on a Georgia TV affiliate’s (NBC-WSAV) website in an article entitled “Freda Brinson Named St. Joseph’s/Candler’s 2011 James R. Lientz Humanitarian”.

“The award is given annually to an employee who reflects the humanitarian works of former Candler Hospital Board Chairman and community activist, the late James R. Lientz,” according to the report.

Read the full article here.

September 30th, 2011

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Incident-to Rx Billing Clarified

In what situations a pharmacy can bill when it’s dispensing certain drugs has been clarified in Transmittal 2312, posted by the Centers for Medicare & Medicaid Services (CMS). The transmittal also cautions physicians on not billing what the pharmacy has dispensed.

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September 29th, 2011

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CMS Launches New Primary Care Initiative

Building on the patient-centered medical home concept, the U.S. Department of Health & Human Services (HHS) launched a new initiative Sept. 28, which the agency says will “help primary care practices deliver higher quality, more coordinated and patient-centered care.” Known as the Comprehensive Primary Care Initiative, the collaborative will seek to align “multi-payer payment reform with practice transformation, holding practices accountable for total cost of care,” HHS states in the full Comprehensive Primary Care Initiative solicitation.

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OMG! HHS Task Force Launches Text4Health Recommendations

The U.S. Department of Health & Human Services (HHS) wants to use mobile phones to improve public health.

“The department has been actively exploring means to capitalize on the rapid proliferation of mobile phone technology and platforms, such as text messaging, to develop programs and/or partnerships with the overall aim of improving public health outcomes,” according to a recent HHS press release. ”The potential to provide citizens with an expansive level of access to health resources can help HHS achieve its goal of a healthier nation and help individuals and families get critical information that can improve—and even save—their lives.”

To that end, HHS established the Text4Health Task Force in November 2010. The task force was charged with providing recommendations for HHS’ role in encouraging and developing health text messaging initiatives that would deliver health information and resources to individuals via their mobile phones.

The task force has concluded, “Health text messaging and mobile health technologies offer significant potential for addressing HHS key priority areas,” and announced Sept. 19 the following recommendations:

  • HHS should develop and host evidenced-informed health text message libraries. This information should be open access and free to the public. Areas prime for development include smoking cessation, emergency response/preparedness, early childhood health, maternal/child health, heart disease, diabetes, mental health, oral health, and obesity.
  • HHS should develop further evidence on the effectiveness of health text messaging programs.
  • HHS should explore and develop partnerships to create, implement, and disseminate health text messaging and mobile health (mHealth) programs.
  • HHS should form a community of practices to discuss and coordinate mHealth activities, including health text messaging. The group would systematically explore and discuss which topic areas or health problems might best be addressed by HHS via health text messaging and mobile technologies.
  • HHS should integrate health text messaging/mHealth with other HHS health information technology priorities (e.g., electronic health records (EHRs), cloud computing, health games, etc.).
  • HHS should conduct further research into the privacy and security risks associated with text messaging of health information and establish guidelines for managing such privacy/security issues. The task force notes that text messaging programs may be subject to numerous privacy and security laws, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules.
  • HHS agencies (FDA, NIH, AHRQ, ONC, etc.) should conduct research on future trends of text messaging technologies and establish regulatory guidelines for these interactive systems that can be used in treating, curing, mitigating, or preventing diseases or conditions.

HHS has already embarked on several health text messaging initiatives, including the ‘text4baby’ program. HHS has also invested $5 million since January 2010 to develop its eHealth/mHealth smoking cessation resources, aimed at increasing quitting attempts among teens, young adults, and adults. Similarly, the National Cancer Institute at the National Institutes of Health is launching the SmokeFreeTXT program, a mobile smoking cessation service specifically designed for teens and young adults across the United States.

“Mobile device texting initiatives, like this one, have the potential to be a powerful tool to support tobacco cessation globally,” said HHS Chief Technology Officer Todd Park. “Text messaging is widely available, inexpensive, and allows for immediate delivery of cessation information.”

Approximately 2.2 trillion text messages were sent in the United States in 2010. According to HHS, a growing body of empirical studies suggests that mobile phone text messaging use can be effective in improving health behaviors and health outcomes, and the agency predicts that mobile health technologies will also be beneficial to those populations who currently have the least access to health information.

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Ambulance Inflation Factor Set for 2012

The 2012 ambulance inflation factor (AIF) for determining the payment limit for ambulance services is 2.4 percent.

This year’s AIF is based on the consumer price index for all urban consumers (CPI-U) 2012 rate of 3.6 percent less the multi-factor productivity (MFP) rate of 1.2 percent.

The Affordable Care Act mandates the CPI-U to be reduced by the MFP, even if this reduction results in a negative AIF update, as it did last year (the 2011 AIF was -0.1 percent).

For more information, see Transmittal 2310, Change Request 7546, issued by the Centers for Medicare & Medicaid Services (CMS) on Sept. 23.

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