American Association of Healthcare Administrative Management (AAHAM)

Tomorrow is the last day to book a room at the Loews Hollywood Hotel with ANI's discounted rate! Book NOW to save!

To make a reservation, please visit: https://ow.ly/5sLe50PLiBG, or call 800-235-6397. Be sure to mention you are with AAHAM and the group code of (ANIO08).

Don't miss out on our exclusive group ANI group rate at the Loews Hollywood Hotel! Book your room by Monday, September 18th!

To make a reservation, please visit: https://ow.ly/LIpW50PLiBF, or call 800-235-6397, be sure to mention you are with AAHAM and the group code of (ANIO08).

Introducing ANI's 2023 keynote speaker, Pete Smith! For over 25 years, international speaker and business coach, Pete Smith (SmithImpact) has helped individuals, teams, and organizations improve their leadership and personal development. His experience, concepts, and tools have helped organizations improve their leadership effectiveness, elevate engagement, transform company cultures, and consistently perform at high levels.

Join us on Tuesday, October 10, from 11:00 am to 12:15 pm for Pete's session "Dare to Matter: How Healthcare Administrative Management Professionals Matter More". This keynote will generate conversations within your teams, within your organization, even within your families because it focuses on what exists at the core of every individual: to know with certainty that who they are and what they do matters. You matter. It’s time to Matter More.

https://ow.ly/Cgxm50PGuQK

Maximize your networking opportunities at ANI! Meet like-minded professionals from across the country, share ideas, and learn solutions to daily challenges.

You can also join your friends and colleagues at our Networking Reception, "Networking in Style, Poolside!" on Wednesday, October 11, and enjoy a fun, relaxed networking atmosphere by the pool!

https://ow.ly/NRbq50PE3Pr

Join Sarah Mendiola at ANI 2023, as she presents 'Best Practices to Combat Denials: Keep Calm and Appeal Like a Lawyer'. In this interactive and engaging workshop, participants will be given simple tools from our lawyers’ toolbox with fact patterns to “lawyer up” for recovery.
https://aaham.org/page/ANI

If you missed any of the 2023 certification training webinars or would like to rewatch them, all the session recordings are now available on the AAHAM Info Hub.

https://aaham.org/page/infohub

LinkedIn This link will take you to a page that’s not on LinkedIn

AAHAM would like to congratulate all the individuals who earned their CRCS designation in July! Congratulations to you all!

Click the link below to review and congratulate them.

cdn.ymaws.com

AAHAM would like to congratulate the following members for earning their CRCP designations in July!

Kami Capello, CRCP, from the Indiana Chapter
Brittany Boger, CRCP, from the Pennsylvania Keystone Chapter
Rebecca Bogusz, CRCP & Jerrica Covington, CRCP, from the Philadelphia Chapter
Neil Bloom, CRCP, from the Virginia Chapter

AAHAM would like to congratulate Kerry-Ann Thomas, CRCE, from the Western Region Chapter, for earning her CRCE designation in July!

https://aaham.org/blogpost/2069601/492285/500-000-Kids-Lost-CHIP-Coverage-Since-April

500,000 Kids Lost CHIP Coverage Since April - American Association of Healthcare Administration Management Over half a million children lost Medicaid coverage since April, sparking concerns state Medicaid programs aren’t doing enough to protect care for the nation’s most vulnerable children.

Still deciding on ANI 2023? Download our registration brochure for everything you need to know! https://ow.ly/VBAX50PvS58

Our ANI early bird deadline has been extended! If you missed the chance to register early & save, you now have until Friday, August 18th. To register, visit: https://aaham.org/events/EventDetails.aspx?id=1752825

https://aaham.org/blogpost/2069601/492283/Lawmakers-Ready-Bills-to-Boost-Physician-Pay

Lawmakers Ready Bills to Boost Physician Pay - American Association of Healthcare Administration Management Physicians’ groups and key lawmakers are eyeing legislation to lower hospital charges and make hospital billing more transparent as an opening to boost doctor pay this year.

https://icd10monitor.medlearn.com/significant-federal-changes-to-healthcare-regulation-loom/

Significant Federal Changes to Healthcare Regulation Loom – MedLearn Publishing The Biden Administration has been extremely busy this summer, with the development of new initiatives designed to reform the healthcare system in the U.S. The focus has been on so-called “junk fees” hidden in almost every sector of the economy, as well as lowering healthcare costs for Americans....

https://medcitynews.com/2023/07/healthcare-price-transparency-hospital-cms/

Hospitals’ Price Transparency Compliance Is Improving Despite Remaining Low at 36% About 36% of U.S. hospitals are in compliance with CMS' price transparency rule, up from 24.5% in February, according to a new report. This progress will remain slow unless CMS can do a better job of effectively enforcing its rule, the report declared.

We are thrilled to announce John Kaszuba will presenting Success Tips for New Leaders at ANI 2023! This session offers key insight on how to begin leading with grace and competence. https://aaham.org/page/ANI

https://www.axios.com/2023/07/28/congress-dips-back-into-prior-authorization-fight

Congress dips back into prior authorization fight Lawmakers are taking aim at prior authorization practices in recent policy proposals.

https://www.beckerspayer.com/payer/the-biggest-misconceptions-about-prior-authorization-according-to-payers.html

The biggest misconceptions about prior authorization, according to payers Payers are often misunderstood when it comes to prior authorizations. Executives share their insights on the biggest misconceptions and how they work to promote health.

https://apnews.com/article/medicaid-health-care-coverage-77d715bdb520316820d3cccbfda9cff7

Paperwork problems drive surge in people losing Medicaid health coverage Paperwork problems and procedural issues are the driving force behind a surge of people losing Medicaid health care coverage in states.

https://www.jdsupra.com/legalnews/cms-releases-cy-2024-opps-and-asc-7520845/

CMS Releases CY 2024 OPPS and ASC Proposed Rule | JD Supra The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and...

Don't miss out on savings when registering for ANI 2023! Early registration ends on August 11th, so act fast. To register please visit: https://aaham.org/events/EventDetails.aspx?id=1752825

https://www.healthleadersmedia.com/revenue-cycle/medical-insurer-groups-ask-cms-not-implement-prior-authorization-provisions

Medical, Insurer Groups Ask CMS to Not Implement Prior Authorization Provisions The organizations say the agency's proposed standards will be both conflicting and costly.

https://medcitynews.com/2023/07/medicaid-prior-authorization-denials-oig/

Medicaid MCOs Denied 1 out of 8 Prior Authorization Requests in 2019 Medicaid managed care organizations deny prior authorization requests at high rates, according to a recent report by the Office of Inspector General. Of the 115 MCOs the OIG analyzed, 12 had prior authorization denial rates above 25%.

https://nahri.org/articles/2024-mpfs-proposed-rule-expands-telehealth-and-dental-coverage-steep-cuts-conversion-factor

2024 MPFS proposed rule expands telehealth and dental coverage, steep cuts to conversion factor | NAHRI CMS is proposing a 3.4% reduction to the Medicare Part B conversion factor in the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. The agency is also floating expanded telehealth and dental coverage among numerous other changes.

https://www.donoralliance.org/get-involved/events/event/national-minority-donor-awareness-week/

National Minority Donor Awareness Week - Donor Alliance National Minority Donor Awareness Week, celebrated annually August 1-7, is a nationwide observance to educate minorities of the desperate need for donation and transplantation within...

https://www.natlawreview.com/article/new-york-and-connecticut-increase-regulation-over-hospital-and-health-system

New York and Connecticut Increase Regulation Over Hospital and Health System Facility Fees Since the federal No Surprises Act took effect in January 2022, many pieces of legislation have been, and continue to be, geared toward promoting price transparency in health care. One such example is

Registration is now open for the 2023 ANI! Take advantage of our early registration rates before August 11, 2023!

Annual National Institute - American Association of Healthcare Administration Managment •    Attend vibrant educational sessions on career-focused top-ics •    Learn real solutions from industry leaders about day-to-day challenges •    Learn new techniques •    Acquire new skills •    Obtain best practices •    Find out about the latest in products and ser...

https://www.fiercehealthcare.com/finance/industry-voices-bringing-drug-price-cost-transparency-directly-patients

Industry Voices—Bringing drug price cost transparency directly to patients This is the fourth in a series of articles that looks at the current state of drug cost transparency for prescribers, pharmacists, and patients, and how to improve it based upon savings and ROI | Until the introduction of real-time prescription benefit tools, patient-specific drug costs surfaced onl...

https://healthpayerintelligence.com/news/consumers-blame-payers-utilization-management-for-delays-in-care

Consumers Blame Payers, Utilization Management for Delays in Care Consumers indicated that utilization management can lead to delays in care and higher prescription drug spending.

https://revcycleintelligence.com/features/key-types-of-revenue-cycle-technology-that-optimize-operations

Key Types of Revenue Cycle Technology That Optimize Operations Revenue cycle technologies are key to streamlining the complex process of getting paid for medical services; there are several types of technologies to help providers.

https://www.healthcaredive.com/news/medicaid-redeterminations-pause-procedural-disenrollments/688417/

CMS pausing Medicaid redeterminations in states noncompliant with renewal requirements Since April, the CMS has halted Medicaid eligibility checks in 12 states to address issues causing procedural disenrollments, according to officials.

https://www.beckershospitalreview.com/finance/36-of-hospitals-complying-with-price-transparency-rule-survey-finds.html

36% of hospitals complying with price transparency rule, survey finds Only 36% of hospitals are fully compliant with federally mandated price transparency rule, according to PatientRightsAdvocate.org.

https://revcycleintelligence.com/features/what-payment-integrity-means-for-providers-how-to-avoid-claim-issues

What Payment Integrity Means for Providers, How to Avoid Claim Issues Payment integrity in healthcare ensures accurate reimbursement and providers can avoid fraud, denials, and claim issues with a proactive strategy.

https://www.trubridge.com/medical-coding/?utm_source=newsletter&utm_medium=email&utm_campaign=multiview_newsletter_AAHAM

Coding Coding

https://www.ajmc.com/view/influence-of-prior-authorization-requirements-on-provider-clinical-decision-making

Influence of Prior Authorization Requirements on Provider Clinical Decision-Making An online survey identified that documentation requirements and communication issues with health plans are associated with providers modifying clinical decisions to avoid medication prior authorization.

https://icd10monitor.medlearn.com/cms-unveils-2024-medicare-pfs-opps-proposed-rules/

CMS Unveils 2024 Medicare PFS, OPPS Proposed Rules – MedLearn Publishing The OPPS proposal did not feature reference to several high-profile issues industry leaders have been awaiting reform on. Federal officials yesterday unveiled a pair of proposed rules, featuring potential adjustments to the Medicare Physician Fee Schedule (PFS) and Outpatient Prospective Payment Sys...

https://www.healthdatamanagement.com/articles/improving-provider-payer-interoperability-to-drive-meaningful-collaboration

Improving provider-payer interoperability to drive meaningful collaboration - Health Data Management Industry players need to evolve beyond mere data exchange to achieve activation, which can support a transition that achieves improved patient outcomes.

https://www.fiercehealthcare.com/payers/could-price-transparency-fix-employer-sponsored-insurance-jury-still-out

Can price transparency drive down health costs? The jury is still out Price transparency has been a key focus for policymakers looking to address rising health costs, but experts say breaking through that black box won't solve the problem wholesale. | Price transparency has been a key focus for policymakers looking to address rising health costs, but experts say break...

https://ehrintelligence.com/news/ehr-clinical-note-length-continues-to-grow-despite-coding-changes

EHR Clinical Note Length Continues to Grow Despite Coding Changes While the average EHR clinical note length has increased by 8.1 percent over the past three years, the average time spent writing notes has decreased.