News Article | December 5, 2016
PMI, a leading Baltimore-based healthcare billing company for over 48 years and founding member of their trade association HBMA (Healthcare Business and Management Association), offered to host an informal meeting between key members of the National Standard Group and PMI. CMS (Centers of Medicare and Medicaid Services) wanted to visit a billing company and a medical practice in the Baltimore area to see “a day in the life of a claim”. Recently, Ten CMS staff members from the NSG (National Standards Group), the group within CMS that writes, oversees and enforces HIPAA administrative simplification standards, led by Division Director Shana Olshan, visited PMI. The National Standards Group (NSG) is a division of CMS’s Office of Enterprise Information, which has oversight/enforcement responsibility for HIPAA Administrative Simplification, not only for Medicare, but commercial insurers and Medicaid as well. PMI was asked to provide an afternoon for discussion with NSG to review real-world case studies on “the day in the life of a claim”. As a local Baltimore revenue cycle management company, PMI offers 48 years of experience, expertise and insight into the medical billing process. Much of the discussion centered around the usability of the various claims transaction operating rules, such as the utility of the 837/835; how, or if, the offices used the electronic claims status function or the electronic eligibility inquiry functions. Did plans offer them this option, and if they didn’t, why had neither group ever submitted a HIPAA complaint? The answers were illuminating for the CMS staff. The concept of developing internal “work arounds” seemed shocking to them. It was surprising the number of internal changes made to ensure claims are processed and paid. Following the afternoon discussions, CMS staff left feeling far more educated about the day in the life of a claim. Giving them a clearer understanding of what is involved and the complexity of the billing process. In a follow-up email from the CMS staff, they said, “on a scale of 1 –10, this was a 100!” In fact, a critical CMS staffer in attendance recommended that ALL CMS staff be required to hear this presentation. About Professional Management, Inc. (PMI) Founded in 1968, Professional Management, Inc. is an industry leader specializing in revenue cycle management, accounts receivable management services, and consulting services for physicians, physician groups, and hospitals. For more information about PMI: http://www.pmi-web.com
News Article | November 21, 2016
WEDI, the nation’s leading authority on the use of health IT to create efficiencies in healthcare information exchange, announces the winners of its annual awards program. Each award recipient was announced during WEDI-Con 2016 in Reston, Va. on Tuesday, November 8. “Our Board of Directors is incredibly thoughtful in determining the dynamic accomplishments of those within our association each year,” said Charles W. Stellar, president and CEO of WEDI. “We are grateful for each of these individual’s and organization’s dedicated contributions, tireless efforts and unwavering commitment to advancing efficiency in healthcare through the use of information technology. We are pleased to have the opportunity to recognize the hard work at our conference annually.” Andrew H. Melczer Award: Excellence in Volunteerism – This award recognizes an individual who has provided exemplary service by giving their time to the association and healthcare IT industry activities on a national basis. The award aims to recognize the person whose business philosophy is to make the world a better place by sharing one’s time and talents and is named in memory of Andrew H. Melczer who exemplified these characteristics through his volunteerism with WEDI. Robert Tennant, director of health information technology policy at the Medical Group Management Association (MGMA) is the 2016 recipient of the Melczer Award. Chair’s Award – This award is presented at the discretion of WEDI’s Chair to an individual who has demonstrated exceptional leadership and commitment to the advancement of specific WEDI initiatives. The 2016 recipients of this award include: Distinguished Service – This award recognizes individuals who have provided significant leadership to the fulfillment of the mission, objectives, programs and overall volunteer activities of WEDI through participation in committees, workgroups, PAGs, Board of Directors, among others. The 2016 recipients of this award include: Excellence in Health IT Award – Recognizing an individual or organization’s contribution to the advancement of health information technology and eCommerce technology in healthcare, the 2016 Excellence in Health IT Award recipient was Florida Blue. HIT Government Champion Award – This award recognizes exceptional government personnel who have supported policy that advances the Health IT industry. The 2016 HIT Government Champion Award was presented to Lorraine Doo, senior policy advisor at the Centers for Medicare and Medicaid Services (CMS). Doo has been an active ally of WEDI and has helped build government support on many new initiatives. Louis W. Sullivan Award – Named in honor of WEDI founder and former HHS Secretary, The Honorable Louis W. Sullivan, MD, this award was first presented to Dr. Sullivan in 2001 and recognizes individuals who have distinguished themselves through their leadership, vision and achievements in advancing the overall quality and efficiency of healthcare. The 2016 Sullivan Award was presented to Shana Olshan, director of the National Standards Group for the Office of Enterprise Information at CMS. Outstanding Corporate Leadership Award – This award is given to a company that has served as a strong champion of progress in the Health IT industry through their continued commitment to WEDI’s sponsorship programs throughout the year. The 2016 awardee was Axiom Systems, an information technology solutions firm providing an array of information technology consulting services and products exclusively to the healthcare industry. Outstanding Leadership Award – This award recognizes Workgroup/Taskforce or Subworkgroup Co-Chairs who have consistently contributed toward the growth, success and impact their group has made on the industry. The 2016 recipients of this award include: Volunteer Service – This certificate recognizes a leader in the making – someone who is making a real contribution and a real difference within WEDI. This award recognizes someone who has actively supported the efforts of their workgroup, sub-workgroup or taskforce through their commitment, leadership, team play and productivity. The 2016 recipients of this award include: For more information on the 2016 awardees or on the WEDI-Con conference, please visit http://www.wedi.org. About WEDI The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of health IT to improve healthcare information exchange in order to enhance the quality of care, improve efficiency, and reduce costs of our nation’s healthcare system. WEDI was formed in 1991 by the Secretary of Health and Human Services (HHS) and was designated in the 1996 HIPAA legislation as an advisor to HHS. WEDI’s membership includes a broad coalition of organizations, including: hospitals, providers, health plans, vendors, government agencies, consumers, not-for-profit organizations, and standards development organizations. To learn more, visit http://www.wedi.org and connect with us on Twitter, Facebook and LinkedIn.
Crerar S.K.,Standards Group |
Castle M.,Standards Group |
Hassel S.,Standards Group |
Schumacher D.,Standards Group
Food Control | Year: 2011
A risk-based strategy for Listeria monocytogenes has been developed by New Zealand Food Safety Authority. Incidents of L. monocytogenes in ready-to-eat foods reported to the regulatory authority were analysed to identify common factors that contributed to the contamination. In addition, the current regulatory framework and available food industry guidance were reviewed to prepare a strategy that will provide a consistent and informed approach to managing the risk of L. monocytogenes. Also recognised is the future impact of an aging population and an increase in the availability and range of chilled ready-to-eat foods that should be integrated into the strategy if an objective of 'no increase in the reported incidence of foodborne listeriosis after five years' is to be achieved. © 2010.