American Hospital Association -- AHA -- Adds QuadraMed's Tool Set to Its Compliance Service.Business Editors &Health/High-tech/Medical Writers CHICAGO--(BW HealthWire)--Jan. 25, 2000 AHA and QuadraMed Also Slated to Co-Sponsor Educational Webcast on Compliance and Confidentiality Issues Related to HIPAA (Health Insurance Portability & Accountability Act of 1996, Public Law 104-191) Also known as the "Kennedy-Kassebaum Act," this U.S. law protects employees' health insurance coverage when they change or lose their jobs (Title I) and provides standards for patient health, AHA Insurance Resource Inc., a subsidiary of the American Hospital Association American Hospital Association (AHA), n.pr a nonprofit national organization of individuals, institutions, and organizations engaged in direct patient care. The association works to promote the improvement of health care services. , in conjunction with its web-based Compliance Service, has added a suite of software products offered by QuadraMed Corporation (Nasdaq: QMDC) to their marketplace of recommended compliance products. These compliance products are QuadraMed's ComplySource, Inpatient inpatient /in·pa·tient/ (in´pa-shent) a patient who comes to a hospital or other health care facility for diagnosis or treatment that requires an overnight stay. in·pa·tient n. FACTS and Outpatient FACTS. In addition, on February 23rd, AHA and QuadraMed will co-sponsor an educational webcast on compliance and confidentiality issues related to the Health Insurance Portability and Accountability Act The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when of 1996 and its impact on health care providers. &uot;AHA has Aha ha is a species of Australian wasp, named by the entomologist Arnold Menke in 1977 as a joke. Menke described how, when he received a package from a colleague containing insect specimens, he exclaimed "Aha!" [1]. for some time taken the leadership position in compliance program development,&uot; said Tony Spohn, Compliance Service Vice President. &uot;This year, our efforts are focused on improving quality and increasing accessibility of the tools we develop for the entire health care community. QuadraMed's products will help us realize that goal.&uot; The compliance software products are available in the Marketplace Resources section of the AHA Health Care Compliance Service, a Web-based resource center that features compliance tools and information, and provides access to education and regulatory updates. While the service is beneficial to health care organizations of all sizes, it is particularly helpful for small and rural hospitals that previously could not afford access to compliance tools and resources. QuadraMed's ComplySource is a management software tool consisting of three unique modules, which assess a hospital's current level of compliance. Based upon this assessment, ComplySource creates an action plan to decrease compliance risk. The software helps to quickly and easily document a facility's good faith effort in resolving compliance issues. The three modules of ComplySource include: Action Plan, Management, and Reference. QuadraMed's Inpatient FACTS software assists hospitals with their auditing and monitoring requirements. This medical record department-based coding audit product selects inpatient cases with the highest potential to be coded incorrectly. The focus is on correct ICD-9-CM ICD-9-CM International Classification of Disease, 9th edition, Clinical Modification A standardized classification of disease, injuries, and causes of death, by etiology and anatomic localization and codified into a 6-digit number, which allows and DRG DRG, n the abbreviation for diagnosis-related group. DRG see dorsal respiratory group. DRG Diagnosis-related group Managed care A unit of classifying Pts by diagnosis, average length of hospital stay, and assignment. The program walks the coder through the possible reasons for change and records the results of manual record review, generating comprehensive reports. The case mix analyzer allows for tracking and analysis of CMI (Computer-Managed Instruction) Using computers to organize and manage an instructional program for students. It helps create test materials, tracks the results and monitors student progress. by coder, physician, medical and surgical specialty surgical specialty A specialty of health care in which interventions constitute a significant component of Pt management Examples OB/GYN, ophthalmology, ENT, surgery–cardiothoracic, colorectal, general, neurologic, orthopedic, plastic, urology. . QuadraMed's Outpatient FACTS, a medical record department-based coding audit product selects outpatient cases with the highest potential to be coded incorrectly. The program includes edits for medical necessity, unbundling A regulatory requirement that enables a competing service provider to purchase parts of the incumbent local exchange carrier's network in order to provide service to its customers. See ILEC. , noncovered codes, and diagnostic-procedure linkage. On February 23rd, AHA and QuadraMed will co-sponsor an educational webcast on the Health Insurance Portability and Accountability Act of 1996 and its impact on health care providers. The issue will further be explored during a presentation at the upcoming Healthcare Information and Management Systems Society Founded in 1961, the Healthcare Information and Management Systems Society (HIMSS) is a healthcare industry membership organization exclusively focused on providing leadership for the optimal use of medical informatics technology and management systems. annual conference in Dallas on April 9th. For information regarding either of these events, please contact Tony Spohn at 312/895-2554. QuadraMed Corporation uses technology to transform disparate healthcare data into valuable, enterprise-wide information. The Company's web-enabled software and service solutions allow healthcare institutions to generate operational efficiencies, improve cash flow and measure the cost and quality of care. QuadraMed has implemented its solutions in more than 4,000 provider sites across North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere. , representing more than 65% of the nation's hospitals. In addition to its web-enabled software solutions, QuadraMed has developed The American Hospital Directory (ahd.com) -- the most comprehensive resource for hospital and healthcare benchmarking information on the Web. For more information about QuadraMed, its products and services, visit http://www.quadramed.com. The American Hospital Association is a not-for-profit association of health care provider organizations and individuals that are committed to health improvement of their communities. The AHA is the national advocate for its members, which includes 5,000 hospitals, health care systems, networks, and other providers of care, and 37,000 individuals. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more information, visit the AHA web site at www.aha.org. AHA Insurance Resource Inc. is the insurance- and financial-product marketing subsidiary of the American Hospital Association. It functions as an industry advocate and resource agency to AHA-member hospitals and other health care organizations. AHA Insurance Resource evaluates the marketplace and collaborates with leading insurance and reinsurance The contract made between an insurance company and a third party to protect the insurance company from losses. The contract provides for the third party to pay for the loss sustained by the insurance company when the company makes a payment on the original contract. companies to create products and services for health care professionals. AHA Insurance Resource has an exclusive sponsorship of the Healthcare Financial Management Association (HFMA HFMA Healthcare Financial Management Association HFMA Hawaii Food Manufacturer's Association ), a professional association that includes more than 30,000 health care financial executives. For more information visit the Web site at www.aha.org/resources/aboutiri.html. For more information about the AHA Health Care Compliance Service, visit the Web site at www.aha.org/compliance or call Tony Spohn at 312/895-2554. |
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