Question

In: Operations Management

Case study: A health system owns and operates a hospital and employs primary care physicians, general...

Case study:

A health system owns and operates a hospital and employs primary care physicians, general surgeons, and oncologists. The hospital purchased a surgical practice in 2012. Part of the purchase of the practice included the purchase of the electronic medical record system that was a certified EHR. In January 2014, the hospital transitioned the primary care physicians, surgeons, and the radiologists in the hospital to a new certified electronic health record, the implementation of which was completed 10 months later in October 2014. The physicians did not satisfy the MU criteria from January 1, 2014, to December 31, 2104, because of the transition to a new certified EHR system. In addition, in 2015 the hospital’s electronic medical record vendor informed the hospital that it would not be able to satisfy the Stage 3 interoperability and technology standards by January 2018.

1. Describe the process the physicians must complete to avoid the payment penalties.

2. Discuss what the hospital must do to achieve the MU objectives for interoperability.

Solutions

Expert Solution

Answer:-

1)

Affirm your reasonableness for the Medicaid EHR Inducement Package.

Get recorded for the EHR Inducement Package.

Designed if your State is contributing in the Medicaid EHR Incentive Package.

On the off chance that the State is formerly contributing, record beforehand having a plan associated.

Acknowledge, gadget, advancement, or approve expressive utilization of affirmed EHR information.

2)

HMOs and financiers are not suitable to disavow imbursement to a medical clinic for a qualification for restoratively fundamental inpatient offices resulting from a crisis charge solely since the emergency clinic didn't helpful inform such safety net provider that the offices had been conveyed.

HMOs, financiers and clinics may decide to provisions for helpful declaration of pathologically vital inpatient enhancements resulting from a crisis charge and to limit in imbursement for disillusionment to convenient inform.

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