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November, 2003
Volume I, Issue 13

News

Was the October 16 HIPAA deadline another Y2K - a nonevent? Or is the worse yet to come?

The healthcare media have so far reported only a few scattered problems with the HIPAA electronic transaction requirements. However, the November 17 issue of the AMA News noted that "because it takes about three weeks for insurers to process claims, any problems from claims that met the deadline will start surfacing in mid to late November."

Most private insurers and the CMS are still accepting noncompliant electronic claims during a limited, but undefined, "transition period." While the CMS hasn't said when its transition period will end, a couple of private insurers have set deadlines. Highmark BlueCross BlueShield of Pennsylvania has said it will require that claims be filed according the new standards after March 1, 2004.

Several major health plans have said less than 15% of the claims they are receiving now are in compliance. Many analysts say a significant percentage of small physician practices have failed to take adequate steps to be in compliance and are just hoping the deadline will never be enforced. And when plans do start rejecting noncompliant claims it may be several months before these small practices realize the problem because they have such inefficient billing systems.

The November 19 Wall Street Journal, reported on WebMD's efforts to capitalize on the growth in electronic transactions with its purchase of Medifax-EDI, a claims clearinghouse. WebMD CEO Roger Holstein described the world of medical processing as a "tower of Babel where formats between payers and providers are fragmented into thousands of styles."

PR Workshop

More print publications are expanding their online editions, opening up new opportunities for media coverage.

While most magazines and newspapers simply place their print content online, a number are developing unique content for their Web sites. For example, the Wall Street Journal, already the largest paid subscription news site on the Web with more than 600,000 subscribers, has expanded its online features, adding new content and data to the Your Money and Personal Journal sections.

In January Health Management Technology will launch an monthly online newsletter with unique content including original feature articles and links to key resources. To subscribe visit the HMT web site.

Media Map's Expert PR newsletter has a good article in its October edition discussing "Print vs. Web." The newsletter notes that some larger online publications have their own editors and reporters contributing exclusively to the Web.

The leading online consumer health site is HealthDay. This site's primary product is a daily news feed of consumer health news stories available to media companies such as Yahoo!, ABCNews.com and Forbes.com. In addition to hosting an archive of 4,500 medical/health stories it publishes 8-10 original stories a day. Recent stories included "Is It a Cold or Sinusitis?" and "Holiday Cooking that's Good for Your Heart."

Industry Insight

"The American College of Radiology has set up a task force to look at the offshore transfer of radiology services. And the online discussion groups of radiologists have been buzzing with debate about the prospects for competition from 'radiology sweatshops' abroad.

"Radiology is not the only medical service that may someday be performed for Americans by people in other countries. Other candidates are the analysis of tissue samples, the reading of electrocardiograms, the monitoring of intensive care units and even robotic surgery.

"Coding ...is also heading offshore. The American Academy of Professional Coders now has chapters in India. Some insurance-claims processing is moving, too: Aetna, has 400 (workers) in that country.

"Still, what goes one way could also flow the other. Dr. Ronald Weinstein said telemedicine might provide a net gain to the United States because of the expertise here to provide diagnoses for patients in other countries.

"'I think the opportunities for U.S. health care internationally probably are very large,' Dr. Weinstein said. The University of Arizona (his employer) plans to market its pathology services around the world..."

from "Who's Reading Your X-Ray?," The New York Times, Nov. 16, 2003.

Resources

Interested in what is being covered in high tech publications?

Sam Whitmore's Media Survey (SWMS) helps PR directors and marketing executives of technology companies by providing regular reports on who and what is being covered in business and tech publications. For example, one recent SWMS report analyzed a year's worth of coverage by the Wall Street Journal. The report broke out percentage of stories by size (large companies got more coverage) and gave eight tips on how small companies could position themselves for positive coverage in the newspaper.

Subscribers also get access to weekly conference calls with key technology editors. Sam has recently had on the technology editors from The New York Times and USA Today.

SWMS charges a sliding scale for subscriptions. It can cost $1,200 or more a year for large companies, but reduced prices are available for smaller companies (less than 50 employees) and nonprofit agencies.

To see a sample report or sign-up for a free 30-day trial, go to the SWMS site.

You are welcome to forward this publication to other public relations professionals for noncommercial use.

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