For dates of service beginning July 1, 2020, you must request prior authorization for the following hospital Outpatient Department (OPD) services: Blepharoplasty Botulinum toxin injections (when paired with specific procedure codes) Panniculectomy Rhinoplasty Vein ablation Medical necessity documentation requirements remain the same and hospital OPDs will receive a decision within 10 days. While only the […]
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Doc-U-Scribe clinical documentation solution now comes integrated with tele-medicine workflow. Physicians and administrators can create tele-consultation sessions with patients seamlessly from within the application. This process eliminates the need for providers to use separate solutions – one for clinical documentation and another for video session. The COVID-19 public health crisis has accelerated the use of […]
As healthcare has moved away from fee-for-service reimbursement models toward a more value-based system, the idea of using risk adjustment to account for individual patient risk and chronic conditions has become far more important for providers seeking to maximize quality of care. In today’s healthcare environment, providers are often required to fight simultaneous battles on […]
On November 1, CMS issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period, which includes updates to the 2018 rates and quality provisions and other policy changes. CMS adopted a number of policies that will support care delivery; reduce burdens for health […]
On November 2, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018. The overall update to payments under the PFS based on the finalized CY 2018 rates will be +0.41 percent. This […]
Here are the highlights of the Final Rule for QPP for Year 2 under MACRA as announced by CMS yesterday: • Weighting the MIPS Cost performance category to 10% of your total MIPS final score, and the Quality performance category to 50%. • Raising the MIPS performance threshold to 15 points in Year 2 (from […]
The EMR Time Crunch A common complaint among physicians across practices and specialties has been the amount of time that was previously spent attending to patients is now being occupied by clinical documentation. These time disparities can have adverse effects on physician-patient relationships, and also limit the number of patients able to receive care from […]
The cost of healthcare is once again at the center of a national debate. With premiums rising, the baby boomers aging, and diabetes, the most expensive disease in the world, affecting 10% of the US population, the rising cost of healthcare in America is an issue that affects all of us. In the past, the […]
When we think of artificial intelligence, the images that come to mind for many of us are probably somewhere along the lines of Rosie from The Jetsons or Arnold in Terminator. While we’re still most likely several years from sentient household or murder robots, AI is playing an increasingly large role in our everyday lives. One […]