CMS recently announced that they’ve extended the Educational and Operations testing period for hospitals and providers to comply with the Appropriate Use Criteria (AUC) program without payment consequences.
As consumers continue to take charge of their own care and healthcare organizations adapt to this new market reality, the tools and processes that ensure quick, accurate sharing of patient information will come into sharper focus in 2021.
A version of this post originally appeared on the IMO website.
The ability to easily document possible exposure to, infection with, or any other clinical symptoms of COVID-19 is crucial to mitigating the impact of the pandemic. However, the lack of standardized coding to capture this information at the start of the outbreak, coupled with the rapid evolution of scientific understanding of the novel virus, has made this an inherently difficult task.
COVID-19 has hit the healthcare industry so hard that many hospitals have been forced to furlough staff, or worse, close their doors. Relief payments from the CARES Act are a lifeline for organizations under enormous economic strain; though the healthcare portions of the legislation are only a few pages long, addendums are being released intermittently, making it easy for administrators — already in crisis mode — to lose track of the very subsidies the legislation provides.
To help you stay on top of available relief payments and loans, we’ve summarized the opportunities and included links to helpful resources. Think of this blog post as your cheat sheet for financial support that may be available to your organization.
While the Affordable Care Act and Medicaid expansion ensured health insurance for many U.S. citizens, rural areas still suffer from a unique set of healthcare challenges such as economic burdens, high rates of chronic illness, and insufficient access to providers. These issues have only intensified with COVID-19 depleting rural health resources at an alarming rate.
With over 120 rural hospitals closing over the past decade and more than 40% operating at a negative margin, health leaders are tasked with implementing new strategies to address rural health deficiencies.
A little over a year ago, Ontario’s Deputy Premier and Minister of Health and Long-Term Care Christine Elliott announced the provincial government’s plan to revitalize the public healthcare system. The plan centers around creating a more integrated and sustainable system that focuses on patients’ needs and outcomes by connecting them to the right settings throughout their care journeys.
Even with recent increases in the percentage of Medicare recipients who have Annual Wellness Visits (AWVs), less than 20 percent of eligible patients availed themselves of this new benefit provided under the Affordable Care Act, according to a JAMA study.
At Frisbie Memorial Hospital, we saw this as an opportunity to enhance population health efforts and increase revenue through a relatively easy appointment.
If your organization is a Provider-Led Entity that orders advanced diagnostic imaging services for Medicare patients, preparing to meet requirements for imaging appropriate use criteria (IAUC) is likely to be high on your priority list. CMS expects a variety of outpatient settings, including physician offices and emergency departments, to begin educating staff and testing operations for AUC authorization as of January 1, 2020, with the goal of fully implementing the process by January 1, 2021.
Last month on the MEDITECH News page, we covered Low Utilization Payment Adjustment (LUPA) and the Home Health Resource Group (HHRG) vs. Health Insurance Prospective Payment System (HIPPS).
January is traditionally an opportunity to set goals for the year ahead, and while there’s no shortage of advice on how to maintain New Year’s resolutions, 80 percent of people break their resolutions after an average of six weeks.
If you’re like me and starting to feel the waning motivation that February brings, there is hope — we can look to the healthcare industry to be re-inspired by the discipline required to stay successful.