EHRs Transform Care Coordination

The Centers for Medicare & Medicaid Services suggest that data shows electronic health HMS Healthcare Management Solutionsrecords (EHR) are helping facilitate better access to health information for both patients and providers. Using that information helps providers securely coordinate with patients, reduce duplicative tests and procedures and enables patients to take more control of their health which results in better overall health outcomes.

Click here to read more

Advertisements

Tiptastic Tuesday: Recommended Quality Measures

Beginning in 2014, all eligible professionals participating in the meaningful use incentive program must report clinical quality measures to the Centers for Medicare & Medicaid Services (CMS) using the 2014 edition of those standards. The edition includes a list of 64 standards from which physicians can choose to focus, including the following eight recommendations for adult treatment:

  • Controlling Hypertension: Measures the percentage of patients 18 to 85 years old with a diagnosis of hypertension and whose blood pressure was controlled adequately.
  • Elderly High-Risk Medication Use: Measures the percentage of patients 66 and older who were prescribed at least one high-risk medication and those prescribed at least two high-risk medications.
  • Tobacco Use Screening & Cessation: Measures the percentage of patients 18 and older who were screened for tobacco use one or more times within 24 months and who received cessation counseling intervention.
  • Imaging Studies, Lower back Pain: Measures the percentage of patients 18 to 50 years old with a diagnosis of low back pain who did not have an imaging study within 28 days of diagnosis.
  • Clinical Depression Preventive Care & Screening: Measures the percentage of patients 12 and older screened for clinical depression on the date of the encounter using an age-appropriate standardized depression screening tool and, if positive, a follow-up plan is documented on the date of the positive screen.
  • Medication Documentation: Measures the percentage of patients for whom the physicians documented all of the current medications and dosage, frequency and route of administration.
  • Preventive Care & Screening, Body Mass Index (BMI): Measures the percentage of patients 18 and older with a BMI documented during the encounter and the previous six months.
  • Closing The Referral Loop: Measures the percentage of patients with referrals for which the referring physician receives a report from the physician to whom the patient was referred.

Physicians Remain Leery Of Physician Compare Website

As the Centers for Medicare & Medicaid Services (CMS) continues  to tout its redesigned Physician Compare website as being a more useful and usable tool for the public, provider organizations remain skeptical saying information is often incorrect.

Click here to read more.

CMS Seeking OASIS Change Comments

The Centers for Medicare & Medicaid Services (CMS) issued a notice announcing proposed changes to the Outcome and Assessment Information Set (OASIS) in the June 21 Federal Register. The proposed version reflects changes to accommodate ICD-10-CM coding set which go into effect October 1, 2014.

Click here to read more.

OIG To CMS: Stop Improper Part D Prescribing

According to a recently released report by the Office of Inspector General (OIG), more than 700 general-care physicians wrote potentially dangerous and unnecessary prescriptions for elderly and disabled patients in 2009. As a result, the OIG has asked the Centers for Medicare & Medicaid Services (CMS) to take a series of actions to stop inappropriate Part D prescribing.

Click here to read more.

Tiptastic Tuesday: Processing Split Claims

Last week, the Centers for Medicare & Medicaid Services (CMS) clarified the policy for processing split claims for certain institutional encounters spanning the ICD-10 implementation date; when ICD-9 codes are effective for the portion of the services rendered on September 30, 2014 and earlier, and when ICD-10 codes are effective for the portion of the services rendered on October 1, 2014, and later.

Click here to read more.