CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
President Trump’s 2018 VA MISSION Act removed all geographic and licensing barriers for doing VA telehealth. This has made it possible to provide greater access and better care to more veterans. Join Sean O’Connor from the Oregon VA health system to learn:
- How is the VA using telehealth to deal with COVID-19 today?
- What are some key lessons learned from past telehealth deployments?
- What are key technology and clinic considerations that need to be taken into account?
- Where is VA telehealth going in the future?
Interested in becoming a community provider? More information at
https://www.va.gov/COMMUNITYCARE/providers/Veterans_Care_Agreements.asp
Guidelines for practicing Telemedicine have been released on 25th March 2020 by MOHFW. Telemedicine has come to lime light due to COVID-19 Pandemic.This presentation covers those guidelines, the need of Telemedicine, advantages of Telemedicine, some success stories of Telemedicine and the challanges ahead.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
Telemedicine: An opportunity in Healthcare in IndiaAmit Bhargava
Telemedicine, despite being an old subject, is presently receiving a huge push from government to address the healthcare inadequacy in India. The speciality health infrastructure is a need of the hour and presents an opportunity for telecom vendors, healthcare providers and policy makers to provide healthcare to masses.
This document identifies the opportunity in telemedicine and indicates the efforts so far.
This is a Telemedicine report I was asked to put together for some various hospitals in Michigan looking to add this technology and was asked by HIMSS members to publish.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
President Trump’s 2018 VA MISSION Act removed all geographic and licensing barriers for doing VA telehealth. This has made it possible to provide greater access and better care to more veterans. Join Sean O’Connor from the Oregon VA health system to learn:
- How is the VA using telehealth to deal with COVID-19 today?
- What are some key lessons learned from past telehealth deployments?
- What are key technology and clinic considerations that need to be taken into account?
- Where is VA telehealth going in the future?
Interested in becoming a community provider? More information at
https://www.va.gov/COMMUNITYCARE/providers/Veterans_Care_Agreements.asp
Guidelines for practicing Telemedicine have been released on 25th March 2020 by MOHFW. Telemedicine has come to lime light due to COVID-19 Pandemic.This presentation covers those guidelines, the need of Telemedicine, advantages of Telemedicine, some success stories of Telemedicine and the challanges ahead.
The challenges and opportunities in telemedicine during COVID 19 pandemic
Project supervisors: Dr. Rosalind Silverman and Dr. Lorelei Silverman
Background A multidisciplinary team consisting of premedical and predental students, internationally trained doctors, and IT professionals will showcase the present and future of telemedicine post COVID 19 era.
Methodology Our team researched literature and surveyed telemedicine clinics in Canada to identify the usage of telemedicine, devices, advantages and disadvantages of telemedicine in 18 medical disciplines.
Results We will present new technologies and best practice in telemedicine and tele dentistry as well as the practical use in clinics across Canada, USA, and internationally. We will also demonstrate the further role of telemedicine in expanding the field, and challenges and opportunities during COVID19. In addition, we will share our survey of application of telemedicine to telepsychiatry, teleradiology, telepathology, telecardiology, tele respirology, pediatrics, women health, ophthalmology, ENT, emergency response, physiatry, gastroenterology, infertility, dermatology, oncology, palliative care, allergology, rheumatology, and plastic surgery. The advantages of telemedicine such as fast access to care, reduced cost, cutting down on commuting, travelling in bad weather, taking time off from work, need for childcare, immobile patients, remote areas, cultural taboos are also assessed. The disadvantages of telemedicine are mainly present in older population that has less exposure to technology and the concern over data security.
Conclusion In sum, using virtual health care tools and telemedicine we can shorten wait times to see a provider, reduce the risk of community infection, improve training, and expand the range of access to specialists who live further away or need to be consulted for a second opinion
Telemedicine: An opportunity in Healthcare in IndiaAmit Bhargava
Telemedicine, despite being an old subject, is presently receiving a huge push from government to address the healthcare inadequacy in India. The speciality health infrastructure is a need of the hour and presents an opportunity for telecom vendors, healthcare providers and policy makers to provide healthcare to masses.
This document identifies the opportunity in telemedicine and indicates the efforts so far.
This is a Telemedicine report I was asked to put together for some various hospitals in Michigan looking to add this technology and was asked by HIMSS members to publish.
Tele Doctor the integrated telemedicine system. The software acquires patient data; securely transmit to expert doctor. The expert views and write prescription or suggest line of treatment.
This is the first report on Telehealth in India, and was authored in 2011 by Rajendra Pratap Gupta for Telemedicine Society of India , when he chaired the Organising Committee of the International Telemedicine Congress 2011 at Mumbai
This report gives a detailed overview of where India stands and what is the scope in future
Telecommunication systems applied to telemedicineShazia Iqbal
Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using telecommunications technology.
The approach has been through a striking evolution in the last decade and it is becoming an increasingly important.
InstaHEAL Telemedicine is a HIPAA Compliant Cloud-based Telemedicine, Tele-Consultation & TelePsychiatry platform that offers healthcare providers’ one-stop, real-time access to professional quality care.
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Visit: https://vsee.com/blog/telemedicine-101-reimbursement/ for more info
Anjali and Mary Jean will present on the changing landscape of telemedicine reimbursement what it was in the past, where it is now during the National Emergency, and probable future outcomes based on her experience and insight. Additionally, she will provide practical guidance on coding to avoid fraud and abuse issues to avoid post-pandemic audits and investigations
Learning Objectives:
Allowable Telemedicine Reimbursement Past, Present, Future
Telemedicine Reimbursement Codes and How to Example
Considerations for Practicing Across State Lines and Documentation
Avoiding investigations: Fraud & Abuse
Telemedicine in the Healthcare Delivery SystemVSee
For more information of the presentation such as recording and transcript, please visit:
https://goo.gl/yiQNAA
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Challenges of a telemedicine pilot - Carolina Escobar, MD, VIMA - TFSSVSee
A frank look at the specific challenges and successes of deploying telemedicine for oncology consults - from the Telehealth Failures & Secrets To Success Conference:
vsee.com/telehealth-failures-conference
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Medisoft Telemedicine Pvt. Ltd. is a leading research based development company with focused effort in Telemedicine, ehealth and Healthcare IT (Software Development).
We are focused on technologies that are beginning to revolutionize conventional healthcare model. Our clinical telemedicine system “Tele Doctor” has emerged as a mature product which has been widely accepted.
Till date we have installations in 15 countries like India, Pakistan, Colombia, UAE, Cameroon, USA, Nepal, South Africa, Zambia, Israel, Nigeria, France and Tanzania etc.
Demystifying Shared Care and "Incident To" Billing: 2024 UpdatesConference Panel
This webinar aims to elucidate the changes for the year 2024 concerning billing for shared and incident care services. Furthermore, it will delineate the requisite documentation requirements essential for both shared and incident care billing scenarios.
By attending this webinar, healthcare providers can gain a comprehensive understanding of the evolving CMS policies and the intricacies of billing for shared and incident care. Armed with this knowledge, they can adopt proper billing practices and uphold the requisite documentation standards, thereby minimizing the risk of audits, paybacks, and reimbursement delays.
Register,
https://conferencepanel.com/conference/secrets-to-correctly-billing-shared-care-and-incident-to-services-in-2024
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
Tele Doctor the integrated telemedicine system. The software acquires patient data; securely transmit to expert doctor. The expert views and write prescription or suggest line of treatment.
This is the first report on Telehealth in India, and was authored in 2011 by Rajendra Pratap Gupta for Telemedicine Society of India , when he chaired the Organising Committee of the International Telemedicine Congress 2011 at Mumbai
This report gives a detailed overview of where India stands and what is the scope in future
Telecommunication systems applied to telemedicineShazia Iqbal
Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using telecommunications technology.
The approach has been through a striking evolution in the last decade and it is becoming an increasingly important.
InstaHEAL Telemedicine is a HIPAA Compliant Cloud-based Telemedicine, Tele-Consultation & TelePsychiatry platform that offers healthcare providers’ one-stop, real-time access to professional quality care.
Telemedicine is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies. With more than 95% of adults, and 100% of young adults between the age of 18-29 owning a cell phone in the United States, a technology-based health intervention can be available to hard-to-reach populations or underserved areas.
Panelists will engage a rich dialogue and showcase innovative and effective ways to create prevention programs for HIV and STDs using the potential telehealth can offer, specifically with linking young people to HIV pre-exposure prophylaxis, or PrEP. This plenary brings together leaders in the field of HIV prevention, research and policy along with private organizations and companies that are currently active on the field of biomedical prevention.
Visit: https://vsee.com/blog/telemedicine-101-reimbursement/ for more info
Anjali and Mary Jean will present on the changing landscape of telemedicine reimbursement what it was in the past, where it is now during the National Emergency, and probable future outcomes based on her experience and insight. Additionally, she will provide practical guidance on coding to avoid fraud and abuse issues to avoid post-pandemic audits and investigations
Learning Objectives:
Allowable Telemedicine Reimbursement Past, Present, Future
Telemedicine Reimbursement Codes and How to Example
Considerations for Practicing Across State Lines and Documentation
Avoiding investigations: Fraud & Abuse
Telemedicine in the Healthcare Delivery SystemVSee
For more information of the presentation such as recording and transcript, please visit:
https://goo.gl/yiQNAA
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Challenges of a telemedicine pilot - Carolina Escobar, MD, VIMA - TFSSVSee
A frank look at the specific challenges and successes of deploying telemedicine for oncology consults - from the Telehealth Failures & Secrets To Success Conference:
vsee.com/telehealth-failures-conference
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Medisoft Telemedicine Pvt. Ltd. is a leading research based development company with focused effort in Telemedicine, ehealth and Healthcare IT (Software Development).
We are focused on technologies that are beginning to revolutionize conventional healthcare model. Our clinical telemedicine system “Tele Doctor” has emerged as a mature product which has been widely accepted.
Till date we have installations in 15 countries like India, Pakistan, Colombia, UAE, Cameroon, USA, Nepal, South Africa, Zambia, Israel, Nigeria, France and Tanzania etc.
Demystifying Shared Care and "Incident To" Billing: 2024 UpdatesConference Panel
This webinar aims to elucidate the changes for the year 2024 concerning billing for shared and incident care services. Furthermore, it will delineate the requisite documentation requirements essential for both shared and incident care billing scenarios.
By attending this webinar, healthcare providers can gain a comprehensive understanding of the evolving CMS policies and the intricacies of billing for shared and incident care. Armed with this knowledge, they can adopt proper billing practices and uphold the requisite documentation standards, thereby minimizing the risk of audits, paybacks, and reimbursement delays.
Register,
https://conferencepanel.com/conference/secrets-to-correctly-billing-shared-care-and-incident-to-services-in-2024
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
Guidelines to Initiate Telemedicine SoftwareMarcus Evans
telemedicine is the conveyance of clinical administrations through broadcast communications. Telemedicine is a reasonable, helpful route for clinical patients to see their doctors. Time is spared, costs are diminished, commitment is sustained and neither patients nor suppliers pass up eye to eye communications since webcams empower patients and suppliers to see each other continuously.
https://prognocis.com/ehr-integrated-telehealth-application/
The Anatomy of Incident-To and Split/Shared BillingPYA, P.C.
PYA Senior Manager Valerie Rock, along with Jana Kolarik from Foley & Lardner, presented “The Anatomy of Incident-To and Split/Shared Billing.” They discussed:
- Compliant use of nurse practitioners and physician assistants.
- The elements of incident-to and split/shared provider services.
- Evaluation of manual guidance and the laws that impact interpretation of the provision.
- Best practice application in common scenarios.
Credentialing refers to the process of collection and verification of the evidences of credentials of a doctor who is to be given the responsibility of
treating patients in the hospital. The process
ensures the authenticity of the details provided
by the healthcare practitioner or doctor.
TMLT risk management staff conduct on-site practice reviews to help physicians determine and address their medical liability risks. In 2016, risk managers reviewed more than 2,000 physician practices, and gave the following 10 recommendations most frequently.
Understanding the Impact of the CMS Physician Final Rule on Patient CareConference Panel
Join us for an informative webinar on the CMS Physician Final Rule 2023, which will provide insights on the latest updates to physician payment and coding guidelines for the upcoming year. It is crucial for healthcare providers and staff to be aware of the key changes proposed by CMS and understand which items will be implemented in 2023.
For all healthcare providers and offices that bill Medicare or Medicaid, staying up-to-date with CMS yearly changes is essential. This webinar will delve into the details of the CMS Physician Final Rule for 2023, outlining all the changes that providers and staff need to know.
Don't miss this opportunity to gain critical insights into the CMS Physician Final Rule 2023 and ensure that your practice is prepared for the upcoming changes. Join us for a comprehensive overview of the new guidelines and their implications for physician offices.
Register,
https://conferencepanel.com/conference/cms-physician-final-rule-2023
How Orange Regional Medical Center Reduced Readmissions by 30 PercentTraceByTWSG
Industry thought leaders from Orange Regional Medical Center, Nexus Health Resources and The White Stone Group will discuss care coordination strategies that have resulted in a 30-percent reduction in hospital readmissions at Orange Regional Medical Center.
Understanding the Basics of Physician Billing for "Incident to" ServicesConference Panel
Over the years, the incident has remained a prominent topic of discussion, while shared care has emerged as a relatively new billing opportunity provided by CMS. Many physician offices find themselves perplexed about the appropriate billing methods for these services and how they distinguish from each other. The recent alterations made by CMS to their shared care policy have only added to the existing confusion. It is crucial to minimize the likelihood of audits, paybacks, and potential future reimbursement delays by ensuring accurate billing practices. Inaccurate billing discovered during a payer audit can lead to subsequent pre and post-payment reviews, further exacerbating the reimbursement process. To address these concerns and promote proper reporting, we are organizing a webinar entitled "Physician Billing for 'Incident to' and Shared Care Services," which will comprehensively explain the differences between these services and guide physician billers toward correct billing procedures.
Register,
https://conferencepanel.com/conference/physician-billing-for-incident-to-and-shared-care-services
This episode continues our COVID-19 COVID-19 Insights Webinar discussing CMS changes, available grants and loans, existing opportunities in telehealth, and more state openings for elective surgeries.
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Does it feel like you’re falling behind on the latest CMS regulatory updates? You’re not alone. The CareOptimize COVID-19 Insights webinar is designed to keep you informed of everything going on with CMS as healthcare practices continue to adjust. Along with CMS updates, this webinar goes over SBA loans and Fee-for-service Advance/Accelerated Medicare payments.
CareOptimize COVID-19 Webinar series episode 2 continues with the most up-to-date news from CMS along with other regulatory changes affecting the healthcare industry. The primary focus is on a trio of distinct provider models and how each of them is managing their practices while adapting to the challenges of the pandemic. We also go over the technology CareOptimize has developed aimed at streamlining COVID-19 monitoring and reporting.
MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar covers:
Rule clarification and changes that have occured since January 1st.
Measure clarification and changes that have occured since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year.
How we can help support unique workflows and provider documentation.
In the day and age of value based medicine, it is critical to optimize your reimbursements with more accurate coding.This webinar uses specific examples to demonstrate the intricacies of accurate coding and how you can actually benefit. Questions answered include:
• How is global service reporting changing?
• What procedures require reporting?
• Who is required to report?
• When do new requirements take effect?
MACRA is quickly approaching year 2. CMS recently released their 2018 Proposed Rule, and there are some significant changes everyone should be aware of.
Rather than wading through the 1,058 pages of the Proposed Rule, join CareOptimize for a look at the most important takeaways.
In less than 30 minutes, you'll learn:
Are any of your clinicians now exempt?
What is a Virtual Group, and will it save you money?
Are your practice's priorities aligned with the newly weighted categories?
How can the Proposed Rule increase your 2018 bonus?
Accountable Care Organizations (ACOs) have been part of the healthcare landscape for a while and remain an integral part of the move toward value-based medicine. CMS recently introduced a new model in the MSSP (Medicare Shared Savings Program), ACO Track 1+.
This presentation gives a broad overview of ACOs and explains the basics of the new Track 1+ model. Topics include:
- ACOs and their role in MACRA/MIPS
- Meeting or exceeding the standards
- Why the risk might be worth it
MIPS is here. Are You Ready? CareOptimize Is.
See how the MIPS Management Solution empowers practices like yours to:
1. Know provider scores in real-time and compare those to your peers across the country
2. Provide scorecards for each MIPS category
3. Model different scenarios to determine your highest MIPS score
4. Automatically submit to CMS
5. Choose which level of assistance is best for your organization
... And More!
Let's face it, changes are coming. Healthcare is about to undergo another big shift once the new administration comes in. Between the sure things and the big questions, CareOptimize has found a bit of clarity. Join us to learn what our experts advise you to do to stay on top of it all.
Are you:
Keeping up to date with your risk scoring?
Missing out on reimbursement premiums?
Ensuring accurate health profiles for your patients?
Proper risk adjustment is important, not only to ensure your patients' quality of care, but also to improve your bottom line. This CareOptimize presentation will take you from the basic tenets of risk adjustment to specific ways you can increase your risk scores and get the highest premium payments.
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
Meaningful Use is not dead!
MIPS may be just around the corner, but MU is still very much in the picture. There is enough time, however, for your practice to optimize 2016 reporting and increase 2018 payments and avoid penalties.
This presentation takes you through the steps needed to successfully attest for 2016 and be prepared for upcoming changes.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. CPT Changes
Evaluation and Management (E/M)
Office or Other Outpatient Services
Prolonged Services
www.ama-assn.org
2
3. Evaluation and Management Guidelines
TIME
• Not for emergency department levels
• Different service categories use time differently
• Helps determine level of E/M services
• Physician/other qualified health care professional time includes
the following activities, when performed:
▪ preparing to see the patient (eg, review of tests)
▪ obtaining and/or reviewing separately obtained history
▪ performing a medically appropriate examination and/or evaluation
▪ counseling and educating the patient/family/caregiver
▪ ordering medications, tests, or procedures
▪ referring and communicating with other health care professionals (when not
separately reported)
▪ documenting clinical information in the electronic or other health record
▪ independently interpreting results (not separately reported) and communicating
results to the patient/family/caregiver
▪ care coordination (not separately reported)
3
4. Evaluation and
Management
Guidelines
4
SERVICES REPORTED
SEPARATELY
• Any specifically identifiable
procedure or service
performed on date of service
may be reported separately
• May need to report patient’s
condition required significant
separate E/M service
• Circumstance may be reported
by adding modifier 25 to level
of service
5. Office or Other Outpatient E/M Services
History and/or Examination – medically appropriate history and/or physical exam
• Scope is determined by health care professional reporting the service
• Care team may collect for physician
Number and Complexity of Problems Addressed at Encounter –
multiple new or established conditions may be addressed at the same time
Problem Problem Addresed Minimal Problem
Stable, Chronic Illness Self-limited or Minor Problem Acute, Uncomplicated Illness or Injury
Test External Independent Historian
Independent Interpretation Appropriate Source Risk
Morbidity Social Determinants of Health Acute, Complicated Injury
Acute Illness with Systemic Symptoms
Chronic Illness with Exacerbation, Progression, or Side Effects of Treatment
Undiagnosed New Problem with Uncertain Prognosis
Chronic Illness with Severe Exacerbation, Progression, or Side Effects of Treatment
Acute or Chronic Illness or Injury that Poses a Threat to Life or Bodily Function
External Physician or Other Qualified Healthcare Professional
Drug Therapy Requiring Intensive Monitoring for Toxicity
5
6. Instructions for
Selecting a Level of
Office or Other
Outpatient E/M
Service
6
• Medical Decision Making
• Establishing Diagnoses
• Assessing Status
• Selecting Management
Option
9. Evaluation and Management
Office or Other Outpatient Services
New Patient
99202 - Office or other outpatient visit, straightforward medical decision
time: 15-29 minutes
99203 - Office or other outpatient visit, low level medical decision
time: 30-44 minutes
99204 - Office or other outpatient visit, moderate level medical decision
time: 45-59 minutes
99205 - Office or other outpatient visit, high level medical decision
time: 60-74 minutes
Established Patient
99211 - Office or other outpatient visit, where a physician or other qualified health professional,
is not necessary
99212 - Office or other outpatient visit, straightforward medical decision
time: 10-19 minutes
99213 - Office or other outpatient visit, low level medical decision
time: 20-29 minutes
99214 - Office or other outpatient visit, moderate level medical decision
time: 30-39 minutes
99215 - Office or other outpatient visit, high level medical decision
time: 40-54 minutes 9
10. Prolonged Services
With Direct Patient Contact (except with office or other outpatient services
99202-99215)
99354 - Prolonged service(s) with direct patient beyond time of usual service,
first hour
99355 - each additional 30 minutes
Use 99355 in conjunction with 99355
99356 – Prolonged service of face-to-face time in unit/floor time in hospital or
nursing facility, first hour
99357 – each additional 30 minutes
Use 99357 in conjunction with 99356
Without Direct Patient Contact
99358 – Prolonged service before/after direct patient care, first hour
99359 – each additional 30 minutes
Use 99358 in conjunction with 99359
10
Evaluation and Management
12. Evaluation and Management
Prolonged Clinical Staff Services with Physician or other Qualified Health Care
Professional Supervision
99415 – Prolonged clinical staff service in office or outpatient setting, first hour
99416 – each additional 30 minutes
Use 99415 in conjunction with 99416
12
Prolonged Service With or Without Direct Patient Contact on the Date of an
Office or Other Outpatient Service
99XXX – Prolonged clinical staff service in office or outpatient setting, first hour
Use 99XXX in conjunction with 99205, 99215)
15. Transitioning to 2021 E/M Coding Guidelines
1. Identify a project lead: A project lead can help make the transition to the updated guidelines
smoother by educating staff on the changes and the practice’s internal reporting policies.
2. Schedule team preparation time: Practice leaders will benefit from scheduling time for in-person
meetings with physicians, clinical staff, and administrative personnel, to review the E/M changes and
address questions.
3. Update practice protocols: Physician practices will need to update their procedures and protocols to
align with the new guidelines. The AMA recommends that practices begin this process earlier rather
than later.
4. Consider coding support: Beginning January 1, 2021, physicians will have to adjust to significant
coding changes pertaining solely to the E/M office and outpatient category of codes. Coding staff can
educate providers and other non-coding staff on the changes.
5. Be aware of medical malpractice liability: Although the 2021 guidelines should lessen
documentation requirements for E/M office visits, physicians should continue to carefully document
their work to protect themselves from medical malpractice suits, AMA advises.
6. Guard against fraud and abuse law infractions: Physicians should continue to take steps to prevent
inadvertent overbilling.
7. Update your compliance plan: As practices undergo the transition to the new E/M guidance, they
must ensure that protocols and procedures remain consistent with their current compliance plans.
8. Check with their electronic health record (EHR) vendor: Practices should contact their EHR vendor to
confirm their schedule for implementing the E/M office visit code changes.
9. Assess financial impact: Practices can perform prospective financial analyses to prepare for potential
increases or decreases in revenue as a result of the E/M changes.
10. Understand additional employer, payer, medical liability coverage requirements: Payers may still
require clinical documentation above and beyond the new E/M office visit coding guidelines.
15https://acdis.org/articles/news-ama-issues-checklist-transitioning-2021-em-coding-guidelines