Category: Healthcare News

Exploring MIPS 2020: Keys for Physicians To Know

In August, the Centers for Medicare & Medicaid Services (CMS) announced proposed modifications to the Merit-Based Incentive Payment System (MIPS). As physician practices work to understand what’s changed, there are certain aspects of which they need to be aware. The following sections provide key takeaways and offer strategies for meeting the coming year’s requirements. Threshold […]
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Providers Ready for AI Clinical Documentation Improvement Tools

88% of providers are eager to implement clinical document improvement technology that leverages AI, and 93% believe the systems can streamline document creation. Forty-four percent of healthcare organizations already use artificial intelligence (AI) in one form or another, and more hospitals are looking to apply the technology to coding and clinical documentation improvement, a recent […]
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Final Physician Payment Rule Keeps E/M Code Changes

CMS on Friday issued its 2020 final rules for the Physician Fee Schedule, including a streamlining of evaluation and management services (E/M) reporting that was rolled back from an earlier proposal in a change providers applauded. The final rule, which is mostly unchanged from the proposed rule put forward in July, also cuts payments to physical therapists […]
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Medicare Remote Patient Monitoring: CMS Finalizes New Code and General Supervision

CMS just released the 2020 final rule with changes to remote patient monitoring (RPM), officially titled “Chronic Care Remote Physiologic Monitoring,” reimbursed under the Medicare program, as part of the Physician Fee Schedule changes. The changes, proposed earlier this year, have been hotly-anticipated by digital health companies hoping to see more clarity and flexibility for RPM services. CMS […]
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Prior Authorizations, Quality Payment Program Burden Practices

86% of medical group practices in an MGMA report said regulatory burden rose in the last year, with prior authorizations and the Quality Payment Program adding to that burden. A vast majority of medical group practices experienced growing regulatory burden in the last year, with prior authorizations and Medicare’s Quality Payment Program topping their list […]
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How Artificial Intelligence is Changing Healthcare

Among the many examples of Artificial Intelligence, AI in healthcare is clearly one of the leaders. AI is already reshaping medicine in many ways, and its influence will only increase in the years ahead. To shed light on this major shift, I spoke with Dr. Krishnan Nandabalan, founder and CEO of InveniAI, an AI healthcare company based in Connecticut. We […]
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Affordable Care Act Plans Will Be Able To Offer Wellness Incentives Under CMS Pilot

Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions remain as to whether wellness programs work. Affordable Care Act plans in 10 states will be able to offer wellness programs, as employer-sponsored plans have been doing for years. The Centers for Medicare and Medicaid Services on Monday announced the opportunity for […]
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