Tag: Patient Care

rule-to-improve-prior-authorization-process

CMS Proposes Rule to Expand Access to Health Information and Improve Prior Authorization Process

The proposed rule seeks to reduce administrative burdens and address delays in patient care. The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule on Dec. 6, 2022, aimed at improving the prior authorization process and interoperability between providers, payers, and patients. The Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (CMS-0057-P) […]
Learn More
Top-Administrative-Challenges-for-Physicians-in-2023

Top Administrative Challenges for Physicians in 2023

Quality metric reporting can be a significant challenge to health care administration due to a number of obstacles. First and foremost, you need buy-in from the physicians providing the care to the patients. Without this, it is difficult to make any meaningful changes to the pattern of care provided. Second, it requires having a very […]
Learn More
CDI-Data-to-Improve-Patient-Care

Capturing and Using CDI Data to Improve Patient Care

Ultimately, a CDI program is only as good as how you use the data. Data can be a powerful tool. It is important to remember not to just capture data but to use it. Over the past week you can see articles on clinical documentation integrity (CDI) impacting patient care. The question is how do […]
Learn More
Administrative-Policies-Overburdening-Providers

Administrative Policies Are Overburdening Providers

Some commercial health insurers are using policies that can delay patient care and create burden for providers, causing relationships with hospitals to worsen, according to a survey by AHA. The association fielded responses from more than 200 hospitals in 2019 and from 772 hospitals between December 2021 and February 2022, creating data that both predates […]
Learn More
Single-EHR-Vendor-Best-For-Patient-Care

Using a Single EHR Vendor Is Optimal For Patient Care

Using a single EHR vendor is best for patient care, a study by researchers at the University of Notre Dame and University of South Carolina found. A single EHR vendor environment is effective in fulfilling providers’ information needs for patient history and prior results. When hospitals purchase all their EHR components from a single supplier, […]
Learn More
8-percentage-Medicare-Payment-Cut-in-Medical-Practices

Patient Care Could be Affected by 8.5% Cut on Medicare Payments

An 8.5% cut to Medicare payments could affect patient care in medical practices across the country. Reducing charity care, new Medicare patients, staff, and locations all are among the effects projected if Congress does not act on 2023 reimbursement levels, according to a new study by the Medical Group Management Association (MGMA). The findings came […]
Learn More
2023-Medicare-Physician-Fee-Schedule

2023 Medicare Physician Fee Schedule on Unsustainable Cuts

Lower Medicare payments to physicians will lead to patient care by reducing access to services, according to medical groups commenting on the 2023 Medicare Physician Fee Schedule (PFS). In July, the U.S. Centers for Medicare & Medicaid Services (CMS) announced the 2023 proposed rule and physician groups have been responding, including with detailed comments published […]
Learn More
Locum-Tenens-Physicians-to-fill-vacant-positions

Locum Tenens Physicians To Fill Vacant Positions

  Hospitals are increasingly utilizing locum tenens physicians, advanced practice providers (APPs), and telehealth services to address staffing shortages. The Innovation & Flexibility: Journey to Sustainable Healthcare Report reflects data from 129 healthcare administrators representing a range of facility types and sizes. The COVID-19 pandemic exacerbated hospital staffing shortages as many clinicians faced burnout and […]
Learn More

Boost reimbursement through improved documentation

Five tips to ensure better documentation and, along with it, better patient care and improved reimbursement. Providers and coders need a cooperative relationship, working toward a common goal of complete coding and positive reimbursement results, as supported by medical documentation. Here are five tips to ensure better documentation and, along with it, better patient care […]
Learn More

Covid-19 Brought Little Relief from Prior Authorizations

Despite the strain placed on physicians by the COVID-19 pandemic, insurers continued to impose prior authorization requirements which delayed care and hurt some patients. According to a news release from the American Medical Association (AMA), a new survey showed that nearly 70 percent of the 1,000 respondents showed that health insurers had either reverted to prior authorization […]
Learn More