COVID-19 shows public and private health care complement each other

Published: Wed, 07/08/20

We hear increasing calls for greater government involvement in health care as the solution to future pandemics and health care problems in general. Ironically, the pandemic illustrates exactly the opposite.

CMS Guidance for Remote Patient Monitoring (RPM)

The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM.

The rare win-win-win — Why ASCs will come out of the pandemic stronger than ever

ASCs were in line for substantial growth before the COVID-19 pandemic, and while patient volumes dropped to as low as 20 percent in April, recovery has been swift and the growth opportunities emerging from the pandemic are significant.

Coronavirus Creates Cornucopia of Fraud

The COVID-19 crisis in the United States has opened vast opportunities for fraud of every type. The scale and scope of COVID-related criminal activity is so vast, we need to take an Aristotelian approach and separate it into categories.

Coronavirus: AMA releases new CPT code for antigen tests

The American Medical Association (AMA) has a release an update to the Current Procedural Terminology (CPT) which includes a new code for reporting antigen testing of patients suspected to be infected with COVID-19.

How Cleveland Clinic created a telehealth team and new documentation to tackle coding, billing changes

When CMS issued sweeping regulatory changes on March 30 to address COVID-19 patient surge, Cleveland Clinic assembled a team of IT, coding and billing experts to help translate the new telehealth policies and waivers into clinician-friendly electronic workflows.

Artificial intelligence in medicine: Getting smarter one patient at a time

What if doctors had more time to spend addressing their patients' concerns? That's the thrust behind the push for integrating artificial intelligence (AI) into medicine. By using complex algorithms to detect patterns in large datasets—like lab test results, current medications, and symptoms, to name a few—AI might actually make medicine more personable—not less.

CMS: Value-Based Reimbursement Key to Addressing Health Disparities

Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS.

Secure Payment Processing to Protect Patient Privacy

HIPAA’s Privacy and Security Rules specify 18 data elements that an individual could use as a means to determine a patient’s identity. The majority of this vulnerable data are easily understood (e.g., name, address, phone number, etc.) and can be applied to nearly any business, however, there are some elements that relate specifically to the healthcare process, including a...