Simplifying value-based care is paramount to a successful transition

Published: Wed, 06/19/24

Updated: Wed, 06/19/24

Link to all things medical coding & billing

Simplifying value-based care is paramount to a successful transition

The US health care industry continues a predominant fee-for-service provider reimbursement model, despite trying to shift to a value-based care model for now approaching two decades. Moreover, providers continue to be consumed in a figurative avalanche of paperwork. It is a challenging system for both practitioners and patients, often delivering...

CPT Editorial Panel suspends changes to RPM coding – what's next?

A push to improve reimbursement for remote patient monitoring programs has stalled, and that could prompt health systems and hospitals to think twice about launching or expanding their platforms. The roadblock is coming from the American Medical Association's 21-member CPT Editorial Panel, which hasn't been able to agree on amendments to the...

TEFCA Bringing Big Changes to Healthcare and Health Data Interoperability

I recently saw a notable update on the Trusted exchange Framework and Common Agreement or TEFCA, a federal program intended to improve health data interoperability across the healthcare industry.

It made me think about how quickly healthcare interoperability is advancing. Interoperability touches nearly all stakeholders in the industry, most...

Customizing AI scribes is key to reducing clinician editing time

Excessive clinical documentation is a widespread problem that is causing clinician burnout and even having an impact on patient care – as an American Medical Informatics Association survey recently showed. It revealed the frustration of physicians and nurses about the burden of electronic health record charting and the time and effort needed to complete...

CPT Coding for Use of Operating Microscope (+69990)

CPT code +69990 Microsurgical techniques requiring use of operating microscope is assigned when a surgeon uses an operating/surgical microscope to aid in visualizing small/fine structures in the operating field during the performance of microsurgical techniques, such as microdissection. The work represented by this code includes setting up...

CMS Proposes Payment Models for Surgical Procedures

The Centers for Medicare & Medicaid Services (CMS) has proposed an episodic payment model, the Transforming Episode Accountability Model (TEAM). This is one of CMS’s “innovation” models. If it makes it through the rule making process, the proposed model would launch on Jan. 1, 2026 and run for five years, ending on Dec. 31, 2030.

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