By
Case reveals Practice Fusion’s kickback scheme. Healthcare providers often talk about the importance of behavioral “nudges” to their patients – gentle pushes to encourage healthy and positive choices. However, news broke about a settlement in which healthcare providers were the ones being nudged – in this case, to prescribe highly…
By
Updating electronic medical records (EMRs) will allow for electronic signing and dating. New Medicare regulations became effective Jan. 1, 2020. Per the Centers for Medicare & Medicaid Services (CMS) news release: “To reduce burden, we are finalizing broad modifications to the documentation policy so that physicians, physician assistants, and advanced…
By
We have been reminding inpatient rehabilitation facilities (IRFs), repeatedly of late, and now we’re down to the final two months before the transition away from utilizing Functional Independence Measures (FIMtm) to assign patients to a case-mix group (CMG) and toward using key quality indictor data – specifically, the GG Self-Care…
By
Observation is a service, not a status. As we have all seen in recent events on television, choice of words matters. That’s particularly true in the utilization review world. And one word that matters an awful lot is “observation.” I am sure you have all heard this a million times…
By
CMS has created a giant loophole that continues to perplex. I get a lot of questions about status changes. To explain how even the seemingly simple questions are not always so easy, I want you to picture a patient. She is 75 years old and has a cough. She is…
By
The court ruled that the whistleblower’s complaint lacked credible allegations that any false claims were submitted to Medicare. Last week, a federal Judge in the Middle District of Florida dismissed a lawsuit against electronic health record (EHR) giant Epic Systems. An EHR is a digital version, or database, of a…
By
A look ahead to the unification of healthcare and how patients access their information. It has been announced that Apple is expanding its HealthKit application to make it possible for a person to view their own health records on their mobile devices. According to Apple, it is strange that people…
By
Small town physician loses license because she doesn’t use a computer in her practice. Am I the only one who remembers Marcus Welby, MD? For those of you that don’t remember, he was a family practitioner on a TV show back in the 70s who knew all his patients by…