Healthcare IT Today

JULY 17, 2019

The following is a guest blog post by Jim Tate, Founder of EMR Advocate & MIPS Consulting. Just as the Meaningful Use (MU) EHR Incentive program brought potential audits to providers, so it will be with the MIPS program. Both programs were enacted by Federal legislation, and while there are differences, they are also similarities.

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Meaningful Use EMR EHR Medicare 99

Healthcare IT Today

JUNE 11, 2019

A recent study by the HHS Office of Inspector General suggests that Medicare ACOs coordinate care more effectively when they have the right health IT tools in place, particularly when ACO members share one EHR platform and have access to a robust HIE. Folks, I know that reading OIG reports can be about as exciting […].

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Medicare HIE Health IT EHR 70

Mend

APRIL 4, 2023

In part 2 of our blog series, Mend reviews the temporary Medicare changes for telehealth lasting until the end of 2024. Part one of our blog series covers the Medicare changes relating to telehealth that will remain a permanent policy. More specifically, Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

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Public Health Medicare Telehealth Mental health 52

Healthcare IT Today

NOVEMBER 22, 2022

The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Meanwhile, Medicare also has a Fee for Service Recovery Audit Program. Tricare and Medicare).

Medicare 107

Medicare Private practice RCM Nursing 107

Healthcare IT Today

DECEMBER 24, 2024

potential health plan coverage changes – particularly for those covered by Medicaid and Medicare; and rising healthcare costs, on top of inflation. AI can pull data from EMRs, consumer health, nutrition and fitness apps, and connected smart devices (e.g.,

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Mental health Health IT Primary Care Patient Experience 88

Healthcare IT Today

JULY 19, 2022

Canvas Medical, the EMR that enables clinicians and developers to power the future of care delivery, has raised $24MM in Series B funding led by M13 with participation from Haystack and previous investors Inspired Capital, IA Ventures, Upfront Ventures, and Irongrey. Founded in 2015, Canvas is reimagining the EMR for the future of healthcare.

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Healthcare IT Today

FEBRUARY 14, 2024

HealthPolicyValentines pic.twitter.com/nZx2DcTCGI — MA Health Policy Commission (@Mass_HPC) February 13, 2024 Medicare could never negotiate your cost because you are priceless. Be sure to check out our coverage of previous #HealthPolicyValentines as well as some that we found interesting this year below.

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Health Policy Meaningful Use HIE EMR 86

Healthcare IT Today

FEBRUARY 22, 2023

We combine a Medicare ACO, virtual and in-home doctors’ office, and a digital health platform to equip our network of physicians with everything they need to be successful in caring for their patients and staying ahead in a rapidly changing healthcare system.

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Health IT Medicare HIPAA EMR 103

Healthcare IT Today

DECEMBER 28, 2022

The health system said that patients on Medicare will pay fees ranging from $3 to $10, while consumers with Medicare Advantage or private insurance might face co-pays similar to those paid for video visits or in-person consultations. Private pay consults for patients without insurance will cost $35.

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Medicare EHR Telehealth Patient Experience 106

Healthcare IT Today

SEPTEMBER 8, 2024

News Among the proposals in the CMS 2025 Medicare OPPS and ASC payment system proposed rule is a one-year extension of the voluntary reporting of core clinical data elements. People EMR vendor Canvas Medical appointed Adam Farren as CEO. Mindbowser’s HealthConnect CoPilot is now part of the Epic Vendor Service Program.

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RCM EHR EMR Healthcare IT 83

Healthcare IT Today

OCTOBER 16, 2024

For SNFs that utilized the interventional analytics, the data showed a reduction in Medicare spending per beneficiary, a decrease in hospitalizations due to infections acquired during the SNF stay, and an increase in the rate of successful transitions back to home or community settings. As the study highlights, there were approximately 1.7

Nursing 121

Nursing Interoperability Medicare Health Data 121

Healthcare IT Today

JULY 23, 2022

Ambulatory EMR and care coordination vendor Canvas Medical raised $24 million in Series B funding and announced ONC certification, which makes its customers eligible for value-based Medicare and Medicaid programs.

Primary Care 85

Primary Care RCM EMR Healthcare IT 85

American Well

FEBRUARY 4, 2016

4442 in the House) would greatly expand providers’ ability to leverage innovative telehealth healthcare technologies to increase access to healthcare for Medicare enrollees—and be appropriately paid for doing so. Removing Medicare Barriers to Telemedicine. 2484 in the Senate and H.R.

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Telemedicine Medicare Telehealth EMR 54

Healthcare IT Today

AUGUST 6, 2019

In another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. During the pilot, which is called “Data at the Point of Care” or DPC, clinicians will be able to access the claims data from CMS’s Blue Button 2.0 functionality. The idea […].

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Healthcare IT Today

MARCH 5, 2024

Watch the video for more details about pressures on Medicare Advantage plans, rules about prior authorization, FHIR APIs, and more. Learn more about 1upHealth: [link] Listen and subscribe to the Healthcare IT Today Interviews Podcast to hear all the latest insights from experts in healthcare IT.

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FHIR Interoperability Healthcare IT Medicare 124

Healthcare IT Today

AUGUST 28, 2023

Preparation ahead of the mandatory deadline is crucial for success and ACOs with multiple EMRs will face unique challenges. cut to physicians who treat the country’s most vulnerable patients through Medicare. 2474 – dubbed the “Strengthening Medicare for Patients and Providers Act.”

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Healthcare IT Telemedicine Medicare EHR 124

American Well

FEBRUARY 4, 2016

4442 in the House) would greatly expand providers’ ability to leverage innovative telehealth healthcare technologies to increase access to healthcare for Medicare enrollees—and be appropriately paid for doing so. Removing Medicare Barriers to Telemedicine. 2484 in the Senate and H.R.

Telemedicine 48

Telemedicine Medicare Telehealth EMR 48

Healthcare IT Today

APRIL 6, 2023

Another article recommended by Rose points out that medication adherence for some of the most important and effective medicines (statins, hypertension, diabetes) directly determine about 9% of the Star Ratings for Medicare Advantage health plans.

Nursing 103

Nursing Medicare Mental health Digital Health 103

CiscoHealth

APRIL 27, 2017

That being said, recent US legislation expanding reimbursement from Medicare, Medicaid, and private payers has provided a significant incentive to make the leap from traditional in-person care to virtual services. Without proper coverage and reimbursement, organizations are hesitant to invest in the technology.

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Telehealth EMR Medicare Telemedicine 48

Society for Participatory Medicine

OCTOBER 25, 2021

CMS ( here and here ), Humana (in its Medicare Advantage business) and Deloitte strongly advise that VBHE is coming. Remote patient monitoring can bring data previously unavailable to the EMR. And participation itself goes a long way to optimize quality, SDoH, cost and delivery. Oh, you say, but I doubt the VBHE will come to pass.

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Psychiatry EMR Digital Health Medicare 97

Healthcare IT Today

OCTOBER 10, 2022

With recent legislation allowing Medicare to negotiate prices, it’s likely that the movement will grow , given the high and constantly rising costs of pharmaceuticals, especially gene therapies and other innovative or personalized drugs.

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Interoperability EHR Pharmaceuticals Medicare 90

Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. This article is the fourth in the Healthcare Regulatory Talk series.

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EHR Health Information Health IT Medicare 120

American Well

MARCH 17, 2016

Our scheduling APIs allow EMR scheduling systems to synchronize scheduled visits with American Well, with the option to trigger emails to patient and physicians. EMRs: Electronic Medical Records (EMRs) contain the standard medical and clinical data gathered by a patient’s provider, and allows that provider to track data over time.

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Telehealth EMR HIPAA Telemedicine 48

American Well

MARCH 17, 2016

Our scheduling APIs allow EMR scheduling systems to synchronize scheduled visits with American Well, with the option to trigger emails to patient and physicians. EMRs: Electronic Medical Records (EMRs) contain the standard medical and clinical data gathered by a patient’s provider, and allows that provider to track data over time.

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Telehealth EMR HIPAA Telemedicine 48

Healthcare IT Today

JUNE 24, 2022

The platform supports a clinic’s end-to-end operations, from patient intake to scheduling, communication, assessments, electronic medical records (‘EMR’), revenue cycle management, home exercise plans, adherence tracking and patient lifecycle management.

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Life Science EMR Private practice Medicare 52

Healthcare IT Today

AUGUST 15, 2019

Health plans are eager to grow their Medicare business but may not be able to meet their goals unless they build out their tech and administrative infrastructure further, according to results from a survey backed by health plan technology vendor HealthEdge.

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Medicare EMR EHR Healthcare IT 46

Healthcare IT Today

AUGUST 19, 2019

Earlier this year, ONC and CMS issued new draft guidelines requiring that all insurers and providers serving the Medicare population make their data available electronically by 2020.

HIE 52

HIE Medicare EMR EHR 52

Healthcare IT Today

DECEMBER 31, 2020

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

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Public Health Medicare EMR EHR 52

Healthcare IT Today

MAY 13, 2024

Providers not using certified EHR may face downward payment adjustments to their Medicare reimbursements in the affected payment year. Non-compliance with predictive DSI requirements may result in penalties or loss of certification.

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Interoperability EHR Health IT Health Data 117

Healthcare IT Today

JUNE 7, 2023

In the comments that we will submit to ONC on HTI-1, we’ll also be encouraging ONC and the Centers for Medicare and Medicaid Services (CMS) to work more closely together to address the misalignments that frequently occur between when ONC tells software developers to deploy new certified versions and when CMS requires providers to be using them.

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Health IT EHR Interoperability Health Information 97

Healthcare IT Today

DECEMBER 7, 2022

Cookeville has all the worries and pressures of rural practices: lots of Medicare and Medicaid patients, reimbursements that don’t keep up with inflation, and the looming threat of competition from high-tech companies and big insurers. Cookeville Medical Clinic , a provider with four clinics in central Tennessee, proves this.

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Health IT Patient Experience Healthcare IT Medicare 64

HIStalk Interviews

MAY 15, 2019

I spent 10 years working on data interoperability in healthcare and God bless everyone who is trying to push all that stuff forward, but I think we have skipped over the fact that a number of these types of things will never happen through an EMR. People don’t talk through EMRs. DINA is our digital nursing assistant.

Nursing 58

Nursing EMR Interoperability Medicare 58

InTouch Health

JULY 17, 2020

Against this backdrop, FAIR Health’s Monthly Regional Tracker reported an increase in telehealth claims of 8336% between April 2019 and April 2020 (excluding Medicare and Medicaid claims). . All this has to happen leveraging the legacy environment including the EMRs.

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EMR Telehealth Patient Experience Medicare 52

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

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Interoperability Health Data FHIR Medicare 145

Healthcare IT Today

APRIL 20, 2023

Joining a QHIN will not be mandated, but the Centers for Medicare and Medicaid Services (CMS) has indicated that belonging to one will satisfy interoperability requirements for reimbursement adjustments – incentivizing participation as soon as this year.

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Interoperability Health Information Health Data Medicare 64

Healthcare IT Today

OCTOBER 18, 2022

This list would include major healthcare payers like the Centers for Medicare & Medicaid Services and Tricare, public health agencies like the Centers for Disease Control and Prevention, and the Department of Education, which coordinates supportive health services for some student populations.

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HIE eHealth Interoperability Health Information 67

Digital Health Wire

AUGUST 31, 2023

Depending on the program that’s being developed, we can provide unique content for education, or a direct connection to nursing staff for video visits, but all of it is integrated with the EMR so that care teams can also have a seamless experience and access to the data.

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Remote care EMR Digital Health Nursing 52